Ride Along Request Packet Form
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1
2FAIRBANKS POLICE DEPARTMENT
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RIDE ALONG REQUEST PACKET
APPLICATION DATE:
PASSENGER NAME:
(First, MI, Last)
RESIDENCE ADDRESS
(include City/State)
LOCAL PHONE
CELL:
EMAIL:
DATE OF BIRTH
DRIVER'S LICENSE #
STATE
EMERGENCY CONTACT NAME/NUMBER
If under the age of 18, the following must be completed by parent/guardian:
PARENT/GUARDIAN NAME:
(First, MI, Last)
RESIDENCE ADDRESS
(include City/State)
LOCAL PHONE
CELL:
EMAIL:
RELATIONSHIP TO PASSENGER:
ELIGIBILITY OF APPLICANT
(Choose up to three)
NOTES:
REASON FOR RIDE ALONG
NOTES:
OFFICER REQUESTED
DATE/SHIFT REQUESTED
.
Requests for specific Officers and/or Shift will taken into consideration but not guaranteed
FPD USE ONLY: Rec'd by/Date ____________ Admin Rec'd by/Date _____________
To DC __________
Deputy Chief :
Date _____________
To WC __________
APPROVE
DISAPPROVE
Applicant Contacted by/Date _____________ Scheduled Date _____________ Officer Name _______________
Completed Ride:
# of Hours ____
Admin to file_______________
YES
NO
NO SHOW
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Parent category: Legal