Form NIH-827-2A "Request to Use the Lhc Auditorium"

What Is Form NIH-827-2A?

This is a legal form that was released by the U.S. Department of Health and Human Services - National Institutes of Health on April 1, 2013 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2013;
  • The latest available edition released by the U.S. Department of Health and Human Services - National Institutes of Health;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form NIH-827-2A by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - National Institutes of Health.

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Download Form NIH-827-2A "Request to Use the Lhc Auditorium"

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National Library of Medicine
Today’s Date
Request to Use the LHC Auditorium
mm/dd/yyyy
Use prescribed by NIH Manual 1363-1
Sponsoring IC or Organization
Event Coordinator’s Name
Sponsor’s Contact Name and Title:
Phone:
E-mail:
Phone:
IC or Organization:
E-mail:
Event Name
Event Start Date:
Event End Date:
Requested Facility Dates
Start Time
End Time
(including set-up and rehearsals)
Day 1
Estimated Number of Attendees:
(Auditorium seats 176)
Day 2
NIH:
Non-NIH:
Day 3
Is press coverage expected?:
Yes
No
Day 4
(If “Yes,” please give details)
Day 5
Purpose of Event (provide details known at this time)
For Internal Use Only
Return to LHC Auditorium Coordinator’s Office
Signature of LHC Auditorium Coordinator:
Date:
e-mail: nlmaud@nlm.nih.gov
fax: 301-598-0841
mail to: NIH Building 38A, Room 128
8600 Rockville Pike
Bethesda, MD 20894
NIH 827-2A (04/13)
National Library of Medicine
Today’s Date
Request to Use the LHC Auditorium
mm/dd/yyyy
Use prescribed by NIH Manual 1363-1
Sponsoring IC or Organization
Event Coordinator’s Name
Sponsor’s Contact Name and Title:
Phone:
E-mail:
Phone:
IC or Organization:
E-mail:
Event Name
Event Start Date:
Event End Date:
Requested Facility Dates
Start Time
End Time
(including set-up and rehearsals)
Day 1
Estimated Number of Attendees:
(Auditorium seats 176)
Day 2
NIH:
Non-NIH:
Day 3
Is press coverage expected?:
Yes
No
Day 4
(If “Yes,” please give details)
Day 5
Purpose of Event (provide details known at this time)
For Internal Use Only
Return to LHC Auditorium Coordinator’s Office
Signature of LHC Auditorium Coordinator:
Date:
e-mail: nlmaud@nlm.nih.gov
fax: 301-598-0841
mail to: NIH Building 38A, Room 128
8600 Rockville Pike
Bethesda, MD 20894
NIH 827-2A (04/13)