DD Form 3076-6 "Military Working Dog (Mwd) Covenant Not to Sue With Indemnity Agreement (Law Enforcement Agency (Lea))"

What Is DD Form 3076-6?

This is a form that was released by the U.S. Department of Defense (DoD) on October 1, 2019. The form, often mistakenly referred to as the DA Form 3076-6, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DoD.

Form Details:

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  • The latest version available from the Executive Services Directorate;
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Download an up-to-date fillable DD Form 3076-6 down below in PDF format or browse hundreds of other DoD Forms compiled in our online library.

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Download DD Form 3076-6 "Military Working Dog (Mwd) Covenant Not to Sue With Indemnity Agreement (Law Enforcement Agency (Lea))"

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FOR OFFICIAL USE ONLY UPON COMPLETION
COVENANT NOT TO SUE WITH INDEMNITY AGREEMENT (LAW ENFORCEMENT AGENCY (LEA))
I,
(insert name of LEA), hereafter "LAW ENFORCEMENT AGENCY," voluntarily accepts from the US
Government the delivery by means of transfer the following described military working dog, hereafter referred to as "MWD." to wit:
MWD NAME:
TATTOO NUMBER:
WELP DATE:
GENDER:
BREED:
INSTALLATION ELIMATED
FROM:
The LAW ENFORCEMENT AGENCY stipulates and guarantees that it is acquiring the MWD provided under this Agreement for the use in law
enforcement functions or activities. It is hearby agreed by both parties that the adoption of said MWD is not being accomplished with the intend that said MWD be
resold by LAW ENFORCEMENT AGENCY to a third party. If the LAW ENFORCEMENT AGENCY fails to comply with this provision and places the MWD for
sale, the LAW ENFORCEMENT AGENCY shall reimburse the above military installation from which the MWD was supplied the full market replacement value of
the MWD at a rate set by the installation.. The installation reserves the right to pursue all available recourse should the LAW ENFORCEMENT AGENCY be found
to have procured the MWD under false pretenses.
The LAW ENFORCEMENT AGENCY understands and agrees that this transfer of the MWD is pursuant to 10 U.S.C., Section 2583, which applies to
the transfer and adoption of military working dogs. Section 2583 (e) (1) provides "Notwithstanding any other provision of law, the United States shall not be
subject to any suit, claim, demand, or action, liability, judgment, cost, or other fees arising out of any claim for personal injury or property damage (including
death, illness, loss of or damage to property, or other economic loss) that results from, or is in any manner predicated upon, the act or omission or a former
military animal transferred under this section, including any training provided tot he animal while a military animal."
The LAW ENFORCEMENT AGENCY acknowledges that the above mentioned MWD HAS or HAS NOT RECIEVED DoD controlled aggression training
patrol) training and having such knowledge, and as a condition of being the recipient or adoptee of the MWD, the LAW ENFORCEMENT AGENCY freely and
voluntarily accepts all risks and consequences of the future conduct and acts of the dog. The LAW ENFORCEMENT AGENCY agrees that the MWD, in
consideration of the transfer, will not be used for any illegal purposes.
In consideration of this transfer, the LAW ENFORCEMENT AGENCY hereby covenants and agrees that it will never institute, prosecute, or in any way
aid in the institution or prosecution of, any demand, claim, or suit against the US Government for any damage, loss, or injury (including death) to any person or
property which may be caused directly or indirectly by the above described MWD, however and whenever the same may be caused. The LAW ENFORCEMENT
AGENCY further agree to indemnify, defend, and hold harmless the US Government, to the fullest extent permitted by applicable law, from and against any and
all claims, demands, actions, suits, losses, costs, charges, expenses, damages, and liabilities whatsoever which the US Government may pay, sustain, suffer, or
incur that are attributed directly or indirectly to future conduct and acts of the above described MWD, including, but not limited to, those arising from prior training
given to the MWD by the US Government and the decision of the US Government to transfer the MWD.
The LAW ENFORCEMENT AGENCY further agrees that the US Government, pursuant to 10 U.S.C., Section 2583, shall not be held liable for any
veterinary expense or treatment of any kind associated with the transfer of the MWD as stated herein for any condition of the MWD before transfer under this
agreement, whether or not such condition is known at time of transfer under this agreement.
The undersigned representative for the LAW ENFORCEMENT AGENCY further represents that he/she has authority to execute this
agreement and bind the LAW ENFORCEMENT AGENCY to the provisions herein.
The term US Government as used herein includes the Department of Defense, the United States Air Force, the installation from which
the MWD was adopted, and any officer, agent, or employee of the US Government. Invalidity or unenforceability of one or more provisions
