Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Off-Duty Police Services Request Form

  1. Will Alcoholic Beverages Be Consumed or Dispensed?*
  2. Name Of The On-Site Contact Person
  3. What Will The Officer(s) Assignment Be?*
  4. Police Equipment Requested
  5. Please specify
  6. Submission Details

    Request for off-duty police services shall be made three (3) days prior to the event. Details, such as special or large-scale events, that necessitate advance planning may require the assignment of a Special Event Police Coordinator, who will be compensated at the rate of $51.50 per hour.

    Request for cancellation of off-duty police services must be made at least 24 hours prior to the scheduled starting time of the detail by completing the following form:

    In addition to the form, notifications of cancellations can be made to Patricia Joseph at 305-891-0294 Ext. 24116, Monday through Friday, from 9 am to 4 pm, excluding holidays. If you are unable to call during the listed hours, you may email Patricia Joseph at Failure to complete this form, canceling your request for off-duty police services within 24 hours, will require a payment of three (3) hours per officer and/or supervisor assigned to the detail. ny questions, please contact Patricia Joseph at 305-891-0294 Ext. 24116.

  7. Acknowledgment

    Sign and submit this document by clicking below. Upon signing this form, you agree to the aforementioned requirements.




  9. If denied, state reason: 

  10. Leave This Blank:

  11. This field is not part of the form submission.