This Section Tobecompletedbytherequestingorganization S Representative

RadfordUniversityPoliceDepartmentRequestforSecurityServices

-THIS SECTION TOBECOMPLETEDBYTHEREQUESTINGORGANIZATION’S REPRESENTATIVE-

Organization Requesting Services:

EventTitle:

Location:Estimated Attendance:AlcoholServed?□Yes □No

DateofEvent:

Beginning Time:EndingTime:

ContactPerson:

Mailing Address:

RU AccountInformation: Fund:Organization:

Account:Program:

BriefDescriptionof theEvent:

EventType: / □Banquet/Meal / □Reception
□Concert / □Tournament/Competition
□Dance / □Other(specify)
□Exposition

RADFORDUNIVERSITYPOLICEOFFICERSAREAVAILABLEFORLIMITED SECURITYSERVICES ATSPECIALEVENTS OF RUAPPROVEDORGANIZATIONS.AMINIMUM OFTWO(2)UNIFORMEDOFFICERS WILLBEPROVIDEDFORSOCIALS.THENUMBEROF OFFICERS ASSIGNEDFOROTHEREVENTSWILLBEDETERMINEDBYRUPDACCORDING TOCIRCUMSTANCES OFTHEEVENT,TO INCLUDE, BUT NOTLIMITEDTO,THENATUREOFTHEEVENT,ESTIMATEDATTENDANCEANDTRAFFICCONTROLREQUIREMENTS.RUPDWILLSUPPLYALLNECESSARYEQUIPMENT TO PROVIDETHIS SERVICE.

THEREQUESTINGORGANIZATIONWILLBEBILLEDATTHERATEOF$32.00PERHOUR PEROFFICERAFTERTHEEVENTANDAMINIMUM OF 3HOURSWILL BE CHARGED.OFFICERSWILLBE ASSIGNED TOTHE EVENT30MINUTESPRIORTOTHE STARTAND REMAINATTHE EVENTUNTIL THE AREAIS SECURE.ASSIGNED OFFICERSWILLBEUNDERTHECOMPLETECONTROLOFRUPD ANDTHEREFORRUPDIS RESPONSIBLEFORTHEPROFESSIONALLIABILITYANDAPPLICABLE WORKERS’COMPENSATIONBENEFITS.

THERESPONSIBLEPARTYFORTHEORGANIZATIONMAY CANCELORREQUEST MODIFICATIONOFTHESERVICES TOBEPROVIDEDBYNOTIFYING THERUPDCOORDINATORFORSPECIALEVENTSAT 831-5500 AT LEAST 48HOURS PRIOR TOTHETIMEOFTHEEVENT.BILLING FORTHEEVENTMAYOCCURIFTHECANCELLATION IS RECEIVEDLESS THAN 48HOURS PRIORTOTHE TIMEOFTHEEVENT. ALLREQUESTS FORTHEEVENTWILL BEKEPTONFILEFORAMINIMUM OF5YEARS.

CONTACTPERSONSIGNATUREDATE

RadfordUniversityPoliceDepartmentRequestforSecurityServices

-FORRUPDOFFICEUSEONLY-

□Received and recorded byRUPD on(date):

Thefollowing provision has been deemed necessaryfortherequestedevent:

□No securityrequired

□Securityisrequired,but isDENIEDforthefollowingreasons(s):

□SecurityRequired

Numberofofficersrequired/assigned totheevent:

Officersarescheduled tostafftherequested event,attheindicated location,beginning at

a.m./p.m.andending at

a.m./p.m.

□RMCrequired in additionto RUPD

□RMConlyrequired

SignatureofRUPDCoordinatorofSpecialEventsDate

□Communicated approvalor denialto requestoron (date)

by