Off-Duty Officer Work Form | Kentucky Venues

Name*

Which position are you eligible for?*

Email*

Mobile Number*

Please enter a valid phone number.Format: (000) 000-0000.

Code #*

ORI*

Agency*

YesNo

Marked Patrol CarUnmarked Patrol CarAccess to EitherN/A

After completing the information above, please fill out a Form W-9. All contracted off-duty police and traffic control officers must submit a W9 prior to working a scheduled shift to receive payment. Click here for the form. You must fill out the form, download it and attach it to this application.

File Upload*