Date of Event:
*Required
Day of the Week the Event is on:
Name of Event:
*Required
Location:
Rate of Pay(hourly):
Approximate Attendance Expected:
Event Start Time:
Event End Time:
Will alcohol be served:
Yes
No
Type of Service(s) Request:
Traffic Controller
Security
Crowd Control
Other
Number of Officers Requested:
*Required
Will a Squad Car Be Needed:
Yes
No
I acknowledge that a minimum of two hours is required to hire an officer(s):
*Required
I acknowledge that for every 7 officers requested, a sergeant will be required for supervision:
*Required
I acknowledge that a final officer staffing count will be agreed upon with Department personnel based on anticipated crowd size, the need for road closures, the scope of the event, alcohol service and other factors:
*Required
I acknowledge that, as the applicant, I am responsible for the costs of hiring the police personnel if said cancellation occurs within 72 hours of the start of such assignment:
*Required
Contact Name:
*Required
Contact Phone Number:
*Required
Contact Email Address:
*Required
Billing Company Name:
*Required
Billing Company Address:
*Required
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