City of Peoria Police Ride-Along Request

City of Peoria Police Ride-Along Request

Release and Request for a police ride-along
Must be received 7 days in advance

Limit 1 ride-along every 30 days, maximum of 2 ride-alongs per year

ONLY COMMISSIONED POLICE OFFICERS WILL BE ALLOWED TO CARRY FIREARMS

ALL RIDE-ALONGS WILL BE SUBJECT TO SEARCH / PAT DOWNS
- Applicant Name*
  
  First NameLast Name
- Email*
  example@example.com
- Phone Number*
  Please enter a valid phone number.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Date of Birth*
  
  MonthDayYear
- Driver's License Number or State ID*
- Do you have any social media accounts we can connect with you on?
- Twitter/X
- bluesky
- Instagram
- Facebook
- Upload Front & Back of Driver's License / State ID*
  
  Front and Back are required
  Cancelof
- I, {applicantName}, do hereby request that the Peoria Police Department permit me to accompany a Peoria Police Officer on his tour of duty. I understand that I shall be subject to the officer’s direction during the ride along.
  
  In making this request, I realize that such activity involves risk of personal injury or property damage, and I hereby assume such risk and release and agree to hold harmless the City of Peoria, the Peoria Police Department, their officers,
  agents and employees from any liability for civil damages arising out of their actions or the actions of others in connection with this activity.
  
  I further covenant and agree, as a condition of the granting of my request, to indemnify and hold harmless the City of Peoria, the Peoria Police Department, their officers, agents and employees from any liability which may be incurred by them or either of them proximately resulting from any acts or omissions by me during this activity.
  
  I further represent that I am or above the age of 18 years, with full understanding of all risks involved and agree that the release and its indemnity agreement shall be binding upon my heirs, executors, administrators, and assigns. (A ridealong is limited to persons 16 years or older. Persons under 18 require a signature by a parent or guardian):
- Signature of Applicant*
  
  Clear
- Shift Preference (arrive 30 minutes prior to start)*
  
  1st Shift Patrol (7:00 AM - 11:00 AM)2nd Shift Patrol (3:00 PM - 7:00 PM)3rd Shift Patrol (10:45 PM - 7:00 AM)
- 1st Choice Ride Along Date*
  
  MonthDayYear
- 2nd Choice Ride Along Date
  
  MonthDayYear
- Specific Officer to ride with (if any)
- Specific area I would like to ride in
- Other requests and comments
- Should be Empty:

City of Peoria Police Ride-Along Request

Do you have any social media accounts we can connect with you on?