Form Gcpd 183 PDF Details

Embarking on a ride-along with the Goose Creek Police Department offers civilians a unique opportunity to observe law enforcement officers in action, a chance that necessitates the completion of the GCPD 183 form. This document, specifically designed for individuals seeking firsthand experience of police work within the City of Goose Creek, outlines various prerequisites and acknowledgements necessary for participation. Applicants must be at least 18 years old and residents of the city, satisfying the department's initial eligibility criteria. However, the process involves more than meeting basic requirements; it includes an intricate background check that taps into local and national databases to ensure the suitability of the applicant. Additionally, the form serves as an acknowledgement of the inherent risks associated with police work - acknowledging potential threats to personal safety and property, and waiving liability against the department and its members for any harm or damage that might occur during the ride-along. It also delineates expectations regarding the applicant's attire and conduct, prohibition against recording devices, and the necessary obedience to the accompanying officer's instructions. Significantly, this form binds the participant to defend and indemnify the Police Department and its officers against any liabilities that may arise from their actions during the program. Hence, the application is not just procedural; it encapsulates the serious commitment and risks involved in shadowing law enforcement officers on duty.

QuestionAnswer
Form NameForm Gcpd 183
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesPD Ride Along Application goose creek police department ride along form

Form Preview Example

Goose Creek Police Department

Ride-Along Application

(You must be 18 years of age and a resident of the City of Goose Creek to apply.)

 

 

Last Name

First Name

 

Race

Sex

 

Date of Birth

Age

 

Driver’s License #

State

 

Applicant

 

 

 

 

 

 

 

/

/

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

City

 

 

State

Zip

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Application?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I understand that my request to participate in the ride-along program is contingent upon the suitability of my background which will be

 

 

investigated by agency personnel to include a check of local records and any records available by way of the National Crime Information

 

 

Center (NCIC). I further acknowledge and agree:

 

 

 

 

 

 

 

 

 

 

1. That I am aware that the work of the Police Department is inherently dangerous, and that I may be subjected to the threat of death

 

 

 

or personal injury, or damage to my property, by accompanying a member (or members) of the Police Department during the

 

 

 

performance of their official duties, and that I freely, voluntarily, and with such knowledge assume the risk or death, personal injury,

 

 

 

or property damage arising from, or in any way connected with the use of weapons, unlawful acts, or forcible resistance by law

 

 

 

violators, assault, riot, breach of peace, vehicle accidents, fire, explosion, gas, electrocution, or the escape of radioactive substance

 

 

 

while accompanying a member (or members) of the Police Department during the performance of their official duties.

 

 

Liability

2. That the City of Goose Creek, Chief of Police, his sureties, all members of the Goose Creek Police Department, their sureties, and

 

 

department during the performance of their official duties resulting from any negligent act or omission on the part of any member of

 

 

 

each of them shall not be responsible or liable for any injury, damage, loss, or expense, either to me or my property, incurred while

 

 

 

riding in any vehicle assigned to the Goose Creek Police Department, or while accompanying any member (or members) of said

 

of

 

the Goose Creek Police Department.

And that during any and all time I am riding in any vehicle assigned to the Goose Creek

 

and Waiver

 

Police Department, I am in the status of a guest, and that my right, if any, for civil damages against the driver of the vehicle or any

 

 

other person legally liable for the conduct of the driver for death, personal injury, or property damage occurring during such time is

 

 

that provided in Section 56-9-10, et seq, of the South Carolina Code of Laws of 1976, as amended.

 

 

 

 

3.

For myself, my heirs, executors, administrators, and assigns to defend and indemnify the Goose Creek Police Department, their

 

Acknowledgements

 

sureties and each of them, against any and all manner of actions, suits, debts, claims, demands, or damages, or liability or expense

 

 

 

 

 

 

of every kind and nature incurred or arising by reason of any actual or claimed negligent or wrongful act or omission of mine while

 

 

 

riding in any vehicle assigned to the Goose Creek Police Department while accompanying any member (or members) of said Goose

 

 

 

Creek Police Department during the performance of their official duties.

 

 

 

 

 

 

 

 

4. That my attire must be professional, provide proper coverage so as not to bring about undue attention, and free of detracting

 

 

 

imagery or verbiage and my behavior will remain dignified and professional (no conversing with parties to law enforcement action to

 

 

 

include victims, witnesses, prisoners, etc. unless authorized by the officer).

 

 

 

 

 

 

 

 

5.

That I am under the absolute authority of the officer to which I am assigned and will not exit the police vehicle for any reason without

 

 

 

the officer’s consent unless an emergency exists or is imminent. I will refrain from handling equipment inside the police vehicle

 

 

 

unless specifically invited to do so.

 

 

 

 

 

 

 

 

 

 

 

 

6.

That I may not utilize tape recorders, video recorders, cameras, or any other electronic devices during my tour.

 

My signature below verifies that I have carefully read and understand the contents of this document and sign the same of my own free will.

 

 

Applicant Signature

 

 

 

 

 

 

 

Date of Application

 

 

Received By

 

 

 

Date of Receipt

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

 

 

 

/

/

 

 

Local Record?

 

 

 

NCIC Record?

 

 

Checked by

 

 

 

 

 

Date of Check

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

Eligibility

No

Copy Attached

 

No

Copy Attached

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tour in last 3 months?

 

Approved for Tour?

 

Chief of Police

 

 

Signature

 

 

 

Date of Approval

 

 

No

Yes

 

 

No

Yes

 

Harvey Becker

 

 

 

 

 

/

/

 

Age 18+

 

City Resident

Applic. Contacted (Date/Time)

Contacted By

 

 

Note(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

Yes

No

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Route to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Information

Criminal Investigations Division

 

 

 

 

OPS

 

 

Patrol Division

 

 

Special Operations Division

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Contacted (Date/Time)

 

Contacted By

 

 

 

 

 

Note(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date/Hours of Tour

 

 

 

 

 

Officer Assigned

 

 

 

 

Applicant/Tour Satisfactory

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No (Explain Below)

 

Tour

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Explanation/Notes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form GCPD 183

FINAL ROUTING TO OPS

Orig. 12-09-2009

 

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