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2. Request to Hire an Off-Duty Deputy
4. Requester First Name
5. Requester Last Name
7. Phone Number
8. Email Address
10. Event Name
11. Type of Event
13. Event Location
15. Number of Attendees Expected
16. Number of Deputies Needed
18. Date and Time
    Date and Time Start Date

    Date and Time Start Time

    —

    Date and Time End Date

    Date and Time End Time
20. Who will Deputy Check In with?
21. Where will Deputy Check in?
23. Requested Duty or Duties of the Deputy/Deputies
25. Will Alcohol be Served?
26. Is this an Outdoor Gathering?
28. Does this event take place on a highway?
30. BILLING INFORMATION
    Our rate is $40 an hour per deputy, with a required two (2) hour minimum. The rate increases to $50 an hour on holidays. Cancellation is requested at least 36 hours in advance. If a cancellation notice has not been received by the start of the event, the minimum amount of $80 per deputy will be billed.
31. Agree to Terms and Conditions

    1. Yes
    2. No
33. Billing Information Name / Company
35. Address
37. City
38. State
39. Zip Code
41. Phone Number
42. Email Address
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field