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

Home Phone

Phone

Cell Phone

Phone

II. Event Information

RSVP Deadline

mm/dd/yyyy

Organization Type

School

Business

Community Group

Other

Name of Event

Date of Event

mm/dd/yyyy

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.

Drop your files here

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.

Send me a copy of my responses

Report Abuse

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.