E-Gov Services City of Milford

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Special Police Services Agreement

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Purpose. This form is used to request special police services to be provided by the City of Milford Police Department at the standard rate of $77.26 per hour or the premium rate of $128.77 per hour on holidays. An additional fee of $10.00 per hours is required for police vehicles with the engine running. Officers are compensated by the City of Milford and therefore covered under the worker's compensation insurance and remain under the control of the City of Milford. The City will compensate officers for any criminal court appearance arising out of arrests made while providing services however, the City is not responsible under this agreement to compensate an officer for court appearances as a result of a civil action. All requests will be reviewed and someone will contact you before the agreement is approved. Requests should be submitted at least 30 days in advance for scheduling purposes. Cancellations and revisions shall be submitted 10 days in advance.

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Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –
Fax:	() –
Address:
City:
State:
ZIP:

Address where the services are needed:

Date(s) and hour(s) the services are needed:

Number of officers needed:

Reason for requesting special police services: What services are you requesting the officer(s) provide? For example, security, traffic control, etc.

Payment will be made at either the standard $77.26 per hour or the premium rate of $128.77 per hour on holiday with a 2 hour minimum, to the City of Milford (745 Center Street, Milford, Ohio 45150) within 30 calendar days after the date of services rendered. I/We agree to pay the City of Milford the following total amount:

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Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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