CANINE RELEASE AND INDEMNITY APPROVED FORMAT 2015.PDF

MARICOPA COUNTY SHERIFF’S OFFICE
CANINE PROGRAM
RELEASE AND INDEMNITY AGREEMENT
I, (typed or printed name), (Serial number), agree:
MARICOPA COUNTY and THE MARICOAPA COUNTY SHERIFF’S OFFICE
is hereby released from any and all liability and any claims that I may now have or may
have in the future against Maricopa County and the Maricopa County Sheriff’s Office, its
representatives, officers, and employees, either sworn, civilian, or volunteer.
Further, I desire permission to maintain in my custody the assigned canine once utilized
and trained by the Maricopa County Sheriff’s Office and will now accept any and all
liability and responsibility for the animal named (canine’s name) (canine’s number) as
authorized via Board of Supervisors agenda ID (agenda number), approved on (agenda
approval date).
Therefore, the above release and indemnity provisions shall apply whether or not the
damage, injury or loss is caused by or contributed to or alleged to have been caused by or
contributed to by the active, passive, affirmative, sole or concurrent negligence of duty on
the part of Maricopa County or the Maricopa County Sheriff’s Office, its agents,
representatives, officers, employees, either sworn, civilian or volunteer.
I will now accept any and all liability and responsibility for the canine named, (canine’s name
and number.)
_________________________________ State of: _________________________
(Signature)
Deputy (Name and Serial Number)
County of: _______________________
_________________________________ Sworn and subscribed before me this
Date _____ Day of _____________, 20____
by______________________________
Notary Name Here, Notary Public
Commission Exp. _________________
Please return a copy to: Sheriff’s Business Services, Agenda Processing
550 W. Jefferson, 4th Floor