City of Richmond
Police Department
Colonel Alfred Durham
Chief of Police
Funeral Home Requesting Services:
Address:
Decedent:
Funeral Location:
Funeral Date: Day of Week:
Time: Burial Location:
Number of Officers Requested: Officer(s) Report Time:
Officer(s) Report Location:
Processional Route
Additional Information
or Special Requests:
Requested by: Contact Number:
NOTE:
All requests must be received at least 48 hours in advance.
Requests for Monday Escorts must be received by 4 PM the Friday prior.
Send
Completed
Forms to:
Sergeant Gary Borges, Outside Employment Coordinator - Gary.Borges@richmondgov.com
or
Ms. Adriane James, OEC Assistant - Adriane.James@richmondgov.com
2219 Cham
berlayne Avenue, Richmond, VA 23222
Office Numbers: 804.646.0445 or 804.646.3132
Fax Number: 804.646.0446
Please have check or money order available at time of service and written payable to the individual officer(s).
Rates:
$84 per officer $126 per officer on holidays $35 per vehicle (billed separately)
Officer(s) Assigned:
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