Special Events Form

Contact Information

Name of Requester (Person or Organization):

Name of Contact Person:

Phone Number:

Group or Organization:

Event Information

Event Name:

Event Location:

Time of Event:
From:space- To:

Times for Officer(s)Attendance:
From:space- To:

Event Date:

Security Issues Anticipated:

Anticipated Number of Attendees:

Is there Alcohol:
Yes: No:

List of Specific Duties for the Constables:

Number of Constables Requested:

Invoice Information
University Account Number:

Billing Address: