Special Event/Security Request Form

Special Event/Security Request Form

Please complete and submit the form below if you would like to discuss contracting officer security at an event you are hosting.

Special Event/Security Request Form

Type of Event *

Address/Location of Event *
Address/Location of Event

Address/Location of Event

Address/Location of Event

City
City

State/Province
State/Province

Zip/Postal
Zip/Postal

Country
Country

Event Date *

Day of Week *

Event Start Time *

Event End Time *

Requestor's Last Name *

Requestor's First Name *

Organization *

Is this a Non-Profit Organization? *

Requestor Email *

Requestor Phone Number *

If this event will require the use of or cause a disruption of the normal traffic flow on a state maintained road, a VDOT Permit will be required. Will this event require a VDOT Permit? *

Additional Information *

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