Reservation Cancellation Change Type of Request Rally Other: Event Type News Conference Requested Location(s) The State Capitol Steps Other: Name of Event Estimated No. of Participants Preferred Date(s) of the Event Options Date Starting Time Ending Time 1 2 Requestor Information Name of Organization Mailing Address Contact Person 1/ Job Title Tel No. / Cell No. / Fax No. T C F Contact Person 2/ Job Title Tel No. / Cell No. / Fax No. T C F Email Address 1 2 Request to Use State-Owned Equipment(s) and/or Service Items Conditions √ Microphone and speaker are built-in inside the podium and its capacity is good for a rally of Podium approximately 600 people. Electrical Panel The State can only provide electrical panel. None The requestor does not need to use any State-owned equipment. Certificate of Liability Insurance Items Requirements √ A copy of valid Certificate of Liability Insurance shall be submitted to Office of State Buildings Required when requesting to use the State-own equipments. The request does not need to use any state-owned equipment. Not-Required The request is made by a state entity. Please make out the certificate holder to the following: Important Reminder Office of State Buildings 1928 North 3rd Street, Baton Rouge, LA 70802 / Attn: William J. Wilson, Director Equipment Planned to Set Up Description Qty Size Description Qty Size √ √ Tables Tents Chairs Port-o-lets Displays Easels Note: A copy of floor plan layout of equipment set up must be submitted along with the event request form for review and approval.
Type of Request Reservation Cancellation Change Event Type Rally News Conference Other: Requested Location(s) The State Capitol Steps Other: Name of Event Estimated No. of Participants Preferred Date(s) of the Event Options Date Starting Time Ending Time 1 2 Requestor Information Name of Organization Mailing Address Contact Person 1/ Job Title Tel No. / Cell No. / Fax No. T C F Contact Person 2/ Job Title Tel No. / Cell No. / Fax No. T C F Email Address 1 2 Request to Use State-Owned Equipment(s) and/or Service √ Items Conditions Podium Microphone and speaker are built-in inside the podium and its capacity is good for a rally of approximately 600 people. Electrical Panel The State can only provide electrical panel. None The requestor does not need to use any State-owned equipment. Certificate of Liability Insurance √ Items Requirements Required A copy of valid Certificate of Liability Insurance shall be submitted to Office of State Buildings when requesting to use the State-own equipments. Not-Required The request does not need to use any state-owned equipment. The request is made by a state entity. Important Reminder Please make out the certificate holder to the following: Office of State Buildings 1928 North 3rd Street, Baton Rouge, LA 70802 / Attn: William J. Wilson, Director Equipment Planned to Set Up √ Description Qty Size √ Description Qty Size Tables Tents Chairs Port-o-lets Displays Easels Note: A copy of floor plan layout of equipment set up must be submitted along with the event request form for review and approval.
Event%20Request%20Form-Capitol%20Steps.docx