Patrol Dog Program Application

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Department Name *

Address *

City, State, Zip *

Contact Name *

First

Last

Contact Title *

Contact Email *

Contact Phone *

What kind of dog are you looking for?

If single purpose, what type of work will the dog be doing?

Has a handler been chosen? *

Name of Handler

Does the handler have any K9 experience? If so, how many years?

Is there a K9 Unit in your department currently? *

Do you have a training group you can train with in your area? *

What training and certifications does your department/state require?

How much training time is allotted per month for the handler and dog to train?

Vet Name

Vet Phone

Vet Address

What type of police vehicle and police vehicle equipment will be used to keep the dog safe?

Is the vehicle equipped with a heat alarm?

Built in K9 cage for the vehicle?

Has the approval for a new K9 been authorized by the Chief of the Department? *

Was a K9 unit approved by all parties including the city or county? *

Name of person authorizing the submission of the application: *

Date: *

Do you certify that you are the person authorized to submit the application *

Name