BEAVER POLICE DEPARTMENT

Combat Auto Theft Registration

Dear Participant:

Thank you for participating in the Beaver Police Department’s Combat Auto Theft (CAT) Program. As a participant in this program, you have agreed to notify the Beaver Police Department and remove the CAT Program decal from your vehicle when you either withdraw from participation in the program or when you sell or transfer the vehicle to another person. You have also agreed to notify the Beaver Police Department of any and all changes in your address or in the drivers authorized to operate your vehicle between the hours of 1:00 a.m. and 5:00 a.m. on any day of the week. This form has been prepared to assist you in complying with those requirements of the program. Please complete the applicable sections of the form, sign it, and either mail or bring it to:

Beaver Police Department

Attention: Combat Auto Theft Program

601 W. South Range Rd.

North Lima, OH 44452

If you have any questions, please call the Administrative Assistant Barb Lally at 330-549-5338.

Notification of Combat Auto Theft Withdrawal/Sale or Transfer/Change of Address

Decal No. ______I am voluntarily withdrawing from the program.

_____ My vehicle has been transferred or sold.

_____ I have moved. My new address is:

Street Address______Apt. No.______

City______State ______Zip ______Phone ______

Add/Delete Authorized Drivers Decal No. ______

___Add ___Delete

Last Name______First ______Initial______

___Add ___Delete

Last Name______First ______Initial______

Signatures | POLICE USE ONLY:

|

|Rec’d______

______|

Registered Owner Date | Deleted/Modified______