Event Request Form

Please provide the following information. (*required field)

Requests for police staffing should be sent at least 45 days in advance of a scheduled event. All requests for police staffing will be dependent on staffing availability.

Public safety support for special events on the Penn State University Park campus is the responsibility of University Police. Learn more through our FAQs.

Name *

Address *

Email *

Phone *

Cell Phone

Campus *

Campus Other...

Department (if on campus)

Billing Information

Department Approving Billing (if on campus) *

Name of Approver

Phone *

Budget Number *

Customer Name (if off campus) *

Company or Business Name

Billing Address

Emergency Management Planning Information

Emergency Point of Contact

Name of on-site person in charge and contact information This is the person that has authority to cancel event, evacuate event, shelter attendees. Should be the point of contact for PSOs/AOs – must be on-scene during the event.

EPoC Email

EPoC Phone

EPoC Cell Phone

Number of event staff trained and assigned to

Outdoor Events

Shelter Location(s)

Name of weather monitor(s)

Description of how weather will be monitored

Leave this field blank