Required fields are marked with asterisks (*)

Pay Duty Request Form

Requests should be forwarded a minimum of 15 days in advance of an event.

Requestor's First Name:

Requestor's Last Name:

Legal Business Name:

Address:

City:

Province:

Postal Code

Email Address:

Daytime Phone Number:

Event Information

Type of Event:

Security - Community Event

Security - Concert

School Event - Graduation

Security - Sporting Event

Escort - Traffic Control

School Event - Concert

Security - Show

Escort - Moves (house moves, banks, etc...)

School Event - Dance

Event Name:

Event Location:

Event Street Address:

Event Date (MM/dd/yyyy):

Start time of event (e.g. 5:00 PM):

End time of event (e.g. 9:00 PM)

Number of people you are expecting:

Event Contact's First Name:

Event Contact's Last Name:

Event Contact's Phone Number (ensure this is a number we can reach them at during the event):

Event Contact's Email Address:

Provide any additional information regarding the event or your expectations for the pay duty officers.

If this is an event requiring a house move, provide a map detailing the route and where the pay duty officer should meet.

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^{The personal information collected and used on this form is done so puruant to the Alberta’s Freedom of Information and Protection of Privacy Act in order to respond to your request. If you have any questions regarding the collection or use of your personal information, please contact the Lethbridge Police Service's Access and Privacy Unit.}