On behalf of the United States Deputy Sheriffs' Association ( U.S.D.S.A.), I would like to personally thank you for your request, and allowing us to serve you.

Because of the tremendous number of requests we have received for equipment donations, it has become necessary for the U.S.D.S.A. to institute a control policy to rank equipment donations in order of "departments most in need" as well by "most needed equipment in the departments in need.: Also, please keep in mind that our goal is to promote officer safety first and foremost. Requests for items that meet that goal, such as bulltproof vests and officer training, etc. will receive top priority.

Toward that end, we need to ask you to answer some questions that we hope will help us make this determination equitably. Please take a minute to complete this form and send it back to me via mail or fax. The address and number are below. Our backlog of requests is tremendous, but we hope to be able to contact you within 30 days of our receipt of your completed form to let you know how we might be able to help your department.

Due to the fact that we must order equipment from various manufacturers, we are also at the mercy of their inventory backlogs. Again thank you in advance for your patience.

James "Jim Bob" Conner
U.S.D.S.A. Deputy Director

PLEASE FILL OUT THE APPLICATION, PRINT IT OUT AND MAIL OR FAX IT TO US AT THE ADDRESS AND NUMBER BELOW
   
Department Name
County
Street Address
City
 State Zip
Sheriff's Name
Contact Person
Contact's Address
City
 State Zip
Contact's Phone
- - Contact's Fax - -
Please tell us about your county.
How many deputies, square miles, population, etc. :
Your Department
Contact Person
 
QUESTION 1
Please list the items and quantities of equipment you are requesting.
Please note: "anything you have on hand" is NOT an item.
Please list them in order of importance to your department.
Item 1
Quantity
Item 2
Quantity
Item 3
Quantity
Item 4
Quantity
QUESTION 2
Will this be used to replace existing equpment?
Yes No

QUESTION 3
If you are requested bulletproof vests, please provide a breakdown of how many of the vests will be used by full time deputies and how many for reserves?

For Full Time Deputies For Reserve Deputies

QUESTION 4
How many FULL TIME Deputies does your department employ?
QUESTION 5
How many units does your department run?
QUESTION 6
Does your state require certification to use the radar units the U.S.D.S.A. awards?
Yes No
QUESTION 7
Is PBT data admissable in court in your state?
Yes No
COMMENTS:
The name of person completing this form
Please Fax this Document to: (281) 578-2073
or mail to:
U.S.D.S.A. EQUIPMENT REQUEST
1304 Langham Creek Drive, Suite 324, HOUSTON, TX 77084