Special Event: Police Services Request

Special Event: Police Services Request

Texas A&M University-San Antonio University Police Department
This form must be completed and submitted to the A&M-SA PD ten (10) business days in advance of the event. A $50 administration fee will be assessed for any event submitted less than 10 business days prior to the event.
Event Name
Start Date and Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
End Date and Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Event Location*
Estimated Attendance*
Estimated Number of A&M-SA Vehicles
Estimated Number of Visitor Vehicles
Special Requests
A&M-SA Event Sponsor / Department*
Event Contact Person*

First NameLast Name
Contact Phone Number*
Please enter a valid phone number.
Contact Email*
scout@tamusa.edu
Secondary Contact Name*

First NameLast Name
Secondary Contact Number*
Please enter a valid phone number.
Alcohol at any A&M-SA event requires prior written approval from the Office of the President.
Is alcohol served?*

YesNo
A&M-SA Police Department reserves the right to require additional personnel to monitor and/or provide traffic control for events. The costs for additional officers for coverage will be billed at the applicable hourly rate ($50 per hour per officer) for a minimum of three hours which must include 30 minutes prior to when officer(s) will be on duty and 30 minutes past when officer(s) are required.
Billing Contact Person / Department*
Billing Contact Person / Dept. Email*
example@example.com
Note: An email will be sent to the above person / department requesting their signature. This signature must be provided by the individual who is financially responsible and who is authorized to approve expenses.
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PO Number / Account Info*
Please ensure that you read A&M-SA 21.99.09.O0.01 Facility Usage Guideline before submitting this form.
Only A&M-SA Police Department personnel will be used for events that occur within the primary jurisdiction of the A&M-SA Police Department. If additional police personnel are needed, it will be coordinated through the Office of Chief of Police.

Questions: Call A&M-SA PD at (210) 784-1900 or by email at police@tamusa.edu.
Supporting Documents

Cancelof
Signature*

Clear
Should be Empty: