As a property or business owner within the Town of Morrisville, you are able to authorize the Morrisville Police Department and it's officers to act as your agent in ordering individuals to leave your premises in your absence. If you are interested in participating in, or receiving information about, this program, fill out and submit the required information and an officer will contact you within 10 business days.

1

Contact Person Name:

Contact Person Name:

2

Telephone Number:

Telephone Number: ext.

3

Email Address:

Email Address:

4

Select the Type of Location to Enroll in the Program:

Select the Type of Location to Enroll in the Program:

Commercial Enterprise

Unoccupied Building

Vacant Lot

Other (specify when contacted)

5

Name of Business:

Name of Business:

6

Address of Specific Location:

Address of Specific Location:

Taking part in this program requires an authorized person to download and complete the Agent to Act Form document.

Completing this form prior to the officer contacting you may speed up the registration process.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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