Trespass Authority Letter

2. Date:
   Date:

   Date:
4. First Name*
5. Last Name*
7. I am responsible for the property that is located at the following address:
9. Business Name*
10. Email Address*
12. Business Address*
14. City*
15. State*
16. Zip Code*
18. Emergency Phone Number/Business Number*
19. Cell Number
21. Please add any other pertinent notes about your property here:
23. Authority Letter
    I request and give permission for officers of the Ventura Police Department to enter the above listed property at any time, day or night, and enforce any and all law violations. These violations include, but are not limited to: trespassing, illegal lodging, public intoxication, and drinking in public without permission. I request and authorize the officers of the Ventura Police Department to arrest any person found committing any misdemeanor or felony violation. This authorization includes those offenses that require a private person's arrest to be affected. If an arrest is made on the above listed property, I agree to appear to any legal proceeding necessary to assist in the prosecution of any arrest made pursuant to this letter. If an arrest is made on the above listed property, I agree to appear to any legal proceeding necessary to assist in the prosecution of any arrest made pursuant to this letter. This Authority Letter is valid for one year following the date it is signed. If the business is sold or the person listed below is no longer available, please re-submit a new form.
25. Full name: by typing your full name you are signing this authority letter electronically.*

    You agree your electronic signature is the legal equivalent of your manual signature on this form.

26. Email address if different from business email
28. Phone number if different from business number
30. Questions about this form? Please call 805-477-3747
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

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