- Print the form, Complete ALL fields and SIGN the bottom of the form.
- Mail to:
Plymouth State University Police Department
MSC #12, ATTN: Chief Doyle
17High Street
Plymouth, NH 03264
(If using campus mail MSC#12)
- Requesting Organization:
- Person Making Request:
- Telephone:
- Date of Request:
- Billing Address:
- Person responsible for bill:
Event Information
- Event Date:
- Event Start Time:
- Event End Time:
- Type of Event:
- Event Location:
- Expected # Attending:
- # Of Officers Requested:
- Open to Non-PSU students?
Police Department Use Only
Officers Assigned:
- 1.
- 2.
- 3.
- 4.
- Additional Information:
- Received by:
- Approved by:
- Charge #:
Overcast. Temperature: 57; Wind: E at 4; Conditions as of Tue May 21 at 09:00 AM EDT