Fillable This form is to be used to request (Alabama Law Enforcement Agency)

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This form is to be used to request (Alabama Law Enforcement Agency)

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County
Assigned Trooper Name Total Hours
Total Mileage Accrued from
Deployment to Destination
Signature of Authorized
Corporate Officer Date
Printed Name
Title
This form must be completed and submitted via e-mail to Captain Timothy Pullin at ALEA-Superload@alea.gov, before any escorts will be
scheduled.
ALABAMA LAW ENFORCEMENT AGENCY/DPS Highway Patrol
SUPERLOAD LAW ENFORCEMENT ESCORT REQUEST
ALEA USE ONLY
Total
Hours
Total Mileage Accrued from
Deployment to Destination
Assigned Trooper Name
Driver Name Driver Cell
Street, Address, or Highway; City, State, State Line
Time of Escort
Alternate Contact/Name Alternate Cell
Date of Escort
Location of Escort- Starting Point
Location of Escort- Destination
Street, Address, or Highway; City, State, State Line; County
Distance- Start Pt. to Destination (approx.)
Number of Troopers Requested
Commercial Driver Information
Company Point of Contact
Name
POC Email
Escort Event Information
Request Date
Company Phone Company Fax
This form is to be used to request a law enforcement escort from ALEA Department of Public Safety/Highway Patrol Division during a
superload event that is permitted by the Alabama Department of Transportation. All sections must be completed in full and submitted
per online instructions (www.alea.gov/superload).
Payment for the escort is governed by Ala. Admin. Code r. 760-X-2-.04 . Your signature below acknowledges that ALEA notified you of the
requirements to pay invoices within 30 days of invoice receipt
.
Please allow 10-14 days for ALEA to send an invoice to the Vendor. Failure to remit payment within 30 days of invoice receipt will result in a
collections action by the State of Alabama and denial of future law enforcement escorts.
If you have any questions regarding payments, please contact the Accounts Receivable Manager at ALEA-Accounts-Receivable@alea.gov, or
call (334) 517-2944.
Requesting Company Information
Company Name
Company Billing Address
City
Zip Code
Address
Billing Email
Request Information
ALDOT Reference Number
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Completed 20 July 2020

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