Citizen Ride Along Information and Request Form

Citizen Ride Along Information and Request Form

Woodstock Illinois
INSTRUCTIONS FOR THE

WOODSTOCK ILLINOIS POLICE DEPARTMENT
CITIZEN RIDE ALONG PROGRAM

1. REQUEST TO PARTICIPATE FORM
1. Complete the form below, answering all questions.
2. Using the submit button, send the completed form to the Woodstock Police Department. A copy will also be emailed to you.
3. If your request to participate is approved, the Office Coorrdinator will call you to schedule your ride along.
2. RELEASE OF LIABILITY
1. Review this photo carefully and be certain you understand it.
2. The form will be completed at the Woodstock Police Department on the day of your scheduled ride along.
3. The required witness will be provided by the Department.
3. APPEARANCE
1. All participants must be neatly dressed. Prohibited items include, but are not limited to, blue jeans, denim and school or company jackets with identifying emblems. The wearing of these or any inappropriate clothing item will be just cause for rescinding permission to participate in the program.
4. PARTICIPANTS WILL NOT:
1. In any way interfere with or assist the officer unless your aid is requested.
2. Be allowed to be present on juvenile cases where records and arrests are by law confidential.
3. Be allowed to be present during interviews of serious criminal incidents such as a homicide or morals offense.
4. Be allowed to be present during any interrogation on a criminal matter.
5. Enter into or upon any person's private residence or property where an officer is responding to a disturbance or complaint.
6. Leave the squad car without the permission of the officer.
7. Be under the age of 18.
Full Name *

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate and Sex*

BirthdateSex
Email*
example@example.com
Cell Number*
Please enter a valid phone number.
Why do you want to participate in the Citizen Ride Along Program?*
Place of Employment*
Students, please enter school's name
Social Security Number*
Drivers License Number and State*
What day of the week is best for you?*
What eight hour time period is best for you?*
Signature*

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Date*

MonthDayYear
Date
RELEASE OF LIABILITY:

Review this photo carefully and be certain you understand it. This form will be completed at the Woodstock Police Department on the day of your scheduled ride along. The required witness will be provided by the Department.
In case of an emergency, please notify
Name and Relationship *

NameRelationship
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

Citizen Ride Along Information and Request Form

RELEASE OF LIABILITY:

In case of an emergency, please notify