Ridgefield Extra Duty Detail Application

Your Name*
Your Phone Number*
Your Email Address*
Company name or “Individual”*
Detail Location*
Detail Date*
MM slash DD slash YYYY
Detail Start Time*

: Hours

Minutes

AM/PM
Detail End Time*

: Hours

Minutes

AM/PM
Number of Officers Requested*
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

I have read and understand the Terms of Agreement. I agree to abide by Ridgefield 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*
- I agree payment will be made to the police department