Glendora, CA · Los Angeles County
Public Safety Agency Consent Form
This form records police and fire agency awareness and consent for a planned closure, with fields for closure dates, times, and agency contact information.
What this form is
The form records awareness of a planned closure and states that the Glendora Police Department and Los Angeles County Fire Department have no objection as long as traffic control procedures follow the approved Traffic Control Plan. It asks for the closure location, dates and hours, and each agency’s printed name, signature, phone number, and station. The form does not state when it must be submitted.
Who needs it
People coordinating a planned closure can use this form to record the requested consent from the Glendora Police Department and Los Angeles County Fire Department.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the form provides signature and date fields, and the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Public Safety Agency Consent Form.
- 2
Complete the Closure Details
Enter the closure location, dates, and hours.
- 3
Complete Agency Fields
Have the agencies fill in their printed names, signatures, phone numbers, and stations.
- 4
Submit to the City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What does the Public Safety Agency Consent Form record?
- It records awareness of a planned closure and whether the Glendora Police Department and Los Angeles County Fire Department have no objection, subject to the approved Traffic Control Plan.
- What information does the form ask for?
- It asks for the closure location, dates and hours, plus each agency’s printed name, signature, phone number, and station.
- Do I need a notary for the Public Safety Agency Consent Form?
- No. The form is signed without a notary; the signer just signs and dates it.
- How do I submit the Public Safety Agency Consent Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Public Safety Agency Consent Form doesn’t need a notary — but if you have another Glendora form that does, a commissioned online notary can help.