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*

Will alcohol be served during this detail?*

Yes
No

If yes, is this an open bar event, or is the alcohol being sold?

open bar event
alcohol being sold

What will the officers be doing during the detail?*

Are you a recurring customer? Please select if either apply.

Yes, my business/organization or I have scheduled an officer detail within the last 90 days.
Yes, I am requesting Extra Duty officers on a daily, weekly, or monthly recurring basis.

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

Check to 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*

Would you like access to an online Customer Portal so you can check the status of your request?

Yes
No

Terms

Rates

Standard Pay Rate: $159.00

4 hour minimum to schedule an officer, for jobs between 4 hours and 8 hours there is an 8 hour minimum, over 8 hours the job is hourly.

Cancelation Policy: Jobs canceled less than 4 hours prior to the start time, will require each officer scheduled to be paid the minimum number of hours (4).

I have read and understand the Terms of Agreement. I agree to abide by Palisades Park 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.

Extra Duty Solutions makes no guaranty that police services will be provided.

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Signature Image url

Agree to Terms*

Check here to agree to the terms

Payment Method*

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

Option 1: Prepayment by credit card: If you are choosing Option 1 to pay with a credit card, Extra Duty Solutions will follow up via email with an estimate (Sales Order). A ‘pay now’ link will be included to make your payment online. If you would like to pay over the phone, please call our Finance Department at 203-813-5601, then press ‘2’. Please be aware that a 3% convenience fee will apply for all payments made with a credit card. NOTE: Officer requests are never guaranteed as they are based on the Officer’s schedules and availability.
Option 2: Prepayment by check, ACH or wire payment: If you are choosing Option 2 to pay with a check, ACH or wire payment - Extra Duty Solutions will follow up via email with an estimate (Sales Order). Payments will need to be received at a minimum of three (3) days before the date of the event to facilitate ample time for processing. NOTE: Officer requests are never guaranteed as they are based on the Officer’s schedules and availability.
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: Prepayment by credit card: If you are choosing Option 1 to pay with a credit card, Extra Duty Solutions will follow up via email with an estimate (Sales Order). A ‘pay now’ link will be included to make your payment online. If you would like to pay over the phone, please call our Finance Department at 203-813-5601, then press ‘2’. Please be aware that a 3% convenience fee will apply for all payments made with a credit card. NOTE: Officer requests are never guaranteed as they are based on the Officer’s schedules and availability.

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Option 2

Option 2: Prepayment by check, ACH or wire payment: If you are choosing Option 2 to pay with a check, ACH or wire payment - Extra Duty Solutions will follow up via email with an estimate (Sales Order). Payments will need to be received at a minimum of three (3) days before the date of the event to facilitate ample time for processing. NOTE: Officer requests are never guaranteed as they are based on the Officer’s schedules and availability.

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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%.

Phone

This field is for validation purposes and should be left unchanged.

Palisades Park Extra Duty Detail Application

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