Alcoholic Beverage And Reimbursement Pre-Approval Request Form
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2ALCOHOLIC BEVERAGE AND REIMBURSEMENT PRE-APPROVAL REQUEST FORM
Lawrence and Edwards Campuses, University of Kansas
FROM: __________________________________
Phone #:_______________________________
(KU unit/organization contact person's name)
EVENT DETAILS:
1. Sponsoring University unit/organization: __________________________________________________
2. Date of event: _____________ Day of week: _____________
Time of event: _________________
3. Purpose of event (include specific information about how it relates to official University business and/or
fundraising):
4. Location, including room #: __________________________________________________________
5. Expected attendance: Number: _____ Groups (circle all that apply): faculty, staff, students, spouses, public,
other (please list): ________________________________________________________________________
PART A: ALCOHOLIC BEVERAGE REQUEST: ☐Yes ☐No (If no, skip this section and complete back.)
Approval required pursuant to the policy on
Alcoholic Liquor at University
Events.
6. Alcoholic beverage(s) to be served: ___________________________________________________
7. Other beverage(s) to be served: ______________________________________________________
8. Time of beverage service: _________________
9.
Will undergraduate students be present at this event?
No
________
Yes
________
(Alcoholic beverage service normally will not be approved if undergraduate students are in attendance.)
10. Should the Public Safety Office be notified of this event?
No
________
Yes
_________
If yes, please give reason:
11. Signature of the person responsible for enforcing the following requirements:
a. That no alcoholic beverages other than those served by the staff of the Kansas Union will enter the
designated area;
b. That no alcoholic beverages are carried outside the area designated for beverage service.
Signature: ______________________________________________
Title: ____________________
(Complete both sides of form)
Form revised 1/07/2016
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