Department/Division Requesting Service:
Name of Event:

Service Requested:
Baseball game
Basketball game
Blocking spaces
Facility Security  
Football Game
Marching Band Escort
Personal Security
Vehicular/Pedestrian Traffic
VIP Transportation

Beginning Date of Event:
Ending Date of Event:
Beginning Time of Event:
Ending Time of Event:
Expected Attendance:
Location: Building/Room #:
Street Address:
Number of Officers Required/Requested:
Officers' Arrival Time:
Officers' Departure Time:
Contact/Responsible Person:
Billing Address:
E-mail Address:
FAX Number:
Work Number:
Cell Phone:

Requests and payments must be made ten business days in advance (Payment Exception: Events charging against an UAB account.) Cancellations must be made 24 hours in advance. Departments who fail to cancel in a timely manner will be responsible for the 4 hours minimum which is the shortest time alloted for such a detail.  For further information, call (205) 934-3999.

Additional/Special Instructions (limited to 500 words):

Payment Method: UAB Account (enter Oracle account string below) Check/Money Order


.....  Note: You can not make payments through this form. Please contact the UAB Police Department directly to make payment