Hamilton County Sheriff's Office Off Duty Security Deputy Request Form

Hamilton County Sheriff's Office Off Duty Security Deputy Request Form
Rate of Pay: $60.00 per hour (minimum of 4 hours)
Requestor Information
Name*

First NameLast Name
Business Name:
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Event:*

MonthDayYear
If multiple days explain below
Times of event*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Address (Where services will be rendered)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Type:*
Example: Wedding, Football game, Estate Sale
One time or on-going:*
1 time, less than 30 days, On-going, more than 30 days
Number of Deputies needed:*
Marked Patrol Vehicle required:*
Some deputies have unmarked vehicles
Payment Type:*
Do you accept the pay rate of $60.00 an hour with a 4 hour minimum?*
Describe Your Request*
Questions?

Contact: Lt. Mark Miller

Hamilton County Sheriff's Office Extra Duty Tracking Administrator

6125 Preservation Drive

Chattanooga, TN 37416

Phone# 423-827-7604

Email: mamiller@hcsheriff.gov (preferred contact method)
Should be Empty: