Skip to Main Content
Loading
Loading
Phone: 540-483-3030
Contact Us
Department Directory
Bid Opportunities
/QuickLinks.aspx
Government
Community
Services
Business
How Do I...
Search
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Board of Supervisors
Boards & Commissions
Commissioner of Revenue
Economic Development
Family Resources
General Registrar
Public Safety
Sheriff's Office
Special Events
The Franklin Center
Tourism
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
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
1488 FRANKLIN ST • ROCKY MOUNT, VA • 24151
PHONE: 540-483-3091 • FAX: 540-483-3086
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.
Type of Event
Event Date
Event Date
Location
Time
Time
Contact Person
Contact Person Phone Number
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Employment
Pay Online
Online GIS Office
Business
Registration
Boards &
Commissions
Agendas & Minutes
Report a Concern
Government Websites by
CivicPlus®
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow