Request to Hire an Off-Duty Deputy

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.

    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:


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

    This field is not part of the form submission.

45. Submit

* indicates a required field