or parts of this Agreement shall not affect any other provision or part of this agreement.
Signed on this
day of
, 20
.
Signature of LEA Representative
Signature of DoD Representative
Name and Title of LEA Representative (Printed)
DoD Representative's Name (Printed)
LEA Address
Date
LEA Phone Number
DD FORM 3076-6, OCT 2019
Page 1 of 1
PREVIOUS EDITION IS OBSOLETE.
FOR OFFICIAL USE ONLY UPON COMPLETION
FOR OFFICIAL USE ONLY UPON COMPLETION
COVENANT NOT TO SUE WITH INDEMNITY AGREEMENT (LAW ENFORCEMENT AGENCY (LEA))
I,
(insert name of LEA), hereafter "LAW ENFORCEMENT AGENCY," voluntarily accepts from the US
Government the delivery by means of transfer the following described military working dog, hereafter referred to as "MWD." to wit:
MWD NAME:
TATTOO NUMBER:
WELP DATE:
GENDER:
BREED:
INSTALLATION ELIMATED
FROM:
The LAW ENFORCEMENT AGENCY stipulates and guarantees that it is acquiring the MWD provided under this Agreement for the use in law
enforcement functions or activities. It is hearby agreed by both parties that the adoption of said MWD is not being accomplished with the intend that said MWD be
resold by LAW ENFORCEMENT AGENCY to a third party. If the LAW ENFORCEMENT AGENCY fails to comply with this provision and places the MWD for
sale, the LAW ENFORCEMENT AGENCY shall reimburse the above military installation from which the MWD was supplied the full market replacement value of
the MWD at a rate set by the installation.. The installation reserves the right to pursue all available recourse should the LAW ENFORCEMENT AGENCY be found
to have procured the MWD under false pretenses.
The LAW ENFORCEMENT AGENCY understands and agrees that this transfer of the MWD is pursuant to 10 U.S.C., Section 2583, which applies to
the transfer and adoption of military working dogs. Section 2583 (e) (1) provides "Notwithstanding any other provision of law, the United States shall not be
subject to any suit, claim, demand, or action, liability, judgment, cost, or other fees arising out of any claim for personal injury or property damage (including
death, illness, loss of or damage to property, or other economic loss) that results from, or is in any manner predicated upon, the act or omission or a former
military animal transferred under this section, including any training provided tot he animal while a military animal."
The LAW ENFORCEMENT AGENCY acknowledges that the above mentioned MWD HAS or HAS NOT RECIEVED DoD controlled aggression training
patrol) training and having such knowledge, and as a condition of being the recipient or adoptee of the MWD, the LAW ENFORCEMENT AGENCY freely and
voluntarily accepts all risks and consequences of the future conduct and acts of the dog. The LAW ENFORCEMENT AGENCY agrees that the MWD, in
consideration of the transfer, will not be used for any illegal purposes.
In consideration of this transfer, the LAW ENFORCEMENT AGENCY hereby covenants and agrees that it will never institute, prosecute, or in any way
aid in the institution or prosecution of, any demand, claim, or suit against the US Government for any damage, loss, or injury (including death) to any person or
property which may be caused directly or indirectly by the above described MWD, however and whenever the same may be caused. The LAW ENFORCEMENT
AGENCY further agree to indemnify, defend, and hold harmless the US Government, to the fullest extent permitted by applicable law, from and against any and
all claims, demands, actions, suits, losses, costs, charges, expenses, damages, and liabilities whatsoever which the US Government may pay, sustain, suffer, or
incur that are attributed directly or indirectly to future conduct and acts of the above described MWD, including, but not limited to, those arising from prior training
given to the MWD by the US Government and the decision of the US Government to transfer the MWD.
The LAW ENFORCEMENT AGENCY further agrees that the US Government, pursuant to 10 U.S.C., Section 2583, shall not be held liable for any
veterinary expense or treatment of any kind associated with the transfer of the MWD as stated herein for any condition of the MWD before transfer under this
agreement, whether or not such condition is known at time of transfer under this agreement.
The undersigned representative for the LAW ENFORCEMENT AGENCY further represents that he/she has authority to execute this
agreement and bind the LAW ENFORCEMENT AGENCY to the provisions herein.
The term US Government as used herein includes the Department of Defense, the United States Air Force, the installation from which
the MWD was adopted, and any officer, agent, or employee of the US Government. Invalidity or unenforceability of one or more provisions
or parts of this Agreement shall not affect any other provision or part of this agreement.
Signed on this
day of
, 20
.
Signature of LEA Representative
Signature of DoD Representative
Name and Title of LEA Representative (Printed)
DoD Representative's Name (Printed)
LEA Address
Date
LEA Phone Number
DD FORM 3076-6, OCT 2019
Page 1 of 1
PREVIOUS EDITION IS OBSOLETE.
FOR OFFICIAL USE ONLY UPON COMPLETION