Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Stand By Request Form

  1. 1488 FRANKLIN ST • ROCKY MOUNT, VA • 24151
    PHONE: 540-483-3091 • FAX: 540-483-3086
  2. CRITERIA: EVENTS THAT MEET ONE OF THE FOLLOWING CRITERIA ARE DEEMED SIGNIFICANT AND THE PUBLIC SAFETY DEPARTMENT SHALL BE NOTIFIED NO LESS THAN 60 DAYS PRIOR TO THE EVENT.
    • EVENTS AT WHICH THE NUMBER OF PARTICIPANTS AND SPECTATORS ARE EXPECTED TO EXCEED 1,000 PEOPLE AT ANY GIVEN TIME DURING THE EVENT.

    • EVENTS THAT HAVE THE POTENTIAL TO PRODUCE A SIGNIFICANT NUMBER OF INJURIES OR ILLNESSES INVOLVE HIGH RISK ACTIVITIES OR INVOLVE A LARGE NUMBER OF HIGH RISK PARTICIPANTS.

    • EVENTS THAT INVOLVE OFFICIALS WHO HAVE INCREASED SECURITY REQUIREMENTS.

    • HIGH PROFILE EVENTS WHICH HAVE THE POTENTIAL TO ATTRACT SIGNIFICANT MEDIA EXPOSURE.


    COST: THE FRANKLIN COUNTY DEPARTMENT OF PUBLIC SAFETY HAS ESTABLISHED THE FOLLOWING CHARGES IN ORDER TO RECOVER ANY COST ASSOCIATED WITH STANDING BY AT THE EVENT:

    STANDBY COST IS $75.00 PER FIRE TRUCK OR AMBULANCE HOUR

    ALL PAYMENTS SHALL BE MADE PAYABLE TO THE FRANKLIN COUNTY DEPARTMENT OF PUBLIC SAFETY AND SHALL BE PAID IN ADVANCE UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE PRIOR TO THE EVENT.
  3. Leave This Blank:

  4. This field is not part of the form submission.