Service location information

Name of service location

Address *

City *

State *

Postal Code

Company Name/Property Mgt Company (if different from location)

Details of the service needed

Type of Service Needed

Fire Watch

Armed Security

Unarmed Security

What caused the client to need security/fire watch services today?

Starting Date

Is service needed within the next 7 days?

YES

Service Details: # of Staff/ Dates / Times:

Expected end date

General instructions

New or Returning Client

New Client

Returning Client

Bill Rate

Affiliate *

Additional info for the officers

Is there any free parking available?

Yes

Parking Instructions

Will the officers need any keys or key fobs to patrol any areas?

Yes

Do you have other security guards on site at any time?

Yes

Will the officer/fire watch be inside or outside?

Outside

Inside

Are there chairs available for the officers? If not, where can they sit?

Is there a place for the fire watch officers to store their items or should they keep their items under their chairs?

There is a designated area (details below)

They can keep them under the chair

Where should the officers sit when they take their lunch breaks?

Is there a restroom on site?

Yes

Where is the restroom located?

Who should the officer contact upon arrival?

Contact of the person who will fill out the "New Project Form" *

We need confirmation of coverage by this date/time

Other

Name of Person Completing This Form *

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Name of service location