Safe Place Application

2. Signing up to become a participant in the Safe Place Initiative is easy, free, open to participants inside and/or outside the City of Centralia, and to all law enforcement agencies (worldwide). Participation is restricted to specific entities such as Businesses and/or Corporations, Social Service Organizations, Schools, and Government Agencies.

   Due to safety concerns, this program is not designed or authorized for individual and/or residential use.

   Decal Placement

   Once you receive your 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 feet to 6 feet 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.

   If you have more than one entrance or location please email Deputy Chief Stacy Denham or call 360-330-7680.

4. Organization/Business Name*
6. Address*
8. Person Requesting*
10. Phone Number*
12. Email Address*
14. Requirements*

    Anyone requesting Safe Place decals to display on their premise 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 premise until police arrive

    1. I have read and understand the above requirements and agree to abide by them.
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field