Your Name*

Your Phone Number*

Your Email Address*

Company name or “Individual”*

Detail Location*

Detail Date*

Detail Start Time*

:

Detail End Time*

:

Number of Officers Requested*

Type of Job*

Traffic Control
Security

What will the officers be doing during the detail?*

Comments regarding your detail or to pass along to the officers:

Copy name, phone, email from above

Billing/Accounts Payable Contact Person*

Billing/Accounts Payable Phone Number*

Billing/Accounts Payable Email Address*

Billing /Accounts Payable Address*

Terms

Rates:

Officer Rate - $93.50
Cruiser: $165.00 for the first 8 hours and $55.00 per hour thereafter

4 hour minimum

A 5 hour advance notification is required for this request to be canceled by the employer without costs. If this required cancellation notification is not provided, the employer agrees to pay a 4 hour minimum for each Officer scheduled.

Extra duty details are filled on a voluntary basis and the potential for unfilled requests exist.

I have read and understand the Terms of Agreement. I agree to abide by Franklin Boro rules, regulations and ordinances should my application be approved. Additionally, I will fulfill the requirements placed upon this application as expressed in the Terms of Agreement.

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Agree to Terms*

Check here to agree to the above terms

Payment Method*

Please select your preferred method of payment and then select the PROCEED TO BILLING button

Option 1: Please charge my credit card** for the amount of the estimated-invoice.
Option 2: I wish to prepay for this or a series of details. I understand my check, ACH or wire payment must be received at least 3 days prior to the start of the detail (or first detail if a series.)
Option 3: Please send me an invoice. Upon receipt of the invoice, I will pay with a check, credit card**, ACH or wire. To guarantee this payment, I am providing a valid credit card. If I do not pay the invoice by day 30, I agree that Extra Duty Solutions can charge my credit card for the invoice amount plus a 5% late fee (late fee will replace the +3%.)
Option 4: Please send me an invoice as we are a publicly traded company. This option is only available for public companies traded on a stock exchange or in an over-the-counter market. Ticker or stock symbol is required.

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Option 1

Option 1: Please charge my credit card** for the amount of the estimated-invoice.

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Option 2

Option 2: I wish to prepay for this or a series of details. I understand my check, ACH or wire payment must be received at least 3 days prior to the start of the detail (or first detail if a series.)

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Option 3

Option 3: Please send me an invoice. Upon receipt of the invoice, I will pay with a check, credit card**, ACH or wire. To guarantee this payment, I am providing a valid credit card. If I do not pay the invoice by day 30, I agree that Extra Duty Solutions can charge my credit card for the invoice amount plus a 5% late fee (late fee will replace the +3%.)

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Option 4

Option 4: Please send me an invoice as we are a publicly traded company. This option is only available for public companies traded on a stock exchange or in an over-the-counter market. Ticker or stock symbol is required.

Product Name

** Credit card charges are + 3%.

Franklin Boro Extra Duty Detail Application

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