ALL REQUESTS MUST BE MADE IN WRITING ON THIS FORM.
PLEASE FILL OUT COMPLETELY THE DATES AND TIMES THAT YOU ARE REQUESTING AN OFFICER(S).
IF REQUESTING EXTRA DUTY OFFICER(S) FOR AN EXTENDED PERIOD OF TIME, PLEASE NOTE BELOW THE START DATE AND END DATE SO THAT A CONTINUED SCHEDULE CAN BE ESTABLISHED.
PLEASE FILL OUT THIS FORM FOR EACH WEEK REQUESTED.