Form Center

Request for Service From the Community Affairs Department

2. 

3. Please fill out this form if you need assistance from the Community Affairs Department of the Police Department. Please provide at least two weeks notice before your event. Your request will be reviewed and someone will contact you within 48 hours. We will do our best to fulfill your request.
   Types of events we attend include; * Block Parties * Home Security * Neighborhood Watch * Women's Self Defense * Child Safety * Drug Awareness * Business Security (CPTED-Crime Prevention Through Environmental Design)*

   Types of events we attend include; * Block Parties * Home Security * Neighborhood Watch * Women's Self Defense * Child Safety * Drug Awareness * Business Security (CPTED-Crime Prevention Through Environmental Design)*

5. First Name*

6. Last Name*

8. Address1*

10. Address2

12. City*

13. State*

14. Zip*

16. Home Phone Number*

17. Cell Phone Number

19. Date of Event*
    Date of Event

    Please select the date of the event.

20. Time of Event*
    Time of Event Start Time

    —

    Time of Event End Time

    Please select the times for the event.

22. Daytime Phone Number

23. Email Address

25. Please provide details of your event.*

27. 

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field