Smoke & Haze Use Submission Form

Submission Information

Submittal Date*

Submitter's Name*

Submitter's Email*

Requesting Department*

Event Information

Event Name*

Event Date*

EMS Reservation Number

All UK events must be submitted to the Office of University Events for review and approval. Please provide the Reservation Number assigned for this event.

Event Occurances

How many times will this event occur?

Single

Event Location*

What building, venue, property, etc. is the event taking place?

Event Room Number

Provide a room number for indoor events.

Use Information

Description of Smoke and/or Haze Use*

Please describe how the smoke or haze will be used for this event.

Estimated Duration of Smoke or Haze Use*

How long will the smoke or haze be produced during the event? Examples might be 90 seconds for outdoor smoke bombs, 5-10 minutes for indoor smoke machines, etc.

I understand that the manufacturer specific Safety Data Sheet (SDS) for the smoke and/or haze product must be on site and available for inspection during each use of the product. SDSs can be obtained from the manufacturer.

I agree to obtain the SDS and keep it on site during the smoke or haze use.*

Send me a copy of my responses

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