Limited Authorization for Arrest Form

I hereby authorize the Santa Ana Police Department to arrest any person who trespasses upon my property at: * Required
which is fenced, or posted with signs no less than 3 to a mile, along all entries and exterior boundaries, or neither posted nor fenced and/or in any way engages in, carries out or causes to carry out any unlawful act in violation of the law of the State of California or the City of Santa Ana's Municipal Code. I specifically designate the Santa Ana Police Department as my agent and grant authority to police officers to request persons who are trespassing to leave the above reference property. (Penal Code section 602 and 647.) I also agree to cooperate fully with any prosecution brought by or on behalf of law enforcement authorities acting at my request and I agree to appear in court if called to do so. I understand this authorization is for a limited time and that the time period will not exceed 6 months when the property is not posted and when the owner, agent or person in lawful possession is absent from the property. If the property is closed to the public and posted "Closed to the Public, No Trespassing", the period of time will not exceed six months. I further understand that it will be my responsibility to renew my request once that time has expired. I will hold harmless the City of Santa Ana for any act as a result of this request. I will renew this authorization or allow it to expire within 6 months of the date signed. I agree to notify the Santa Ana Police Department in the event I sell or relinquish ownership, agency or lawful possession of the property. * Required
I agree.
Name * Required
First Last
Date * Required
MM slash DD slash YYYY
Property Owner/Manager & Property/Business Information:
California Driver's Licence #: * Required
Date of Birth: * Required
MM slash DD slash YYYY
Address: * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact #: * Required
Email Address: * Required
Business/Property Name or Type: * Required
Business/Property Address: * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Contact #: * Required
Business Cell #: * Required
Email Address: * Required
Business/property will be closed between the hours of: * Required
Describe Trespassing Issues: * Required
Please include one picture of one of your posted signs. * Required
Max. file size: 50 MB.

Limited Authorization for Arrest Form

Property Owner/Manager & Property/Business Information: