Detail Request Form

2. BEDFORD POLICE DEPARTMENT DETAIL REQUEST FORM
4. COMPANY REQUESTING DETAIL*
5. PURPOSE OF DETAIL*
   Provide brief description of detail purpose - ie. "Excavation of underground water line in street"
7. EMPLOYEE REQUESTING DETAIL*
8. Email Address*
10. BILLING ADDRESS*
12. WORK ORDER #
13. PHONE NUMBER*
14. CONTACT PHONE
16. DATE(S) AND TIMES OF DETAIL*
18. LOCATION OF DETAIL*
20. # OF OFFICERS REQUIRED*
21. CRUISER REQUIRED*
    -- Select One --YESNO
22. TOWN OF BEDFORD DETAIL REQUEST*
    -- Select One --YESNO
24. WORK SITE CONTACT AND JOB SITE CONTACT
26. SPECIAL INSTRUCTIONS
28. Detail Rate: $65/hr Non-Town Detail Minimum: 4 Hours Minimum Town of Bedford Minimum 3-Hours Minimum Cruiser Rate: $20/hr CANCELLATION INFORMATION: Members shall be paid a minimum of 2-hours for any detail cancelled with less than 2 hours notice or 1 hour notice if weather related. GENERAL INSTRUCTIONS: Detail requests received with less than 24 hours advance notice may not be filled by the Department. TO ENSURE YOUR DETAIL REQUEST IS PROCESSED IN TIME, PLEASE TELEPHONE BEDFORD POLICE COMMUNICATIONS AT 603-472-5113.
32. REQUEST PROCESSED BY
33. DATE/TIME RECEIVED
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field