Trespass Authorization Form Trespass Arrest Authorization CORONA POLICE DEPARTMENT TRESPASS ARREST AUTHORIZATION FORM (PRIVATE PROPERTY)DATES OF AUTHORIZATION:From MM slash DD slash YYYY To MM slash DD slash YYYY The below Requester is the: Owner Owner’s Agent Person in lawful possession of the property at: ADDRESS:Street Apt/Suite State City Zip The above property is a: Residential dwelling Business Vacant lot Other Describe Property: In accordance with California Penal Code section 602(o), I authorize any peace officer of the Corona Police Department to enter the above property and to arrest for trespassing, under California Penal Code section 602, any persons found on the property without my consent or without lawful purpose. Check Applicable Paragraph:(You can fill in the blanks once a paragraph is selected below) The listed person, ____________, has been formally advised reference PC 602(m) (lack of consent) at the location. The above-described property is closed to the general public and is currently posted as being closed to the general public with “NO TRESPASSING” or similar signage. (authorization valid for 6 months) The above-described property is not open to members of the general public between the hours of ____ and _____, and is currently posted with signs indicating the property is closed to members of the general public between the hours of ____ and _____. (authorization valid for 6 months) I will be absent Listed Person: Name The above-described property is not open to members of the general public between the hours of And and is currently posted with signs indicating the property is closed to members of the general public between the hours of And I will be absent from the above-described property for ____ days(may not exceed 30 days) commencing on MM slash DD slash YYYY and returning on MM slash DD slash YYYY I or my authorized agent will cooperate fully in the prosecution of anyone who is arrested pursuant to this authorization for violation of any local or state law, including trespassing or vandalism. In addition to my contact information below, the following persons may be contacted and are authorized to respond in my absence:CONTACTS:Contact 1: Name Contact 1: Phone Contact 2: Name Contact 2 Phone I certify under penalty of perjury that the information on this form is true and correct:REQUESTER:Requester Signature Reset signature Signature locked. Reset to sign again Date Executed MM slash DD slash YYYY Date of Birth Month Day Year Name Home PhoneCell PhoneBusiness PhoneStreet Address City State Zip RP Email Would you like to send a copy to dispatch? Yes No Dispatch Email Officer Email*