Safe Place Registration

Signing up to become a participant in the SJPD SAFE PLACE Initiative is easy, FREE, open to participants inside the city of San Jose. Participation is restricted to specific entities such as Businesses and/or Corporations, Social Service Organizations, and Government Agencies. Due to safety concerns, this program is NOT designed, or authorized for individual and/or residential use.

Prior to submitting your application, you must read and acknowledge the training portion of this document (below). Not understanding your responsibilities when participating in the SJPD SAFE PLACE Initiative will have a negative impact on your business, organization, government, and most importantly, the victims of these crimes.

To apply to be a partner in the SAFE PLACE program complete this application form.

(Separate applications are required for each address)

Today's Date*

MonthDayYearHourMinutesAM/PM Option

Organization Name*

Address*

City*

State*

Zip*

Mailing Address (if different from above)

City

State

Zip

Last Name of Person Requesting*

First Name*

Phone*

E-mail Address*

TRAINING

NOTE: YOU MUST READ AND ACKNOWLEDGE THE FOLLOWING TRAINING REQUIREMENTS:

Anyone requesting SJPD SAFE PLACE decals to display on their premises MUST agree to train their current and future employees, volunteers and staff of the following two requirements:

If a victim of ANY crime (especially a hate crime) enters the premise requesting assistance, you, or your staff will:

Call 911 Immediately, AND
Allow the victim to remain on the premises until police arrive

Additional training materials will be sent along with your decal.

Placement of Decals:

Once you receive your SJPD SAFE PLACE decal, you must place it at the front entrance of your establishment. The placement location of the decal should be readily visible to the public from the sidewalk. Most establishments place the decal on their glass doors, or windows, 4’-6’ up from the ground, so that the victims of crime who may be running by can easily see the decal and recognize the symbolism and messaging.

I have read and understand the above training requirements and agree to abide by them. *

Use your mouse/pointing device or touch-screen to sign.