MOU - AZ DPS ALIAS SOCIAL SECURITY NUMBERS W-SIGN PAGE SHERIFF SIGNED.PDF

ARIZONA DEPARTMENT OF PUBLIC SAFETY 
2102 WEST ENCANTO BLVD. P.O. BOX 6638 PHOENIX, ARIZONA 85005-6638 (602) 223-2000 
KATIE HOBBS 
Governor 
JEFFREY GLOVER 
Director 
March 26, 2024 
Sheriff Jerry Sheridan 
Maricopa County Sheriffs Office 
550 W. Jackson St. 
Phoenix, AZ 85003 
Dear Sheriff Sheridan: 
"Courteous Vigilance" 
The Arizona Department of Public Safety (AZDPS) serves as the statewide law enforcement 
point of contact (POC) for all Arizona State and Local Law Enforcement regarding the 
provision of alias Social Security Numbers (SSNs). 
Enclosed, please find two (2) original copies of the Memorandum of Understanding (MOU) 
between AZDPS and your Agency. Please sign both and return one to AZDPS. Once that is 
completed, you can consider the agreement fully executed. 
We value the cooperation and partnership between our agencies and look forward to our 
continued alliance. 
Sincerely, 
Deston Coleman Jr., Lieutenant Colonel 
Deputy Director 
Enclosures

Arizona Department of Public Safety 
External Agency Information Form 
Please complete the following form in order to participate in the State of Arizona Alias Social Security 
Program. 
Agency Information 
Name of Agency: Maricopa County Sheriffs Office 
Name and Title of Agency Top Executive: _S_he_r_if_f_J_er____,ry.___S_h_er_id_a_n _________ _ 
Agency Mailing Address: 550 W Jackson St. Phoenix AZ 85003 
Agency Phone Number (Main): 602-876-1000 
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Point of Contact (POC) Information 
The agency's top executive should designate one individual within his or her agency to serve as 
the agency's point of contact (POC) for the agency's participation in the State of Arizona Alias 
Social Security Program. 
Name and Title of POC: 
Lieutenant Ryan J Neville MCSO HIDTA Commander 
Phone Number of POC: 
602-908-6243 
-------------------------
E-Mail of POC: R Neville@mcso.maricopa.gov
Mailing Address of POC: SAA 
-------------------------
(if different from agency's mailing address) 
Once this form has been completed, review and sign the state's Alias Social Security Program 
Memorandum of Understanding (MOU). Mail the original signed MOU as well as a copy of this form 
to: 
Arizona Department of Public Safety 
Criminal Investigations Division, MD1350 
Attn: SSA Program 
2102 West Encanto Blvd. 
Phoenix, Arizona 85009 
If you have additional questions or concerns regarding this form, MOU or the State of Arizona 
Alias Social Security Program, please contact the AZ DPS/Criminal Investigations Division at 
(602) 223-2136.

DPS Contract No. 2025- 057 
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MEMORANDUM OF UNDERSTANDING 
BETWEEN 
ARIZONA DEPARTMENT OF PUBLIC SAFETY 
AND 
MARICOPA COUNTY SHERIFF'S OFFICE 
REGARDING 
PROVISION OF ALIAS SOCIAL SECURITY NUMBERS (SSN) 
This Memorandum of Understanding is entered into by and between the Arizona Department of 
Public Safety ("AZ DPS") and the Maricopa County Sheriff's Office ("Agency"), collectively 
known herein as the "parties." 
I.
PURPOSE
The Social Security Administration (SSA) recognizes the need for law enforcement personnel to 
work in an undercover capacity. As part of their undercover activity, law enforcement officers 
occasionally need to hide their true identities and instead use an undercover identity, including 
an alias social security number (SSN). 
The SSA has designated AZ DPS as the statewide law enforcement point of contact (POC) for all 
Arizona state and local law enforcement agencies regarding the provision of alias SSNs. Thus, 
the parties desire to enter into this Agreement for the provision of the alias SSNs and related 
support and services. 
II.
AUTHORITY
The AZ DPS is an agency of the State of Arizona and is authorized to enter into this Agreement 
pursuant to A.RS.§ 41-1713. 
III.
RESPONSIBILITIES OF THE PARTIES
A.
AZ DPS agrees to:
1.
Designate a POC to liaison with the SSA and facilitate, coordinate and manage
the provision of the alias SSNs, reassignment of alias SSNs, and related
support and services to the Agency.
2.
Notify the Agency of any changes regarding the SSA POC.
3.
Establish appropriate procedures to receive, handle and process requests for
alias S SN s from the Agency.
4.
Review requests for alias SSNs submitted by the Agency for completeness in
accordance with the terms of this agreement and SSA's requirements.
5.
Maintain Social Security records of the alias SSNs and true identity
information in order to maintain and protect the cover of individuals to whom
alias SSNs are issued and to protect the integrity of the Social Security
programs.

