2. DISCLAIMER;

   As a legal representative/ owner of this property, this letter provides authorization to officers of the South Miami Police Department to enforce Florida State Statute, F.S.S 810.08 and 810.09, FSS. Officers are hereby authorized to enforce the above listed statutes and to warn and direct persons to leave the premises.  

   Failure to vacate the premises after being so instructed by the officers may result in an arrest for Trespass after Warning pursuant to FSS 810.08 and 810.09.

   
   

4. South Miami Location
6. Business or Residential Complex
8. City
9. State
10. Zip
12. Property Representative
13. Last Name
15. Valid Form of Identification

    1. Florida Driver's License
    2. Out of State Driver's License
    3. State Identification
    4. USA Passport

     

17. FL Driver's License or FL Identification #
18. Expiration Date
20. Out of State Driver's License or State Identification #
21. State
22. Expiration Date
24. USA Passport #
25. Expiration Date

31. OFFICE USE ONLY

33. Officer Notarizing Trespass Authorization
34. Court ID#
36. Officer Signature
37. Date
    Date
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field