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Funeral Escort Request Form

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The Leesburg Police Department will escort funeral processions that start in, end in, or pass through the Town of Leesburg. This service is provided free of charge. We do request two days' notice, if possible.

To request a funeral escort, please complete the form below. A staff member of the Leesburg Police Department will contact you promptly to confirm the details of your request.

Please correct the field(s) marked in red below:

Requestor's Contact Information

 *
Requestor's Contact Information

Decedent's name

 *

Date of Funeral

 *

Start Time of Procession

 *

Estimated number of vehicles in procession

 *
Funeral Home Information
 *
Funeral Home Information

Service Information

 *
Service Information

Burial Information

 *
Burial Information

Please include any additional information regarding this funeral escort request?

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