TRESPASS LETTER

A signed trespass letter gives the San Rafael Police Department authority to inspect your property for persons trespassing, sleeping, lodging, residing, or loitering, and to authorize the San Rafael Police Department to act as your agent for the purpose of enforcing the trespassing and unlawful lodging provisions of Penal Code sections 602 (o) and 647(e).

Date:	April 27, 2024
Business or Residence Name:
Address:	- Click on the autocompleted address for fastest processing. - Enter only ONE address. - Do not enter an address range.
Premise Phone Number:
Property Owner Name or Management Company:
Property Owner or Management Company Phone:
Property Owner or Management Company Email Address:
Emergency Contact Name:
Emergency Contact Phone:

To: Chief David Spiller
San Rafael Police Department
1375 Fifth Avenue
San Rafael, CA 94901

I am the owner [or owner's agent] of the private property located at:

which is not open to the general public,

	I have NOT authorized any individual to be on the property for the purpose of sleeping, lodging, residing, or loitering.
	I am requesting the San Rafael Police Department to patrol and inspect my property for persons trespassing, sleeping, lodging, residing, or loitering on said property, and herby authorize the San Rafael Police Department to act as my agent for purpose of enforcing the trespassing and unlawful lodging provisions of Penal Code sections 602 (o) and 647 (e).
	I understand that this request and authorization expires 1 year from the above date, at which time an updated letter will be submitted.

Signed: (Enter Name)

NOTE: This trespass letter will expire on: April 27, 2025
You will be required to complete a new trespass letter yearly if desired.

Protecting the Mission City