If you would like a Roseville Police Officer to be a guest or a speaker at your upcoming event, please fill out this request form AT LEAST THREE WEEKS prior to the event. Please provide as much detail as possible. This also applies for requesting officers to bring equipment for display at your event. You will be notified as soon as possible regarding your request.

Requestor Details

Organization Name:

Organization Website:

Organization Address:

Point of Contact Name:*

Phone:*

Email Address:*

Event Details

Number of People Expected:*

Event Description:*

Event Location:*

Event Date:*

Event Times:*

Requested Police Appearance Times:*

Onsite Contact:*

Onsite Contact Cell Phone:*

Equipment Needed (e.g. projector, laptop, microphone, print-outs, etc.):

Other Comments:

Unless restricted by law, all correspondence to and from Roseville City government offices, including information submitted through electronic forms such as this one, may be public data subject to the Minnesota Data Practices Act and/or may be disclosed to third parties.