Inglewood, CA · Los Angeles County
Statement of Private Person’s Arrest
A private person uses this form to describe an arrest and request that Inglewood Police Department officers transport the arrestee to the city jail.
What this form is
This statement records a private person’s arrest and requests that Inglewood Police Department officers transport the arrestee to the Inglewood Police City Jail. It asks for the private person’s statement about the offence, signature, date and time, arrestee, charges, location, and the officers involved. The form says the signer agrees to cooperate and appear when required or requested during the proceedings.
Who needs it
A private person who has arrested someone for an offence committed in their presence and is making the request described on the form.
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 statement is signed without a notary; the form asks the private person to sign and provide the date and time.
How to submit this form
- 1
Download The Form
Download the Statement of Private Person’s Arrest PDF.
- 2
Complete The Statement
Enter the requested offence details, arrest location and time, arrestee, charges, and officer information.
- 3
Sign And Date
Sign the statement and provide the date and time.
- 4
Submit To The City
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Statement of Private Person’s Arrest do?
- It records a private person’s statement about an arrest and requests that Inglewood Police Department officers transport the arrestee to the Inglewood Police City Jail.
- What information does the form ask for?
- It asks for details of the offence, the signer’s signature and date and time, the arrestee, charges, address or location, and the Inglewood Police Department officers.
- Do I need a notary for the Statement of Private Person’s Arrest?
- No. The form asks the private person to sign and provide the date and time; it does not require a notary.
- How do I submit the Statement of Private Person’s Arrest?
- The form does not give submission instructions. Submit it to the city department named on the form and check the city website for current contact details.
Need something notarized?
This Statement of Private Person’s Arrest doesn’t need a notary — but if you have another Inglewood form that does, a commissioned online notary can help.