Name:(Full HOA name if applicable)

Contact:

Do you rely on an outside management company to process your accounts payable? YesNo

Is this an ongoing detail over 31 calendar days? YesNo

Please provide a listing of your requested shifts. (A detailed schedule may be attached. If shifts are yet to be determined, please
write the start date and end date and contact the Off-Duty Services Unit.)

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Have you spoken with a particular Deputy Sheriff in reference to coordinating this job? YesNo

Are there any other law enforcement agencies working this detail? YesNo

JOB DUTIES – Describe job duties requested of deputies (i.e., traffic control, crowd control, etc.)

TYPE OF EVENT – Please describe nature of your event.

Type of uniform requested (See attached information sheet for reference) – Class AClass BClass CSpecialtyOther

The employer agrees to be responsible for the acts and/or omissions of employed off-duty deputy sheriffs and field service officers
while performing services for the employer. The employer further agrees to indemnify the Sheriff against all claims, liabilities, losses,
injury, death or damage whatsoever, including but not limited to attorneys’ fees, on account of or arising from any act or omissions by
employed off-duty deputy sheriffs or field service officers under this agreement.
All off-duty permits will be conducted and governed by all applicable Florida Statutes (FS), Orange County Ordinances, Sheriff’s Office
General Orders, or other items as identified. It is understood that this is a non-binding agreement on the Sheriff’s Office as there is no
guarantee that the requested off-duty permit will be staffed.
I swear and affirm the information provided is a complete and accurate reflection of the event for which I am requesting assistance from
the Orange County Sheriff’s Office. I understand that my failure to provide an accurate and complete description is grounds for
immediate termination of this detail.