EOC Request Form

Would you like to have an EOC representative speak or provide services at your event? If so, please complete the following form with detailed information. Please allow at least 3 weeks’ notice. Submission of this request does not automatically guarantee coverage. If you have any questions please call 303-629-9226 and ask to speak to the Director or the TRiO Program Specialist.

Contact Person:
Name of Organization:
Contact Phone Number:
Address:
City:
Zip:
Email:
Date of Event:
Time of Event:
Number of participants:
Briefly describe your event, services needed by EOC, if you would like to request a specific individual, or anything else you feel we may need to know in order to serve you better: