Wayne County, IN Sheriff's Office   

Wayne County Sheriff's Department
Security Detail Request Form


Please fill out all the information below as completely as possible.

Contact information for person requesting officers:
Name:
Company/Organization Name:
Phone Number:
E-Mail address:
 
Contact information for point of contact on day of event (leave blank if same as above):
Name:
Phone Number:
E-Mail address:
 
Event information:
Description:
Address:
Building/Specific Location:
Date:
Starting Time:
Ending Time:
Number of Officers requested:
Notes:
Include why a
police presense is needed -
security, traffic, etc.
 
I have submitted a signed copy of
the Indemnification Agreement
to the Sheriff's Department
I understand the pay rate is $35/hour per officer, paid directly to the officer.    

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Contact us at (765) 973-9393