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Off-Duty/Extra Police Request Form

  1. Enter a name
  2. Enter a name
  3. Enter a cell or 24hr contact
  4. Where should the invoice be sent?
  5. Address where police are needed
  6. Starting and ending date/time police are needed
  7. Off-Duty/Extra Duty Police Rate
    $50 Per Hour, Per Officer - Payable to City of East Moline
  8. # of Officers x Hours x $50
  9. Acknowledgement
    Security will be coordinated by the Chief of Police of the City of East Moline. The event organizer and the Police Chief will negotiate a security plan based upon manpower and equipment needs as determined by the Police Chief to ensure the safety and well being of the residents of the City of East Moline as well as any persons attending the event. Payment for police services is due upon receipt of invoice issued by the Finance Department.
  10. Enter your name
  11. Leave This Blank:

  12. This field is not part of the form submission.