Event Officer Request Form

2. Name

4. Number of Officers Requested to Work the Event

6. Location of the Event

8. Dates and Times
   Dates and Times Start Date

   Dates and Times Start Time

   —

   Dates and Times End Date

   Dates and Times End Time

10. Alcohol

    1. Will be served
    2. Will not be served

11. Anticipated number of attendees:

13. The Montevallo Police Department requests a fee of $50 an hour with a 4-hour minimum. All fees and considerations must be paid for in advance. A receipt must be presented to the police department before an officer will be assigned. This document will serve as the invoice. All requests must be made 14 calendar days in advance. The basic duties of an officer while working the event will be to preserve the peace and identify potential problems at the event. Any special requests or extra duties must be submitted and approved by the Chief of Police prior to the event.

    The Montevallo Police Department requests a fee of $50 an hour with a 4-hour minimum. All fees and considerations must be paid for in advance. A receipt must be presented to the police department before an officer will be assigned. This document will serve as the invoice. All requests must be made 14 calendar days in advance. The basic duties of an officer while working the event will be to preserve the peace and identify potential problems at the event. Any special requests or extra duties must be submitted and approved by the Chief of Police prior to the event.

15. Signature

16. Date
    Date

18. Chief's Signature

19. Date
    Date

22. Officers

25. Total number of hours that officers will be required to attend

28. Total due for 10.4210.41220 Code 20.0004

30. City Receipt Number

32. Officer(s) Assigned

34. Please note:
    You must have Chief’s signature or his designee’s before presenting to City Hall for payment. It will be returned and not scheduled without a signature.

    You must have Chief’s signature or his designee’s before presenting to City Hall for payment. It will be returned and not scheduled without a signature.

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35. Print Only

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