Phone: 916-683-3605
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Name
Your name
Entity Name
Entity name
Phone Number (Format: xxx-xxx-xxxx)
Your Phone number
Email
Your email
Service
Patrol Hit
Uniformed Armed Guard
Uniformed Unarmed Guard
Event Security
Fire Watch
Executive/Personal Protection
Security Escort & Monitor (Secured Facilities)
Construction Site Security
School Resource Officer (SRO)
General Resource Officer (GRO)
Plain Clothes Security
Duration
How long do you need the service for? Example: 1 year starting Jan 1 2016
Known Incidents/ Potential Issues
Issues or incidents you are aware of
Full address of the location
Where is it?
On-Site Point of Contact
Who is the on-site Contact?
Urgent service required?
Urgent
Regular
Start Date and Time (mm/dd/yyyy HH:MM)
When should the service start (mm/dd/yyyy HH:MM)
Additional Comments (Optional)
any additional comments including shift hours and billing address.