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Agency

Your name:

Is this request Agency Funded or Taxpayer Funded (if applicable)?

Agency Funded (I pay) Taxpayer Funded (Ownership pays)

Agency Funded

Taxpayer Funded

Short description of what you're requesting:

Why should it be added to your agency?

Links of item(s) to be added:

Name:

Rank/Position:

Agency:

Date of Request:

MM

DD

YYYY

Vehicle Information

Vehicle Make and Model:

Vehicle Class:

Origin of Vehicle:

Reason for Import Request:

Intended Use and Justification

Purpose of the Vehicle:

Patrol

Tactical Operations

Medical Response

Training

Public Relations/Events

Your Name:

Agency:

Have you already spoken with your direct supervisor as well as your 01?

Yes

No

Why do you feel that it is necessary to begin the Grievance Process?

Date: 05/10/2025
Agency: Municipal Police Department
Request Synopsis: Widebody HEAT Challenger, Tesla, Marine Boat Pack

Equipment: Redacted Link
Status: APPROVED