Request for Police Services
This form must be completed at least 14 days prior to event
Name of Event
*
Event Location
*
Date Event Begins
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time Event Begins
*
Hour Minutes
AM
PM
AM/PM Option
Date Event Ends
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time Event Ends
*
Hour Minutes
AM
PM
AM/PM Option
Describe Your Event or Special Requests
*
Estimated Number of Attendees
*
Estimated Number of Officers Needed
*
Alcohol Involved
*
Yes
No
Contact Information
Organization
*
Name of Person Completing Application
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Billing Address
*
Please enter full billing address. E.g., "307 N. University Blvd, Mobile, AL 36688"
Person Responsible for Paying Bill
*
Questions or concerns should be directed below:
Phone: (251)460-6312 or Email: policeaux@southalabama.edu
Submit Request
Should be Empty: