Request Services

Name*

Email*

Agency*

Agency Information*

Agency Phone*

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Cell Phone

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Support Requested

Requested Start & End Dates*

For PA State Police (PSP) and PA Office of the Attorney General (PA OAG).

IMPORTANT: PSP requests MUST be approved by Troop Commander or BDLE Supervisors, Corporal or above.
PA OAG Agents send request to OAG-BNI for approval.

Enter approving authority information in the Description & Location box below if applicable.

Description & Location*