Restaurant/Bar Service Refusal Form - Food Service Warehouse 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the 'Date of Incident' at the top of the form. This helps document when the refusal occurred.
  3. Fill in the 'Employee' section with your name, ensuring accountability and clarity regarding who refused service.
  4. In the 'Describe the reason(s) why you felt it necessary to refuse to serve alcohol to the guest' section, provide a detailed explanation of your observations and rationale.
  5. Document the guest’s reaction in the designated field, as this information is crucial for understanding their response.
  6. Indicate any signs of intoxication observed from the provided list, marking all that apply.
  7. Complete the 'Guest information' section thoroughly, including name, gender, height, weight, hair color, eye color, and age.
  8. Note how long the guest was on premises and how many drinks they consumed for accurate record-keeping.
  9. If applicable, indicate whether restaurant personnel assisted in finding alternate transportation for the guest.
  10. List names and phone numbers of any witnesses to ensure there is corroborative evidence regarding the refusal.
  11. If police were involved, describe events leading up to their involvement in detail.
  12. Finally, have both manager and employee sign at the bottom of the form to validate its contents.

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