Revised November 21, 2016 EXTRA-DUTY POLICE REQUEST FORM MTPD 22.3.5
Miami Township Police Department
5900 McPicken Drive
Milford, Ohio 45150
513-248-3721
requestpolicedetail@miamitwpoh.gov
REQUEST POLICE DETAIL
TERMS
Standard fee is $50.00 per hour for each officer, with a 3-hour minimum charge per officer.
Some details require use of a police vehicle which is $5.00 per hour, 3 hour minimum. Persons
requesting officers with less than 36 hours advance notice will be charged $60.00 per hour
for each officer. Cancellation with less than 24 hours notice incurs a 3-hour minimum
charge. Payment is due upon receipt of Invoice with separate payments to individual
officer/s and to ‘Miami Township Police Department’ for vehicle use, if needed. This
request MUST be emailed only to the above address.
Employer:
Name of Requesting Company / Organization
Address:
City: ZIP: ______________
Scheduling Personnel: Phone#
Billing Personnel: ______________________________________ Phone#
Billing Personnel Email: __________________________________ Fax# ___________________
Work Location:
Work Date(s):
List Each Date Separately
Work Time(s): from to
Number of Officers Needed: _______ Uniform or Plainclothes: _______ Vehicles __________
Describe nature of work:
______________________________________________________________________________
Your signature below indicates acceptance of the Terms above and responsibility for payment.
__________________________
Name and Title Date
Reviewed: ______________________________ Approved: _________________
