Request for Police Services

* = required field

Request for Police Services

This form must be submitted at least 5 business days before the event.

This form should be completed for any event that meets any of the following criteria:

• is open to the public
• will cause increased parking problems
• has a large anticipated attendance or has persons who will need assistance
• has a foreseeable security or liability risk for the College

Your Information

Name *

First

Last

Email Address *

Phone Number *

Event Information

Event Description *

Event Date *

YYYY

Start Time *

End Time *

Event Location

Expected Number of Guests *

Alcohol Involved? *

Yes

Organization *

Account Number *

I understand that the Department of Public Safety is responsible for determining the appropriate number of officers to work this event. The Department of Public Safety will make every effort to minimize the cost to other college departments while still ensuring the security of the campus. I agree to pay the overtime cost for the required officers and I understand the account provided will be billed on the payroll following the event.

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