Special Duty Request Application for Special Duty Employers Requested Jobs: Dates - Start/End Times, # of Deputies Requested Per Job*Please enter the dates, start/end times, and how many Deputies for each job being requested. EX. (11-25-2019 8AM-12PM, 2 Deputies Requested)Requesting Company / Organization*Requestor's Email* Requestor's Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Requester's Phone*Duty Contact*Person that will be present and/or should be contacted in the event of questions or concernsCruiser Requested?*YesNoType of Duty*SecurityTrafficBothAny Special Instructions / Concerns / Known or Suspected Issues?*