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Pink Patch Project

For the month of October, the San Rafael Police Department is participating in the Pink Patch Project.  Go to the Pink Patch Project website to get your pink patch today!

San Rafael Police Department

San Rafael Police Department

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: November 21, 2019
Business or Residence Name:
Address:

Please enter only ONE address.
Additional Trespass Forms must be completed for additional addresses.
Your trespass letter will be rejected if this field contains more than one address.

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 Diana Bishop
San Rafael Police Department
1400 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: November 21, 2020
You will be required to complete a new trespass letter yearly if desired.