Law Enforcement Registration

This form is to be completed by law enforcement personnel only. All registrations will be verified with employed agency before access is granted.
 

Title:

First Name:

Last Name:
Agency Employed:
Agency City:
Agency State:
Agency Zip:
Agency Phone:
Supervisor Full Name:
Position Held:
Years/Months Employed:
Years/Months in Profession:

Please fill out the information below if applicable

 
Does part of your job description include neighborhood patrol?
If you answered yes to the above question - what communities, neighborhoods, zip codes, or areas do you patrol so we can assign your profile to the correct community?
Please tell us anything else about your job description that you feel is important:

Login information for your account

 
Email:
Username:
Password:
Repeat Password:
By submitting this registration form and checking the box below I confirm I am the person listed and I understand that the registration process will include verification of employment with the agency listed.