Request to Serve Alcohol

Request to Serve Alcohol
Name*
Title/Role*
Email Address*

Confirmation Email
Phone Number*

Area/Country CodePhone Number
Organization Name*
EMS Reservation ID*
provided by your Event Coordinator
Event Name*
Attendance*
Event Description*
Event Schedule*
What type of security will be present onsite?*

John Jay College/CUNY Public Safety OfficersPrivate security
Type of alcohol to be served*

Wine & beerSpirits
Type of service*

Cash/creditOpen bar
Will food be served at this event?*

YesNo
Type of food service*

Passed hors d'oeuvresBuffet (refreshments/appetizers)Buffet (meal including entrees)Table service
Will minors (under the age of 21) be present?*

YesNo
Please describe the process to be used for age screening attendees:*
PLEASE NOTE: A designated bar setup is required and any alcohol must be served and monitored by an entity holding a liquor license or temporary permit issued by the New York State Liquor Authority.

For information on obtaining a temporary permit please go to the New York State Liquor Authority Permit page at this link: https://sla.ny.gov/permits.
Contact Information for Liquor License/Temporary Permit Holder
Name of Individual or Organization holding license or permit*
Email Address*

Confirmation Email
Phone Number*

Area/Country CodePhone Number
Please upload a copy of the liquor license or temporary permit:*

Cancelof
Should be Empty:

Contact Information for Liquor License/Temporary Permit Holder