Shively, KY · Jefferson County

Authorization of Property Owner, Lessee or Person in Charge

This form authorizes the Shively Police Department to enforce trespassing violations on a property, and is completed by the owner, lessee or person in charge.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The signer identifies the property in Shively and authorizes the Shively Police Department and its agents to enforce trespassing violations, including ordering people not to enter or to leave the land. The form also releases the department, its officers and agents from liability for actions taken under the authorization and incidental property damage. Use it when asking the department to act on your behalf regarding trespassing at the specified property.

Who needs it

A property owner, lessee or person in charge who wants to authorize the Shively Police Department to enforce trespassing violations on the specified property needs this form.

Why it needs a notary

The form contains a subscribed-and-sworn jurat, so the owner, lessee or person in charge who signs must swear or affirm before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get the Authorization of Property Owner, Lessee or Person in Charge form.

  2. 2

    Complete the Form

    Enter your name, role, property location, address, phone number and date. Leave the notary section for the signing appointment.

  3. 3

    Book an Online Notary

    Arrange a remote appointment with a commissioned online notary.

  4. 4

    Sign on Video

    Appear by video and sign or swear to the form as directed by the notary.

  5. 5

    Submit to the City

    Provide the notarized form to the Shively Police Department and follow its instructions for copies.

Preview the form

The blank PDF straight from Shively. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete the Shively property trespass waiver?
Identify yourself and the property, complete the authorization and contact details, then sign under oath before a notary. Submit the completed form as directed by the Shively Police Department.
Do I need to sign this form in front of a notary?
Yes. The form includes a subscribed-and-sworn jurat, which means the signer must swear or affirm before a notary.
Can I use an online notary for this form?
Kentucky recognizes notarial acts performed by an authorized officer of another state. A commissioned online notary can notarize the form remotely; confirm acceptance with the Shively Police Department if unsure.
Who should receive the completed form?
The form states that three copies are distributed: one retained at the station, one sent to the Legal Advisor, and one provided to the property owner, lessee or person in charge. Confirm with the city or county clerk if unsure.

Ready to notarize your Authorization of Property Owner, Lessee or Person in Charge?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.