Agency Submission Form

Are you a CRPOA member? If you are, then tell us a little about your department. Once received, we will publish it here on the CRPOA website with a link to your department’s custom information page.

Here’s the information we’re interested in:

Your Information
Name
First Last
Rank
Email
County Information
County Name
Population
Principal Industry
Agency Information
Agency Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Website
Reserve Program Information
Regular Officers/Deputies
How many regular officers/deputies are with your agency?
Reserve Officers/Deputies
How many reserve officers/deputies are with your agency?
Allocated Reserves
How many reserves is your agency allocated?
Compensation
What is the reserve compensation, if any?
Reserve Deployment
Tell us about the reserve deployment.
Special Programs
Tell us about special programs that involve reserves.
Contact Information
Who should interested applicants contact?
Name
First Last
Phone
Email
Patch Image
Accepted file types: jpg, gif, png, pdf, tif, Max. file size: 2 MB.
You may submit an image file of your department patch for inclusion.
Comments
This field is for validation purposes and should be left unchanged.

Note: CRPOA reserves the right to review and edit information prior to publishing.

Your Information

County Information

Agency Information

Reserve Program Information

Contact Information