Inquiry Form - Bravest K9

Apply for a Vest

Name

First Last

Handler's Title

Department

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you authorized to apply for and receive donated equpment?

Email(Required)

Handler's Cell Number (Main communication via text message)

Are you the handler applying for yourself?

K9 Information

K9 Certified Together?

K9's Current Certifications

K9 Actively employed with the law enforcement agency?

K9 Breed

K9 Name (Include last name of handler)

First Last

K9 Age (Years; must be at least 1yr 8 mo)

Other Information

Does K9 Currently have a ballistic vest?

Have you inquired or applied for a vest for this K9 with any other organization(s) in the last 12 months?

Are you or your department working with a private sponsor or is the recipient the beneficiary of a fundraiser who will providing funds for this vest?

Does your K9 partner have current (not expired) NARCAN?

Inquiry Form

Apply for a Vest

Name

First Last

Handler's Title

Department

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you authorized to apply for and receive donated equpment?

Email(Required)

Handler's Cell Number (Main communication via text message)

Are you the handler applying for yourself?

K9 Information

K9 Certified Together?

K9's Current Certifications

K9 Actively employed with the law enforcement agency?

K9 Breed

K9 Name (Include last name of handler)

First Last

K9 Age (Years; must be at least 1yr 8 mo)

Other Information

Does K9 Currently have a ballistic vest?

Have you inquired or applied for a vest for this K9 with any other organization(s) in the last 12 months?

Are you or your department working with a private sponsor or is the recipient the beneficiary of a fundraiser who will providing funds for this vest?

Does your K9 partner have current (not expired) NARCAN?