Alcohol Service Registration Form

PLEASE READ BEFORE FILLING OUT FORM

Alcohol service MUST be REGISTERED with and CLEARED by Insurance and Risk Management Services.

Registrations should be submitted at least 21 days PRIOR to the event.

Per University Standard: 07-005 Alcohol Service:

5.1.5. Alcohol service is restricted to beer, wine, and cider; liquor service is generally not permitted.

If the alcohol service plans change after submission, please contact risk@oregonstate.edu

Date of Event

Number of days until the Event

Date Calculator - https://www.timeanddate.com/date/duration.html

Is your Event less than 21 Days away from today?

Yes

Requester's Full Name

Requester's Email

Requester's Telephone Number

Who is planning the event?

Please list the Department, Organization, Client or Individual Name:

EVENT DETAILS

Name of Event

Description of event:

Start time of event

Start time of alcohol service

Please note that alcohol service is generally NOT allowed during University Business Hours (Weekdays: 8:00 AM - 5:00 PM).

End time of event

Number of participants under 21 years old?

Number of attendees

Is attendance expected to be less than 2,000?

Yes

ALCOHOL SERVICE PROVIDER DETAILS

Provide the name of the vendor(s) that will be providing and serving alcohol:

(Alcohol MUST be SERVED by an OLCC Licensed and Insured vendor).

When alcoholic beverages are served, there must also be non-alcoholic beverages available.

Will there be consideration at this event?

Consideration is making alcohol available along with any exchange of money related to the event. Examples may include: purchase of drinks, purchase of food, cover charge, selling tickets for admission, raffles, bartering, accepting monetary donations, tip jar, fundraiser events, etc.

Yes

Is the Alcohol being Donated?

Yes

Is the Alcohol Provider(s) the same as the Alcohol Server(s)?

Yes

Multiple Alcohol Vendors Serving?

If you have multiple vendors serving alcohol, such as for a fundraiser, click 'Yes'. Otherwise, click 'No' and fill out the vendor fields provided.

Yes

FOOD SERVICE PROVIDER DETAILS

OLCC requires at least TWO DIFFERENT and SUBSTANTIAL food items. Some examples of substantial food items could include fish, steak, chicken, pasta, pizza, and sandwiches. Please be aware that side dishes, appetizer items, dessert items, and snack items such as popcorn, peanuts, chips and crackers DO NOT qualify as substantial food items.

Food Vendor same as the Alcohol Server?

Yes

EVENT NOTES

Add any information that is relevant to your event that was not collected earlier.

Notes/Comments

UPLOADS

You can upload Certificates of Insurance (COI), OLCC Licenses, Menus, etc here.

File Upload

Drop your files here

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