Memorandum of Understanding- Provision of Alias SSN 
DPS Contract No. 2025- 057 
_-=.;a;__ ______ _ 
Arizona Department of Public Safety / Maricopa County Sheriffs Office 
6.
Before submitting requests to SSA, review requests for alias SSNs from the
Agency for compliance with applicable legal authorities (state, local and
federal law) and to ensure that requested alias SSNs will be used for lawful
purposes in furtherance of authorized law enforcement activities.
7.
Provide reasons for SSA's approval or disapproval of requests for alias SSNs
to the Agency.
8.
Conduct periodic audits of alias SSNs issued to the Agency.
B.
Agency agrees to:
1.
Provide AZ DPS with proof of the agency's authority to use false identities.
2.
Use the false identities only for lawful purposes in furtherance of a lawful law
enforcement activity.
3.
Provide AZ DPS with the true identities of the recipients of the alias SSNs.
4.
Provide AZ DPS with a POC to facilitate, coordinate and manage all alias
SSNs associated with its personnel.
5.
Notify AZ DPS of any changes regarding the POC.
6.
Before submitting requests to AZ DPS, review each request for compliance
with applicable law and ensure that the requested alias SSN(s) will be used for
lawful purposes in furtherance of authorized law enforcement activities.
7.
Immediately notify AZ DPS, through the designated POC, of any activity that
could affect SSA or SSA's provision of the alias SSNs program.
8.
Maintain files related to the use of alias SSNs.
9.
Assist AZ DPS and SSA with information requests related to the alias SSNs
provided under this agreement.
10.
Cooperate with AZ DPS on all audits and follow-up reviews pertaining to the
issuance or maintenance of alias SSNs.
11.
Ensure appropriate use of alias SSNs through supervisor oversight, training,
periodic inspection, interagency oversight, and monitoring the use of, and any
activities associated with, the alias SSNs to minimize the risk of fraud and
other inappropriate uses.
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Memorandum of Understanding-Provision of Alias SSN 
DPS Contract No. _20--'2---"-s__,-0=-=5__,_7 _____ _ 
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12.
Notify AZ DPS and SSA of any earnings, that the Agency becomes aware, that
are posted to an alias SSN and of any benefits, of which the Agency becomes
aware, that are being claimed on an alias SSN.
13.
Work with AZ DPS and SSA to reconcile earnings on alias SSNs issued to the
Agency with the Internal Revenue Service.
14.
Maintain alias SSNs and any associated SSN cards in a secure location until
they are no longer required, at which time the Agency will so inform AZ DPS.
15.
Limit the number of active alias SSNs assigned to each true identity to the
minimum required for operational necessity.
C.
Issuance and reassignment of alias SSNs
I.
To request SSA issue or reassign an alias SSN, the Agency will submit to AZ
DPS the following:
a.
A written statement certifying that the request supports a lawful purpose in
furtherance of an authorized law enforcement activity, the true identity of
the person associated with the alias SSN, and the legal authority for using
false identities in law enforcement.
b. A completed Individual Alias SSN Application and Certification -Initial
for an alias SSN (Attachment A), or a completed Individual Alias SSN
Application and Certification -Reassignment for a request that SSA
reassigns to another identity an alias SSN previously issued to the Agency.
(Attachment B);
c.
A completed Social Security Administration Form SS-5 (Attachment C);
d. Identity documents, as required by SSA, authenticating the true identity of
the person for whom the Agency requests SSA to assign or reassign an
alias SSN, as follows:
i.
Proof of citizenship (Birth certificate or U.S. Passport);
ii. Proof of identity (Driver's License or U.S. Passport);
iii. Proof of employment (Law Enforcement Identification);
2.
If, after receipt of an alias SSN from SSA, the Agency determines it will not
immediately use the alias SSN but may use it in the future, the Agency will so
inform AZ DPS. The Agency will retain the physical SSN card until such time
as the Agency needs to use it. When the Agency decides to use the alias SSN
operationally, the Agency will request that AZ DPS reassign the SSN to
another identity and provide AZ DPS with the information required in
paragraph III.C.l, above.
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Memorandum of Understanding - Provision of Alias SSN 
DPS Contract No. 2025-057
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Arizona Department of Public Safety / Maricopa County Sheriffs Office 
3.
