Request for Police Service Form

Requestor Information

Date of Request*

Requestor*

Requestor's Email*

Work Phone*

Cell Phone*

School or Department*

Sponsoring Organization or Club*

Event Information

Name of Event*

Date of Event*

Beginning Time of Event*

: HH

MM

End Time of Event*

: HH

MM

Brief Description of Event*

Event Location*

Room / Section*

Estimated Attendance*

Please enter a number greater than or equal to 1.

Number of Police Officers Requested*

Please enter a number greater than or equal to 1.

Describe the specific need for police officer presence.*

Contact Person

Event Contact Person is Other than the Requestor

Event Contact Person*

Title*

Email*

Enter Email Verify Email

Work Phone*

Cell Phone*

Specific Needs Requested

Will there be a need to reserve parking spaces or block campus roadways?*

Yes
No

If so please describe*

Will there be any high risk activities? (sporting event, inflatables, relays...etc.)*

Yes
No

If so please describe*

Will cash be handled?*

Yes
No

If so please describe in detail below: (The location it will be received, storage, if it will be transported to another location throughout the event or at the end, and how much cash is expected).*

Commitment*

Can officers conduct periodic checks of the event?
Or do they need to be posted the entire time?

Dress Code*

Should the requested police officers be in full uniform?
Or in plain clothes?

Please explain your answer.*

If police officers are not available, is there compensation potential (hourly) for off duty officers to fill this request?*

Yes
No