I understand and agree that I must follow all current Special Duty policies. I understand and agree to pay the officer's fee directly to the officer assigned and any other fees (equipment, mileage, administrative, and workers
compensation) associated with my request to The City & County of Honolulu. I understand that officers participate in the Special Duty Program on a voluntary basis and that there is no guarantee that my request will be filled. It is
my responsibility to follow up with the Special Duty Section, during normal business hours, to determine if my request is filled. I understand that there is a 2-hour minimum fee for special duty assignments if I do not notify the
Special Duty Section of the cancellation of my request in writing 24 hours prior to the start of the assignment. This fee will be assessd for each officer I requested. Your special duty request(s) should be received by HPD at least five
working days prior to the event. This allows sufficient time to process your request. Late requests, if accepted, may require premium rates to be paid.
NEW REQUEST FOR OFF DUTY / SPECIAL DUTY OFFICER(S)
FAILURE TO COMPLETE ALL APPLICABLE INFORMATION ON THIS FORM MAY RESULT IN PROCESSING DELAYS
PLEASE PRINT LEGIBLY
801 South Beretania Street Honolulu , Hawaii 96813
Phone: (808) 723-3575
Fax: (808) 768-1699
Email: specialduty@honolulu.gov
Website: www.honolulupd.org
Honolulu Police Department
Company or Individual's Name:
Job Location/Address:
(Start of Escort)
Job Date Rank
Amt of
Officers
Start Time End Time
Total
Hours
HPD Project #
(Office Only)
Print Name:
Date:
Fax #:
Requestor's Signature:
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Equipment
SD-1 (R-03/2020)
SECTION A: Job Information
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Page 1 of 2
On-Site Contact Person: Phone:
Name of Event:
Nature of Event:
Party/Celebration EscortConstruction Parade Sports Event Community Gathering
FuneralConcerts
Other
On Site Invoice
Method of Payment:Officers Job (Check all that apply):
Traffic Control Security/Crowd Control Escort Standard Premium (Add $25.00/Hr)
Pay Scale:
Premium
Pay
Additional Notes
for the Officer(s):
Event Is Serving Alcohol Or Is Being Consumed: Yes No
Events With Alcohol:
Yes NoLiquor Establishment
*Events With Alcohol Please Add $10 Per Hour Per Officer
SECTION B: Job Details
Traffic Control
Comments:
Comments
Additional Comments:
Start and End Time of Actual Event
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Billing Address:
City/State/Zip:
Phone #:
Primary Contact: Email:
Secondary Contact:
Phone #:
SECTION E: Billing Information
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Vehicle Rates
Equipment fees and mileage rates are listed on the current price schedule.
Escorts: Officers are paid mileage ($0.575/Mile) from the initial job site. Mileage will continue until returning to the initial job site or going
home, whichever distance is shorter. Officers working non-escorts jobs are eligible for mileage fees when their required driving exceeds 20 miles driven
under the same guidelines.
If a city vehicle is utilized, vehicle rates are payable directly to the City & County of Honolulu.
If a privately owned (subsidized) vehicle is utilized, vehicle rates are payable directly to the officer.
Administrative Fee
$14.00 for the first Officer, and $2.00 for each additional Officer per job, payable directly to the City & County of Honolulu.$5.00 per officer, payable directly to
the City & County of Honolulu. All fees are non refundable.
Cancellation Fee
Minimum charge of 2 hours per officer assigned is assessed is the job if cancelled with less than 24 hours notice prior to start of job. Please see our
cancellation policy for additional information.
Rate Schedule - Effective 3/1/2020
Regular Premium
Police Officer $50.00 $75.00
Solo Motorcycle Officer
$53.00 $78.00
Police Sergeant $54.00 $79.00
Solo Motorcycle Sergeant $57.00 $82.00
Police Lieutenant $60.00 $90.00
Police Captain $64.00 $94.00
Police Major $70.00 $100.00
Events With Alcohol Please Add $10 Per Hour Per Officer
Security / Crowd Control
Start and End Time of Actual Event
Estimated Number of Participants:
Escort
Beginning Location:
Ending Location:
SECTION C: Background Information
Any Past Incidents/Problems:
Estimated Distance of Escort:
Miles
Why Do You Require Police Officer(s) At Your Event?
Will You Also Have Private Security? Yes No
How Will Private Security Be Situated or Utilized?
SECTION D: Additional Information
If Yes, Who:
Will The Security Be Armed?: Yes No