Gear Request

Qualify For Safety Gear

Our organization is small and we rely on donations to continue the issuance of safety gear. Our donors trust we are providing gear to teams who truly need it. They also trust that selected teams will be ambassadors of our hero and our organization.

We require applicants to fill out the this inquiry form to determine eligibility. After internal review of information, the applicant will be contacted to finalize the application process.

Are you authorized to apply for and receive donated equipment?*

Yes No

K-9 Name*

List of Certifications for K-9*

Certifying Organization for K-9*

Handler Name*

Handler Email Address*

Handler Cell Phone Number (Must Be Able To Receive Text Messages)*

Name of Handler Agency*

Agency Address*

Agency Web Site or Facebook Page Ad\dress*

Is Handler Certified with The Above K-9?

YesNo

How Many K-9s Does Your Agency Have?*

How Many Officers Does Your Agency Have?*

How Will You Publicize Any Donation?*

Will Your Agency or Officer Association Issue a Press Release?*

YesNo

Have you applied for gear for this K-9 with any other organization(s) in the last 12 months?:*

YesNo