Pompton Lakes, MT · Passaic County
Application for Special Police Services
Organizations and applicants use this application to request special police officers for duty and provide service, scheduling, and billing information.
What this form is
Use this application to request special police officers for a specified duty period and location. The applicant section asks for the requested number of officers, dates and hours, organization, nature of services, and the applicant’s name, signature, and date; a second section collects billing contact details. The form also gives cancellation instructions and lists a minimum charge for late cancellations.
Who needs it
An organization or applicant seeking special police officers for scheduled duty in Pompton Lakes should complete this application.
How to submit it
Complete the form and return it to Lt. Michael Klepacky at the Pompton Lakes Police Department by fax at (973) 831-1412.
About notarization
This application is signed and dated without a notary; the form lists no notarized attachment or related sworn step.
How to submit this form
- 1
Download the Application
Download the Application for Special Police Services.
- 2
Complete Sections I and II
Enter the requested service, schedule, organization, applicant, and billing information.
- 3
Sign and Date the Form
Print your name, sign the application, and enter the date.
- 4
Return the Completed Form
Fax the completed form to Lt. Michael Klepacky at (973) 831-1412.
Frequently asked questions
- Who uses the Application for Special Police Services?
- An organization or applicant seeking special police officers for scheduled duty in Pompton Lakes uses this application to provide service, scheduling, and billing details.
- What information does the application request?
- It asks for the requested number of officers, duty date and hours, organization, nature and location of services, applicant details, and billing contact information.
- How do I submit the application?
- Complete the form and return it to Lt. Michael Klepacky at the Pompton Lakes Police Department by fax at (973) 831-1412.
- Do I need a notary for this application?
- No. The application is signed and dated without a notary, and it lists no notarized attachment or related sworn step.
Need something notarized?
This Application for Special Police Services doesn’t need a notary — but if you have another Pompton Lakes form that does, a commissioned online notary can help.