SUBMITTED BY
EVENT TITLE
EVENT DATE DAY
EVENT LOCATION
EVENT COORDINATOR
SPONSOR COLLEGE, DEPARTMENT, DIVISIONPHONE NUMBER
CONTACT INFORMATION
END TIME
START TIME
TO
OFF-CAMPUS EVENT
ON-CAMPUS EVENT
Alcohol Use Approval Request (page 1 of 2) revised 8/2018
Completed form must be submitted to University Public Engagement at least 45 days in advance of event date.
upe@csuchico.edu • Phone: www.csuchico.edu/upe
APPROVED ONCAMPUS EVENT LOCATIONS: Please visit
www.csuchico.edu/upe/alcohol-policy/index.shtml for a list of approved
event locations.
PAID ADMISSION
TABLE SERVICE
NOHOST BAROPEN BARHOW WILL ALCOHOL BE SERVED?
EMAIL
EVENT DETAILS
CHECK ALL THAT APPLY
EVENT IS: OPEN TO THE PUBLIC BY INVITATION
WHO WILL BE ATTENDING? NUMBER OF ANTICIPATED GUESTS
NO
YES
WILL ANY GUESTS BE STUDENTS?
HOW MANY?
OFFCAMPUS EVENT VENUE
VENUE NAME (or address of residence)
ALCOHOL SERVICE PROVIDER INFORMATION
VENUE/VENDOR/CATERER NAME
ADDRESS
PHONE NUMBER
CITY STATE ZIP
ALCOHOL SERVICE PROVIDER INFORMATION (if applicable)
BEER WINE SPIRI
TS
UPE CONCESSIONS (ON-CAMPUS ONLY)
CATERER/VENDOR UPE CONCESSIONS
ALCOHOL TO BE PROVIDED BY
On-Campus service of spirits
(other than beer and wine) requires
use of a licensed bar service.
Note
VENDOR/CATERER NAME
ADDRESS
PHONE NUMBER
CITY STATE ZIP
*service must end 30min prior to the end of the event.
END TIME*SERVICE TIME
TO
EVENT PURPOSE
PAID TICKET
FUNDS TO BE USED FOR PURCHASING ALCOHOL?
RF
UF
DONATION
OTHER:
CATERER/VENDOR
COMPLETE ON NEXT PAGE
DONATION (Appropriate paperwork must be completed and filed)
ALCOHOL AVAILABLE
ALCOHOL SERVED BY
DESCRIBE FOOD AVAILABLE
FOOD VENDOR/PROVIDER
AUCTION/RAFFLE
FUNDRAIS
ER
Alcohol Use Approval Request (page 2 of 2)
Completed form must be submitted to University Public Engagement at least 45 days in advance of event date.
upe@csuchico.edu • Phone: 530-898-5917www.csuchico.edu/upe
EVENT COORDINATOR DATE
INITIAL
INITIAL
DATE
DATE
DATE
UNIVERSITY POLICE DEPARTMENT DATE
(FOR ON-CAMPUS EVENT WHEN LICENSE IS REQUIRED)
SENIOR ADMINISTRATOR
(DEAN, DIRECTOR, OR VP)
I understand that no State of California
funds may be used for the purchase of
alcoholic beverages.
I understand that no employees of, or
volunteers representing, the University
are allowed to serve alcoholic beverages.
RISK MANAGEMENT
UNIVERSITY PUBLIC ENGAGEMENT, DIRECTOR
(REQUIRED FOR EVENT APPROVAL)
For University Public Engagement and Risk Management use:
ABC SPECIAL EVENT LICENSE REQUIRED
UPE TO PROVIDE SERVICE
UPE PURCHASE
AUTHORIZED SIGNATURES
NO UPE SUPPORT
NOTES:
N
O ABC
SPECIAL EVENT LICENSE REQUIRED CATERER/VENDOR WILL PROVIDE ABC LICENSE
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