Request for University Police Services

This form should be completed at least 14 days prior to an event

The charge for police services for a campus event hosted by an on-campus department will be $65 per hour.

The charge for police services for a campus event hosted by a non-affiliated group is $75 per hour.

The charge for Student Patrol will be $15 per hour per student.

A minimum 4 hours per person is required.

Cancellations must be made at least 24 hours before the event is scheduled to begin or you will be charged for 4 hours per Officer scheduled.

Questions or concerns should be directed to Chief Vasile or UPD
Phone (585) 395-2222 or dvasile@brockport.edu or upd@brockport.edu

Notification Date (today's date): Notification Date (today's date): / MM / DD YYYY
Name of Person Completing this Request: Name of Person Completing this Request: First Last
Name of Event:
Location of Event on Campus:
Expected Number of Attendees:
Date Event Begins: Date Event Begins: / MM / DD YYYY
Time Event Begins: Time Event Begins: : HH MM AM/PM
Date Event Ends: Date Event Ends: / MM / DD YYYY
Time Event Ends: Time Event Ends: : HH MM AM/PM
Description of Event:
Estimated Number of Officers Needed:
Sponsoring Department/Organization:
Contact Person for Event Contact Person for Event First Last
Phone Number for Contact Person: Phone Number for Contact Person: - ### - ### ####
Email Address for Contact Person:
Billing Address Billing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email for person responsible for billing:
Attachment: (diagrams, information sheets, maps, etc.)
maximum 5 files whose total size may not be more than 10MB
filenames should not contain more than one period (.)