• Request to Serve Alcohol

    Request to Serve Alcohol


  • Will you have private security onsite?*
  • Type of alcohol to be served*
  • Type of service*
  • Will food be served at this event?*
  • Type of food service*
  • Will minors (under the age of 21) be present?*

  • 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


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  • Event Information

  • Request submitted by:

    {organizationName}
    {name}
    {titlerole}
    {phoneNumber}
    {email}
                                                                        

    		    

    Liquor License Holder:

    {liquorlicHolder}
    {LicPhoneNumber}
    {LicEmailAddress}

  • EMS ResID: {emsReservation}
    Event Name: {eventName}
    Attendance: {attendance}
    Event Description:
                {eventDescription}


  • Food served:
            {typeOf103}
    Alcohol service: {typeOf101}
        {typeOf}
    Minors present: {willMinors}
        {pleaseDescribe}
    Private security: {willYou}

  • Should be Empty: