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Home > Community Info > Special Event Planning

Police Officer Request

 

(*) = Required Information. If unknown, please indicate "Unknown".

You MUST enter an email address for this form to work correctly.

Your Information - Person requesting services.
 
*Company/Department/Organization:
*Name:
*Work Phone:  
(xxx-xxx-xxxx)
*Phone (During Event):  
(xxx-xxx-xxxx)
*Email:  
   
Event Information - Describe your event for us.
   
*Event Description:
*Event (Start) Date(s): (M/D/Y)
Event End Date (if multi-day event): (M/D/Y)
*Event Location:  
(Building, Room, etc.)
*Event Start Time: (ie, 4 PM, 730 AM, etc.)
*Estimated Event End Time: (ie, 4 PM, 730 AM, etc.)
*Estimated Attendance:
*Number of Officers Requested:  (Estimate if unknown)
*Officers On-Site Start Time:  (Estimate if unknown)
*Alcohol Served at Event?: Yes            
No
Any Extra Information or Notes?:
   
Billing Information - How you will pay for the services?
   
*Payment Method:   Account String (University Departments)
  Invoice (Non-University)
*Fund/Dept ID/Program #:
(Non-Sponsored)
 (eg., 1234-56789-12345)
*Fund/Dept ID/PCBU/Project #:
(Sponsored)

 (eg., 1234-56789-12345-67891234)
ChartField 1 #:  (eg., 1234567891)
ChartField 2 #:  (eg., 1234567891)
*Billing Contact Name:
*Billing Contact Phone:
*Billing Address:
(Street Address)

(City, State, ZIP)
   
           
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Last Modified: July 11, 2014
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