Request for Service, Sale or Consumption of Alcohol

In compliance with regulation FIU-2505, requests to serve, sell, or distribute alcohol on University premises including University sponsored events on or off campus must be submitted to the Senior Vice President of Academic and Student Affairs for approval at least three (3) weeks prior to the event. The sale, distribution, or service of alcohol on University premises in the absence of this approval is a direct violation of the regulation.

Submission of this form is not required for events reserved through the Central Reservation System as requests for service, sale or consumption of alcohol are made through the online reservation system.

This form must be completed and signed by a responsible individual who will be present for the duration of the event.

Please allow a minimum of 10 working days for processing.

Regulation Source: https://regulations.fiu.edu/regulation=FIU-2505

Name: Name: First Last
Organization/Department:
Phone Phone - ### - ### ####
Email
Date of event: Date of event: / MM / DD YYYY
Start Time Start Time : HH MM AM/PM
End Time End Time : HH MM AM/PM
Location of Event:
Purpose of Event:
Number of Attendees Expected:
Attendees are: (Check all that apply)

Attendees are: (Check all that apply) FIU Students FIU Employees General Public
Have you assured that your event, as planned, complies with all the conditions of the FIU-2505 Alcoholic Beverages regulation?

Have you assured that your event, as planned, complies with all the conditions of the FIU-2505 Alcoholic Beverages regulation? Yes No
I acknowledge that I have read the FIU-2505 Alcoholic Beverages regulation and that the information provided in this application is accurate. I affirm that I am the authorized representative for the applicant organization/department hosting this event and that I agree to accept responsibility to assure adherence to conditions of the regulation.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.