Pine Street Police Station
214 N. Pine Street
Baltimore, MD 21201

Request Form

The Department of Public Safety can assist you in planning your special events. Certain events may require that police or security personnel be present to provide for a safe and secure environment. Please complete and submit your request to the Department of Public Safety and a representative will contact you to discuss your event. If you would like to discuss the event prior to submitting this form, please call Lieutenant Diggins at 410-706-3401 or Lieutenant Gutberlet at 410-706-3404. The charge for a Security Officer is $24 an hour and $47 an hour for a Police Officer. Two weeks notice is preferred, however, all requests will be accommodated.

Contact Information
First Name:«
Last Name:«
Department:«
Phone:«
Fax:«
Email Address:«
Event Information
Event Name:«
Event Date:«
Starting Service Event Time:«
Ending Service Event Time:«
List Building(s) or Area requested for Service:«
Please check all that apply
Police Requested«	[ Yes ] [ No ]
Security Requested«	[ Yes ] [ No ]
Please check all that apply
Watch Room/Area«	[ Yes ] [ No ]
Door Guard«	[ Yes ] [ No ]
Other Duties and Explain:
Please choose a method of payment
Method of Payment«	Check Money Order EUMB Financials
EUMB Chartstring If Payment is EUMB Financials fill in Chartstring Info	Include Project ID #, PCBU, and FUND numbers for proper chargeback here
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