Special Duty Employment

To request security or traffic control services for your organization, please fill out the below required information.

If you have any questions about our special duty process feel free to reach out to Emily Hardiman, at ehardiman@cityofmadison.com or 608-267-8676. Our agency reserves the right to decline special duty services for any reason.

If you have any questions regarding insurance, please contact Risk Manager Eric Veum at eveum@cityofmadison.com or 608-266-5965.

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Business Information

Legal business name

Type of organization

Corporation (Inc, Corp, Co., etc.)

Sole Proprietor

Limited Liability Company (LLC)

Partnership

Limited Liability Partnership (LLP)

Unincorporated Association

Individual

Other

DBA (Doing Business As)

Address

Street Address

Unit

City

State

ZIP Code

Name of authorized party

Title

Email

Phone

Proof of insurance

Please upload proof of Commercial General Liability and Contractual Liability Insurance with a $1,000,000 limit. Your insurance should name the City of Madison as additional insured. Example: Certificate of Liability Insurance.

One file only. 10 MB limit. Allowed types: jpg, jpeg, png, pdf, doc, docx.

Event Information

Name of event

Event location

Street Address

Unit

City

State

ZIP Code

Date

Start Time

End Time

Number of officers requested

Scope of service

Security

Traffic control

Acknowledgement

By submitting this form, I acknowledge that:

I have the authority to request services from the Madison Police Department.

I have filled this form out truthfully and completely to the best of my ability.

Special Duty Employment

Contact

City of Madison Police Department

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