Community Outreach Request

Community Outreach Request - CPD

Use this service to request community outreach support from the Clearwater Police Department. All requests must be received 30 days prior to the event. CPD’s participation is based on availability of resources and personnel, and is subject to change. Confirmations and denials for participation will be provided to the event organizer by the RSVP deadline on the request form. If you have any questions, please email Officer Josey-Filer at Lauren.Josey-Filer@myclearwater.com.

I. Contact Information

First and Last Name*

Email*

Home Phone

Phone

Cell Phone*

Phone

II. Event Information

RSVP Deadline*

What safety presentation topic?*

Please specify other for type of service requested:*

Organization Type*

School

Business

Community Group

Other

Specify Other Organization Type*

Name of Event*

Date of Event*

Event Start Time*

Event End Time*

III. Location Information

Location Name*

Location Address*

Please include suite, floor, gate, entrance, etc.

Parking Area or Location*

CPD requested role at event*

CPD Participation Start Time*

CPD Participation End Time*

IV. Nature of Event

File Upload

Please provide event flyer if available.

Drag and drop files here or

Purpose of Event*

Number of Attendees*

Is the event open to the public?*

Yes

Is this a fundraising event?*

Yes

Will the media be invited?*

Yes

Additional Details

Public Records Awareness

Information we receive may be considered public information which is subject to disclosure under Florida law.

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