Executive Protection Consultation Request

Complete the Executive Protection Initial Consultation Form to provide key details about your assignment, travel, and operational needs. Our team will review your submission and follow up to assess scope, coordinate next steps, and prepare a tailored quote.

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Request a consultation for Executive Protection support.

Provide the details below so our team can review the assignment, assess scope, and prepare an initial quote. All requests are reviewed by operations prior to confirmation.

Contact Information

Your Name *

Organization / Campaign / Office / Company *

Mobile Number *

Principal / Protectee Name *

Number of Principals Requiring Coverage *

Title / Role *

Email *

Preferred Contact Method *— Select Choice —PhoneEmailText

Principal Type *— Select Choice —Elected OfficialCandidateExecutivePublic FigureFamily / Private Client

Will family members or staff also require coverage? *

• Yes
• No

Number of additional persons

Type of additional persons

• Family
• Staff
• Advance Team
• Other

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Assignment Details

Type of Assignment *

• Executive Protection Detail
• Event Security Support
• Protective Advance
• Travel Protection
• Residential Protection
• Corporate / Building Protection
• Other

Type of Activity / Event *

• Campaigning
• Fundraiser
• Public Appearance
• Book Tour
• Media / Press Event
• Conference / Convention
• Private Meeting
• Court Appearance
• Faith-Based Event
• Family / Personal Travel
• Other

Brief Description of Assignment *

Is this a one-time request or ongoing need? *— Select Choice —One-TimeMulti-DayOngoing / Recurring

If ongoing, what is the expected frequency and estimated start date?

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Location & Travel Requirements

Primary City *

State *— Select Choice —First ChoiceAL – AlabamaAK – AlaskaAZ – ArizonaAR – ArkansasCA – CaliforniaCO – ColoradoCT – ConnecticutDE – DelawareDC – District of ColumbiaFL – FloridaGA – GeorgiaHI – HawaiiID – IdahoIL – IllinoisIN – IndianaIA – IowaKS – KansasKY – KentuckyLA – LouisianaME – MaineMD – MarylandMA – MassachusettsMI – MichiganMN – MinnesotaMS – MississippiMO – MissouriMT – MontanaNE – NebraskaNV – NevadaNH – New HampshireNJ – New JerseyNM – New MexicoNY – New YorkNC – North CarolinaND – North DakotaOH – OhioOK – OklahomaOR – OregonPA – PennsylvaniaRI – Rhode IslandSC – South CarolinaSD – South DakotaTN – TennesseeTX – TexasUT – UtahVT – VermontVA – VirginiaWA – WashingtonWV – West VirginiaWI – WisconsinWY – WyomingChoice 55

Venue / Location Name

Additional Cities or Stops

Is travel required? *— Select Choice —YesNo

Travel TypeDomesticInternationalBoth

Origin City

Destination City / Cities

Will overnight stay be required?YesNo

Lodging already arranged?YesNo

Ground transportation needed?YesNo

Air travel coordination needed?YesNo

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Schedule

Assignment Start Date

Assignment End Date

Daily Start Time

Estimated Daily End Time

Is the schedule fixed or subject to change?FixedSubject to ChangeTo Be Determined

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Risk Considerations

Why is protection being requested?High VisibilityPublic AttentionPast ThreatsPolitical ActivityTravel RiskEvent ConcernsExecutive Duty of CareOther

Any known threats, harassment, or concerning behavior?YesNo

Describe Other

Please summarize known concerns

Date overnight Method

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Final Details

Additional Notes

How did you hear about us?

I understand this request is for consultation and quote preparation only and does not confirm services.

• Yes

I certify the information provided is accurate to the best of my knowledge.

• Yes

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