I, the undersigned and authorized agent for the individual or business entity listed below, hereby request that U.S. Protective Service provide protection services as described herein. I further acknowledge that I have the authority to bind the individual or business entity listed below to this Agreement.

*Required Fields

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Requester's Information

Point of Contact

*Number of Officers Requested:

*Type Of Officer(s)
*Uniform Type

Note: It is imperative to be on time. We cannot commit resources beyond 60 minute. A $20.00 per hour per officer charge will be applied for overdue escorts.

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