Trespass Letter of Authorization

police department building
Please fill out the online form below. If you prefer, you can print the form, and hand deliver it to the Signal Hill Police Department located at 2745 Walnut Ave. Trespass Letter of Authorization Form.

Online Letter of Authorization Form

  1. RECENTLY, I HAVE EXPERIENCED THESE PROBLEMS AT MY PROPERTY (MARK ALL THAT APPLY):
  2. As the authorized OWNER / AGENT of the property located above, I authorize the Signal Hill Police Department to enforce all laws against any person found on the above-listed property without my consent or without lawful purpose. I authorize the Signal Hill Police Department to ask unauthorized persons to leave the property. If they refuse to leave immediately, or return thereafter, I authorize the Signal Hill Police Department to act as my agent for the purpose of enforcing trespass or any other law violation on the property. I understand this authorization is valid for a maximum period of one (1) year from the date given and it is my responsibility to renew this authorization at that time unless revoked in a written notice signed by me and delivered to the Signal Hill Police Department prior to the end of the one-year period.
  3. I consent to the collection of the provided information into the Signal Hill Police Department’s database for access by department personnel in the enforcement of applicable trespass laws.
  4. My designee(s) and I will cooperate in the prosecution of persons for these offenses.
  5. PLEASE INCLUDE YOUR MAILING ADDRESS IF DIFFERENT FROM THE PROPERTY LOCATION ADDRESS:
  6. Mark your calendar to submit a new form within twelve months if the need still exists.
  7. Leave This Blank:

  8. This field is not part of the form submission.