Form Cop 20 PDF Details

The world's climate is changing and with it, the weather. COP 20 is a conference being held in Lima, Peru to discuss the how to address this problem on an international scale. Delegates from all over the world are meeting to find a way to halt climate change before it's too late. Here in the States, we're seeing first hand the effects of a changing climate with record-breaking temperatures and devastating natural disasters. It's more important than ever that we take action and support measures that will help reduce our carbon footprint both at home and abroad. Learn more about COP 20 and what you can do to get involved below!

QuestionAnswer
Form NameForm Cop 20
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesBSO Citizen Observer Patrol bso citizen observer patrol form

Form Preview Example

COP (CITIZEN OBSERVER PATROL)

Together we can be a great team. The Broward Sheriff's Office believes that with residents helping our officers spot suspicious activities, we can stop crimes before they are committed.

BSO's COP Program is a volunteer group sponsored by the Sheriff's Office that uses a simple approach to safeguarding neighborhoods through residents' involvement. COP volunteers are local residents who help BSO fight crime by patrolling their community, looking out for suspicious activity or potential hazards and offering assistance to local residents.

Typical assignments in addition to patrol activities include performing checks on unoccupied residences (at the owner's request), checking on elderly or homebound residents (as requested) and reporting potential problems and neighborhood hazards to BSO.

COP volunteers wear uniforms and drive specially marked vehicles, adding to the crime- fighting presence in the community.

Applicants must be 18 years of age, reside in Broward County, pass a background check, possess a valid Florida driver's license, complete at least four hours of the training program and comply with all program policies and procedures.

For more information on becoming a COP volunteer, contact Deputy Ira Rubinstein at 954-202-3131 or contact BSO's Countywide Operations at (954) 321-4100.

Open the attached application for the COPs program. (This is a PDF file and requires Adobe Acrobat Reader. Complete the form and return it to your local district office. Applicants should attach a photocopy of their driver's license or other identification to this form.

Broward County Sheriff's Office

Oakland Park District

5399 North Dixie Hwy, Suite 1 Oakland Park, Florida 33334

Station: 954-202-3131

BROWARD SHERIFF=S OFFICE

CITIZEN OBSERVER PATROL

MEMBER APPLICATION FORM

Last (Family) Name:

First Name:

Full Middle Name(s):

 

 

 

 

 

 

BSO District Applying To:

Maiden Name:

Previous Names:

 

 

 

 

 

 

 

Race:

Sex:

 

Date of Birth:

Social Security

Height & Weight:

 

 

 

 

Number:

 

 

 

 

 

 

 

Emergency

Name:

 

Address:

Telephone number(s):

Contact L

 

 

 

 

 

 

 

 

 

 

 

Address in

Street/Apartment:

 

 

City/Zip Code:

 

Florida L

 

 

 

 

 

 

 

 

 

Telephone

Home:

Office:

Others (cellular/pager/etc):

Numbers L

 

 

 

 

 

 

 

 

 

Driver=s

State/Province

Driver=s License Number:

Telephone Number(s):

License L

Issued:

 

 

 

 

 

 

 

 

Do You Having Any Driving

Have you ever been arrested?

Do you have any physical defects,

Restrictions?

Yes No

Yes No If AYes,@ explain:

handicaps, or other disabilities which

If AYes,@ Explain:

 

 

could affect you as a COPs

 

 

 

 

volunteer? Yes

No If AYes,@

 

 

 

 

explain:

 

 

 

 

 

 

 

I hereby certify that all statements made by me on this application are true, complete, and correct to the best of my knowledge. I understand that a background check will be made upon submission of this application. I understand that any criminal conviction, any previous actions which may reflect unfavorably upon the Broward Sheriff=s Office, any attempt to deceive or conceal pertinent information, or any suggestion I may be a security risk may be cause for membership denial or dismissal. I give full and unqualified permission to the Broward Sheriff=s Office to make any and all inquires into my present and past personal and business status as may be deemed

necessary in the interest

of the Sheriff=s Office and my appointment therein. I understand the Broward Sheriff=s Office Citizen Observer

Patrol is a volunteer organization and I will receive no compensation for membership.

 

 

 

 

 

 

Applicant Signature:

 

 

Today=s Date:

 

 

 

 

 

 

Background/License

 

Print Title & Name:

Signature & CCN:

Date:

Checked by:

 

 

 

 

 

 

 

 

 

Use reverse for additional information from boxes. Applicants return this form to their respective district coordinator/office. Applicants or processors should attach a photocopy of the driver=s license or other identification to this form.

COP #20 (New 11/96)

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2. After performing this section, go to the subsequent part and complete the necessary particulars in all these blank fields - Do You Having Any Driving, Have you ever been arrested cidYes, Do you have any physical defects, I hereby certify that all, Applicant Signature, Print Title Name, Todays Date Signature CCN, Date, and Use reverse for additional.

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