Security Services Request Form

The completed SSRF must be received by the Special Events Office no fewer than 5 days prior to your event in order to allow time to process your request.

* indicates required fields.

Requestor's Name *

First *

Last *

Email *

Phone *

Address *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Name of Event *

Date(s) of Event *

Time Event Begins *

Location of Event

Location services are needed *

Location services are needed if different than location of event

Time Event Ends *

Synopsis of Event - Please include a specific description of the services you are requesting. *

Requesting barricades only

Yes

Will Alcohol be served?

Yes

N/A

Will the event be held

Indoors

Outdoors

Will there be live music or other live entertainment?

Yes

The Event will be open to: *

SUID only

Off Campus Guests

General Public

Other

Expected Attendance

Will the event be advertised off campus?

Yes

N/A

Number of sober monitors or other host group staff present

Is admission being charged? *

Yes

N/A

Is this event co-sponsored by organizations outside Stanford (including corporate sponsors)? *

Yes

N/A

If "yes" to above, please provide contact information for the outside sponsor:

Will University staff be present at the event? *

Yes

N/A

If "yes", please list the University Staff person's name

Has the Office of Special Events and Protocol been notified of this event? *

Yes

N/A

Has the Office of Student Activities and Leadership been notified of this event? *

Yes

N/A

If this request is for parking space reservations, have you notified Parking and Transportation Services? *

Yes

N/A

Will this event have a food truck? *

Yes

If this event does have a food truck scheduled, has foodtrucks@stanford.edu been notified?

Yes

Name of Stanford sponsoring group (Please do not use acronyms) *

Name of Stanford student or staff responsible for this event *

Contact phone number for person who will be on site at the event *

Additional persons responsible for this event. Please include cell phone number

Name of person financially responsible for this event *

First *

Last *

Address for person financially responsible *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Phone number for person financially responsible *

Email address for financially responsible person *

Form of Payment
Note: student groups with ASSU accounts will be expected to submit an approved ASSU purchase order prior to your event. Once the event cost estimate has been received, please visit mygroups.stanford.edu to request the ASSU purchase order for Public Safety services *

PTA or iJournal

ASSU Purchase Order

Other--must be prearranged

PTA Number for interdepartmental ijournal transfers.

PTA Approver's Name

Phone number for authorized approver

Email for authorized approver

I have read and understand the information contained on the "Requesting Security Services" website, including the responsibilities and expectations of the event sponsor and SUDPS personnel. *

Yes