Fillable Printable Event Application1
Fillable Printable Event Application1
Event Application1
DEPARTMENT OF TECHNOLOGY, MANAGEMENT & BUDGET FACILITIES and PROPERTIES
APPLICATIONS MUST BE RECEIVED 14 DAYS PRIOR TO THE EVENT
Applications can be faxed to (517) 241-5639 to the attention of the Events Coordinator, or mailed to:
Events Coordinator, Office of Infrastructure Protection, JOC, 615 W. Allegan St., Lansing, MI 48933
Event Name
Event Date Event Time
From ________ To _________
Organization Name and Address Website
Event Contact Name (printed)
Contact Address
Contact Telephone No. Fax No. Email
Nature/Purpose of Event
Area Requested (Facility, Conference Room, Parking Lot, etc.)
Number of Attendees (including event staff)Parking Requirements (No. of spaces)
Equipment you will be providing (tents, portable bathrooms, etc.)
Backup Contact Name (printed)
Address
Telephone No. Fax No.
I have read and understand Administrative Rule 0210.06 Conduct on State Property,
the general guidelines and provisions, and agree to abide by them.
Event Contact Name (signed) Date
For Department of Technology, Management & Budget Use Only
Events Coordinator Notes:
Approved Denied
Signature, Office of Infrastructure Protection Director
Approved Denied
Signature, Building Operations Director
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A policy that is attached to this form is available at:
hp://www.michigan.gov/documents/dmb/0210.08_Obtaining_Wrien_Authorizaon_390409_7.pdf
EVENT APPLICATION
Questions? Call (517) 335-6735
DTMB-0451
Revised: February 2013