If, after receipt of an alias SSN from SSA, the Agency determines it will never
operationally use the alias SSN, the Agency will so inform AZ DPS and AZ
DPS will notify SSA to remove all personally identifiable information
associated with the SSN. At that point, the SSN will no longer be available for
future use by the Agency.
4.
In the event the Agency decides to reassign an alias SSN to another identity,
the Agency will submit a request to AZ DPS for reassignment in accordance
with the procedures set forth in paragraph III. C.1, above.
5.
When the Agency determines a particular alias SSN will never again be used,
the Agency will notify AZ DPS and return the alias SSN and SSN card as
directed by AZ DPS. AZDPS will notify SSA to remove all personally
identifiable information associated with the SSN. At that point, the SSN will
no longer be available for future use by the Agency.
6.
The Agency will send requests for assignment or reassignment of alias SSNs to
AZ DPS via secure means, either in person or by an approved courier or mail
service.
D.
Funding
1.
The Agency will reimburse AZ DPS for all reimbursable costs incurred by AZ
DPS for operations and services performed by AZ DPS on behalf of the
Agency under this Agreement. No fiscal obligation is created through the
execution of this Agreement. A fiscal obligation arises only when the Agency
submits an Individual Alias SSN Application and Certification. The Agency
agrees to submit a voucher made payable to AZ DPS as applicable for the
amount provided by the terms stated in the invoice.
IV.
CONFLICT OF INTEREST
This Agreement may be canceled by any of the parties pursuant to the provisions of A.RS.§ 38-
511. 
V.
ARBITRATION
The parties agree to resolve all disputes arising out of or relating to this Agreement through 
arbitration, after exhausting any applicable administrative review, to the extent required by 
A.RS. § 12-1518.
VI. E-VERIFY
In accordance with A.R.S. § 41-440 I, the Agency warrants compliance with all federal 
immigration laws and regulations relating to employees and warrants its compliance with A.R.S. 
§ 23-214.
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Memorandum of Understanding - Provision of Alias SSN
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VII. NON-AVAILABILITY OF FUNDS
Non-availability of funds. In accordance with A.R.S. § 35-154, every payment obligation of the 
State under the Agreement is conditioned upon the availability of funds appropriated or allocated
for payment of such obligation. If funds are not allocated and available for the continuance of 
this Agreement, the State may terminate the Agreement at the end of the period for which funds
are available. No liability shall accrue to State in the event this provision is exercised, and State
shall not be obligated or liable for any future payments or for any damages as a result of
termination under this paragraph.
VIII. NON-DISCRIMINATION
In accordance with A.R.S. § 41-1461, et seq., the Agency shall provide equal employment 
opportunities for all persons, regardless of race, color, creed, religion, sex, age, national origin,
disability or political affiliation the Agency shall comply with the Americans with Disabilities
Act.
IX. EFFECTIVE DATE, DURATION, and RENEWAL
This Agreement will be effective upon the date last signed and shall remain in full force and
effect for a period of five (5) years.
This Agreement may be renewed for successive additional one (1) year periods for up to (5)
years upon mutual consent of the parties.
X. TERMINATION
Either party may, at any time, terminate this Agreement by giving not less than sixty (60) days
written notice to the other party.
STATE OF ARIZONA 
B
Arizona Department of Public Safety
DATE: ì{ í\ 9-S
MARI COP A COUNTY 
SHERIFF'S OFFICE 
BY:/Lv4
Sheriff Jerry Sheridan 
Maricopa County Sheriffs Office
DATE: 
'-{ - L/-.).c,&
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Memorandum of Understanding- Provision of Alias SSN 
DPS Contract No.    2025- 057      
Arizona Department of Public Safety / Maricopa County Sheriffs Office
MARICOPA COUNTY, Board of Supervisors
________________________________________________
Thomas Galvin, Chairman of the Board         
     Date
ATTEST:
________________________________________________
Juanita Garza, Clerk of the Board 
 
   
     Date
 
 
 
IN ACCORDANCE WITH A.R.S. §11-952 THIS CONTRACT HAS BEEN REVIEWED BY THE 
UNDERSIGNED WHO HAS DETERMINED THAT THIS CONTRACT IS IN APPROPRIATE 
FORM AND WITHIN THE POWERS AND AUTHORITY GRANTED TO EACH RESPECTIVE 
PUBLIC BODY.
________________________________________________
Maricopa County Attorney 
 
 
                   Date