BY SUBMITTING THIS FORM, REQUESTING AGENCY IS ACKNOWLEDGING THE POLICIES & PROCEDURES OF THE LPR SYSTEM. CECOMS WILL CONTACT REQUESTING AGENCIES TO CONFIRM RECEIPT.

THIS PLATE WILL AUTOMATICALLY BE REMOVED FROM THE LPR DATABASE AFTER 30 DAYS. IF THE PLATE MUST REMAIN IN THE SYSTEM AFTER 30 DAYS, PLEASE CONTACT CECOMS TO GRANT AN EXTENSION.