USE THIS FORM TO REQUEST OFF-DUTY OFFICERS

(PUBLIC FACILITIES ONLY)

PAY RATE IS $45.00 PER HOUR PER OFFICER

Your request will be prioritized on the availability of our resources and the other requests we receive

TODAY'S DATE:                   

NAME OF REQUESTOR:      

ADDRESS REQUESTOR:        

PHONE:    

NATURE OF ACTIVITY:       

LOCATION OF EVENT:           

DATE OF EVENT:                         TIME: FROM       to            

NUMBER OF OFFICERS NEEDED: