Trenton Municipal Utilities Event Assistance Request Form
Name of Organization:
Date of Request:
Type of Organization:
Primary Contact Person:
Primary Phone Number: Best Time to Contact:
Primary Cell Phone: Primary Fax:
Other Phone Number: Email Address:
Project Description:
Description of Assistance being requested:
Estimated Duration of Assistance:
Date and time assistance will be needed: Begin Date: Begin Time: End Date: End Time: How often will this event occur?
Have you sought other assistance to complete this work and have not been able to obtain such assistance? Yes No
Please describe why you were unable to obtain other assistance to complete the work requested?
Any additional Comments:
Your name, address, and phone number are mandatory to initiate this request.
Your Name: Email Address:
Phone Number:
Street Address:
City:
State: Zip Code:
Public Disclosure Policy:
Before you submit this form, the City of Trenton and Trenton Municipal Utilities would like you to be aware of the City's policy regarding public disclosure of the information provided. This form and other email messages sent to the City of Trenton become Public Record, are not private, are subject to public disclosure and will be retained in the public file.
