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Special Event Request Form

Below is the Special Event Request Form. Fill out the form below to submit your request to the Police Department.

Requests must be made a minimum of 3 weeks prior to the event. If you do not hear back within 2 weeks call to check if your request is being processed.

The Police Department will make every effort to fill your request. However, staffing is limited. Unfortunately, due to limited staffing, some requests may not be fulfilled.

Special Event Interest (Police)


Who is the main contact person for this event?



Contact person, the day of the event, if different from the main contact


Tell Us More About Your Event

  Please enter the word above in the space below  


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City of Roseville 311 Vernon St., Roseville, CA 95678. Phone: 916-774-5200.
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