Event Security Request Form

Department or Division Requesting Service(*)

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Name of Event(*)

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Service Requested(*)

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Beginning Date/Time of Event(*)

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Ending Date/Time of Event(*)

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Expected Attendance(*)

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Location (Bldg./Room#)(*)

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Street Address(*)

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City(*)

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State(*)

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Zip Code (*)

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Number of Officers Required/Requested(*)

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Officer Arrival Time(*)

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Officer Departure Time(*)

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Contact/Responsible Person (Must be a UAB employee and/or affiliate)(*)

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Billing Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Email(*)

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Work Number(*)

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Cell Phone

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Fax

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Special Instructions

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There is a minimum charge of 4 hours for all Special Detail services.

Requests must be made ten business days in advance and payments will be billed after event has ended. (Payment Exception: Events charging against an UAB account.) For further information, call Sgt. Larry Bailey at (205) 975-0562 or (205) 895-1004.

** Cancellations must be made 24 hours in advance or the requesting department will be responsible for the 4 hours minimum.**

Payment Method

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

Oracle Account Number(*)

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(*)

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Emergency Resources

Emergency

911

Non-Emergency

(205) 934-4434

Campus Safety Resources