Police Service Request Form

Tarleton State University Police Department

*Fields marked with a red asterisk are required

Services Requested By:
Name Name First Last
Business Mailing Address Business Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Business Phone Number Business Phone Number - ### - ### ####
Cell Phone Number Cell Phone Number - ### - ### ####
Email Address
Event Information
Tarleton Department or Student Group
Event Name
Type of Event
Location of Event
Date of Event Date of Event / MM / DD YYYY
Time Event Will Start Time Event Will Start : HH MM AM/PM
Time Event Will End Time Event Will End : HH MM AM/PM
Estimated Attendance
Time Gates/Doors Will Open Time Gates/Doors Will Open : HH MM AM/PM
Time Ticket Office Will Close Time Ticket Office Will Close : HH MM AM/PM
Contact Person During the Event Contact Person During the Event First Last
Contact Person Cell Phone Number Contact Person Cell Phone Number - ### - ### ####
Contact Person Email Addresses
Alcohol Present?
Will Money Be Collected On Site?
Could the Event Elicit an Emotional Response or Be Considered Controversial?
If Outside, Has an Alternative Rain Site Been Scheduled and Approved?
If YES, What is the Alternate Location?
Number of Police Officers Requested
Payment Information
Department Name of Student Group
Account Number (Departmental)
Projected Cost