Request for Police or Security Services

1410FR.12 Request for Services (Police/Security)

This form should be used when requesting Police or Security Officers for special coverage or Public Safety Presentations.

The Police and Security Departments will work together with you to determine the type of coverage and the number of people needed to adequately cover your event, where they should be positioned and what their function will be while working with you.

Requesting Information

Requesting Organization or Department *

Sponsoring Organization or Department (if different than Requesting) *

Requestor's Email *

Requestor's Name *

Requestor's Phone *

Billing Instructions

These services should not be charged to a grant. If your Award starts with a letter (ex. F00892), then you have a grant and will need to determine another funding Award before proceeding.

Payment Method *

COA

No COA (Provide Billing Address)

Chart of Account Number (COA) *

Billing Address *

Event Information

On-site Contact 1: Name *

On-site Contact 1: Cell *

On-site Contact 2: Name

On-site Contact 2: Cell

Event Dates

Is this a multiple day event?

Yes

Event Date *

Month

Day

Year

Event Times

Start Time for Each Day

Hour

Minute

End Time for Each Day

Hour

Minute

Type of Event

Event description (who is performing, name of lecturer, etc.)

Event Location and Address

Expected Number Attending *

You will be contacted to discuss police/security staffing.

Will alcohol be served? *

Yes

Attendees

Graduate

Undergraduate

Other

Open to non-Yale students or guests

Yes

Open to the public?

Yes

Yale Fire Marshal notified *

Yes

Name of Head of College, Dean, or other responsible person

For Public Safety Presentations Only
The requesting department is expected to provide all the necessary A/V equipment for a PowerPoint presentation.

The requesting department is expected to provide all the necessary A/V equipment for a PowerPoint presentation.

I Agree

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