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If you are an AZPOST certified police officer and would like to register for off-duty traffic services with us please complete the form below.


 
 

Name:
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Agency:
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Address 1:

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Address 2:


City:

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State:

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Zip:

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Phone:

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Pager:


Cell:


Social Security #:

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Email:


Days/Nights Available For Off-Duty:

 

Freeform Text::   (please be as detailed as possible)      
 

 


 


Workers' Compensation Insurance: CopperPoint Mutual Policy #1001606
Phoenix Police Department Permit #19900642P
 
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