Public Safety Special Event Request

This form is used by the facilitator to request the special assignment of Public Safety officers for a specific event. The requestor will indicate in the "Special Notes" section the details of the additional Public Safety resources requested. Public Safety will recommend the hiring of police detail units; EMS units; fire panel monitoring; NSU Public Safety officers; contract security officers or other resources as needed to provide a safe environment during the event.

NOTE: The allocation of personnel for special assignments is a budgetary request and as such requires the departmental account number of the requesting department. * All fields marked with an asterisk are required. If a field does not apply, please mark it "n/a" (not applicable).

Todays Date: *

Designated Facilitator Information

Name: *

Email: *

Position: *

Office Phone: *

Department: *

Mobile Phone: *

Building: *

Room: *

Event Information

Name Of Event: *

Event Contact Name: *

Event Date: *

Event Time: *

Estimated # of Guests:

Estimated # of Vehicles:

Event Location: *

NSU Account # to Invoice: *

Special Notes: *

Please verify that you have completed all required fields and are not a robot before submitting this form.