CP-40
U.S. CAPITOL POLICE BOARD
SEU#
119 D Street, N.E.
Washington, D.C. 20510
Application for Permit Under Article XIX Of The Traffic
And Motor Vehicle Regulations for United States Capitol Grounds
1. Organization and/or Spokesperson: 2. Date of Application:
3. Address: 4. Telephone: Business
5. Mobile:
6. Email address
7. Date(s) of Event: 8. Day(s) of Week: 9. Start Time (including
set-up):
10. End Time (including
clean-up):
11. Total Duration:
12. Specific area of U.S. Capitol Grounds requested to be utilized: (i.e., West Front Grassy Area, Upper Senate Park, Taft Memorial
Park, etc.)
13. Estimated number of participants: 14. Additional Point of Contact / Spokesperson:
Telephone:
Email address:
13a. Nature of Event (Check appropriate box best describing the nature of your activity):
Demonstration (Rally, Vigil, etc.) Filming/Photography Musical Presentation
March (Provide Route) Road Race Other (Describe below)
b. Describe event purpose / message / First Amendment platform and activity in detail:
CP-40
U.S. CAPITOL POLICE BOARD
SEU#
119 D Street, N.E.
Washington, D.C. 20510
Application for Permit Under Article XIX Of The Traffic
And Motor Vehicle Regulations for United States Capitol Grounds
14. Props and Equipment All props and equipment must be furnished by organization or spokesperson.
Please be specific; include quantities and dimensions of all items.
Handheld Signs, Placards
Banner(s)
Size: L H
Podium
Distribution of
Literature
Stage(s)
Size: L W H
Press Riser
Size: L W H
Lighting Equipment
Camera Tripod
Tables
Quantity:
Portable Sound System (Describe)
Chairs
Quantity:
Other:
15. Will electrical power be required? (Available only at the West Front Grassy Area and the Upper Senate Park)
Yes No
17. Estimated # of buses: (No parking / staging on Capitol Grounds) 18. Will Marshals be utilized? Yes No
How many?
How will they be identified?
19. On-site contact:
Mobile #:
Email address:
20. Does information exist that a group(s) / person(s) may wish to disrupt your activity? Yes No
If yes, please explain:
21. I ,
, have read and acknowledge the U.S. Capitol Police Board
Demonstration Guidelines.
SPOKESPERSON’S NAME (Print)
SPOKESPERSON’S SIGNATURE DATE
Not Valid Until Signed
FOR MORE EXPEDITIOUS PROCESSING, PLEASE RETURN APPLICATION VIA: FAX: (202) 228-2429
or
Mail / Hand deliver to: U.S. Capitol Police, Special Events Division, 119 D St., N.E., Room #102
Open 7:00 a.m. to 6:00 p.m., Monday through Friday,
Office: (202) 224-8891
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