Off-Duty Officer Request Form

Off-Duty Officer Request Form

LOVEJOY POLICE DEPARTMENT
If you do not receive a response within 3 days, please contact (678) 610-9748 during business hours.
Name of Requestor*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Type a question*

ResidentialBusiness
Business/Organization Name
Address of Event*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Send photos of location, if possible.
Send photos of location, if possible.
Send photos of location, if possible.
Date of Event*

MonthDayYear
Date
Time of Event (Beginning)*

Hour Minutes

AM/PM Option
Time of Event (End)*

Hour Minutes

AM/PM Option
Type of Event (Details)*
Additional Request/Information
Should be Empty: