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2. There is a 2-hour minimum for each officer.

   Hourly rates (FICA required): Officer: $53.82, Supervisor: $59.20, If less than 48 hours notice: $64.59

   
   

   5 to 9 officers requires one supervisor.

   
   

   10 to 14 officers requires two supervisors.

   
   

   15 to 20 officers requires three supervisors.

   
   

   Please complete application and send it to us 48 hours in advance of scheduled event.

   
   

   Cancellation required 24 hours in advance or 2-hour minimum will apply.

   
   

   Please sign a statement the officer will provide following your event.

   
   

   Payment is due 30 days upon receipt of invoice from City of Roanoke.

   
   

   Please call 540-853-1079 for further assistance if needed.

4. Name
5. Email Address
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. Fax Number
16. Number of Officers Needed
17. Name of Event
18. Date of Event
20. Location
21. Start Time
22. End Time
24. Expected Attendance
26. Services Requested/Comments
28. Remit to
30. Address
32. City
33. State
34. Zip Code
36. Phone Number
37. Fax Number
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

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