Form Center

2. Effective this date, I, hereby, allow the Dublin Police Services to enforce any and all laws on my property* pursuant to PC 602(o). I give permission to all officers of the police department to enforce all trespass violations on this property during my absence. My property is closed to the public, and I have posted signs on my property that state this. I am expecting prosecution will be sought on all cases. If the manager and/or I are on the property, we will initiate this enforcement action. I am requesting this action for the protection of our tenants.
4. I agree to report any change in ownership, in writing, to: Commanding Officer, Dublin Police Services, 6361 Clark Avenue, Dublin, CA 94568. I understand it is the responsibility of the property owner/controller whose signature is affixed below to make such notification.
6. Name of Owner or Authorized Representative*
8. Date
9. E-mail Address
11. Name of Business*
13. Business Address*
14. Business Telephone*
16. *Property Location Address - Each numbered address must be listed individually. (Dispatch will not accept this form with a grouping of addresses, such as 7505-7533 Dublin Blvd.)*
18. This request must be renewed every 12 months, and a separate form must be completed for each property location.
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field