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Trespass Letter of Consent

  1. Home, Business, Apartment, etc.

  2. Location Address

  3. I certify that I have the authority to file such paperwork with the Eugene Police Department as the:*

  4. By submitting this document I do hereby designate each and every police officer now or hereafter employed by the City of Eugene as agent for the purpose of enforcing, Sections 4.805-4.809 of the Eugene Municipal Code. This authorization shall continue in full force and effect until such time as it is revoked in writing and said writing is duly delivered to the Eugene Police Department.*

    I have read and understand the above.

  5. If you have any questions about this program, contact Program Manager Harlow Meno 541-682-5642.

  6. Leave This Blank:

  7. This field is not part of the form submission.