2. Requester Information:
4. Address1*
6. Address2*
8. City*
9. State
10. Zip
12. Telephone
13. Email
15. Requesting the following property and evidence item(s): Please be specific and detailed as possible to enable City staff to identify the property and/or evidence item(s). If known, please indicate tag number(s)
17. Case Number
19. Date or Date Range and Time of Incident/Arrest:
21. List description of items (Use below upload feature if necessary):
23. Please upload List of Property and Evidence item(s):
25. Please upload a color picture of your ID:
27. Please upload Court Order(if applicable):
29. Requesting Third Party (Authorized Individual) Pick Up:
31. I am currently unavailable to pick up property and authorize below named individual to pick up property on my behalf. I understand that a notarized letter is required. By signing below, I do not hold the City of San Gabriel and its employees responsible for claims against any of the item(s) released to the authorized individual.
33. Signature of Requestor
34. Date (MM/DD/YYYY)
    Date (MM/DD/YYYY)
36. Authorized Individual
38. Please upload ID of Authorized Individual:
40. Please upload Notarized Letter:
42. If I am unavailable to pick up items, I agree to pay for all applicable (shipping and handling) charges for evidence and property items that will be shipped to above address.
44. Signature of Requestor
45. Date (MM/DD/YYYY)
    Date (MM/DD/YYYY)
47. Prior to submission, please save a copy of the request.
49. Printing to PDF allows a copy to be saved. Once you have obtained a copy, please click the SUBMIT button at the bottom of the application and it will automatically transmit the request via email.
51. A confirmation page will appear after successful submission. If not, please email a copy of the application to WF508@sgpd.com to secure submission.
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field