Limited Authorization for Arrest Form

I hereby authorize the Santa Ana Police Department to arrest any person who trespasses upon my property at:(Required)

Name(Required)

First Last

Date(Required)

California Driver's Licence #:(Required)

Date of Birth:(Required)

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.