Officer Personal Information Form – United Security and Defense Solutions

Officer's Personal Information

General Information

Profile Photo *This photo needs to be a headshot of the officer and no one else. Please make sure you are clearly visible and that this photo matches your current appearance. No sunglasses or hats should be in the photo. Nor should any animals or additional people. Please make sure this photo is in good taste.

First Name *

Last Name *

Date of Birth *

Place of Birth

Email *

Phone *

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Vehicle Make/Model *If you do not have a vehicle please state none at this time. If you have more than one vehicle just enter your primary vehicle.

Vehicle Color *

License Plate Issuing State *Use the 2 letter abbreviation. Example Texas = TX.

License Plate number *

Emergency Contact Information

First and Last Name *
Relationship to Officer *
POC Number *
POC Email *
POC Address *
Please include the address even if it is the same as your above address.Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Employment Information

Social Security Number or Tax ID *No Dashes

Position *Pick the option that matches your current position with USD Solutions.

Start Date *Check When I Work or Gusto

End of Service Date Human Resources only.

Work Experience

Military Services *
Years of Military Experience *
Law Enforcement Experience *
Years of Law Enforcement Experience *
Number of Years of Security Experience *How long have you been in private security. This is separate form you years of military and Law Enforcement experience. If this is your first security job just put 0.

Verification

Please enter any two digits *Example: 12
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