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Click ‘Get Form’ to open it in the editor.
Begin by entering the Facility/Property Name and Address in the designated fields. Ensure that this information accurately reflects the location for which you are requesting assistance.
Provide a 24-hour emergency contact name and phone number. This is crucial for immediate communication regarding any trespassing incidents.
Fill in your details as the Owner or Agent, including your address, home phone, cell phone, and email. This information helps establish your authority over the property.
In the authorization section, clearly print your name and confirm your role as the owner or authorized agent. This step is essential for legal validation of your request.
State the reason for this letter in the provided space. Be specific to ensure clarity on why police assistance is needed.
Sign and date the form at the bottom to finalize your request. Remember, this authorization remains valid for twelve months unless revoked.

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