Bethany, IL · Moultrie County

No notary required

Criminal Trespass Warning Form

Bethany complainants and police use this form to record a written and oral criminal trespass warning and document the parties’ statements.

What this form is

The form records a complainant’s warning that a named party is not allowed on a property, along with the party’s acknowledgment or an officer’s certification if the party refuses to sign. It asks for complainant, property, and party details, the warning date and time, and signatures. The document does not state when the city requires its use.

Who needs it

A property owner, leaseholder, manager, or other complainant may use the form with a party warned and the responding officer.

How to submit it

The form says the complainant informs the Bethany Police Department through the officer present. It lists the department at 207 W. Main St., Bethany, IL 61914.

About notarization

This form is signed and dated without a notary; the complainant, party warned, and reporting officer sign as applicable.

How to submit this form

  1. 1

    Download The Form

    Download the Criminal Trespass Warning Form PDF.

  2. 2

    Complete The Details

    Fill in the complainant, property, and party details, along with the warning date and time.

  3. 3

    Review Signatures

    The complainant and party warned sign as applicable; the officer completes the certification if the party refuses to sign.

  4. 4

    Inform The Police Department

    Inform the Bethany Police Department through the officer present, as directed by the form.

Frequently asked questions

What does the Criminal Trespass Warning Form record?
It records property and party details, the warning date and time, the complainant’s notice, and the party’s acknowledgment or an officer’s certification of refusal to sign.
Who signs the Bethany trespass warning form?
The complainant and party warned have signature lines. If the party warned refuses to sign, the form directs the officer to certify that the warning was given.
Do I need a notary for the Criminal Trespass Warning Form?
No. This form is signed and dated without a notary; the complainant, party warned, and reporting officer sign as applicable.
How do I submit the Criminal Trespass Warning Form?
The form says to inform the Bethany Police Department through the officer present. It lists the department at 207 W. Main St., Bethany, IL 61914.

Need something notarized?

This Criminal Trespass Warning Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.