you are at: Home Facilities Operations Property Management Services Property Management Information on State Move and Space Requests Space Request Form

Facilities Operations -- Property Management -- Space Request Form

Space Request

* Required Fields

Date of Request: 11/22/2009
Requesting Department: *
Appointing Authority or Authorized Agent: *
BGS/Vision Customer #: *
Billing Address:
*
Coordinator / Contact Person: *
Phone: *
Email: *
Back-up Coordinator:
Phone:
Email:
Current Location (Town, Bldg., Floor Rm): *
Desired Location: *
Current No. of positions: *
Anticipated No. of positions: *
Funding available for new Space: Yes No *
Funding available for Move/Construction: Yes No *
Desired move date: *
Type of Space Required:
(office, warehouse, etc.)		 *
Special Requirements:
(waiting rooms, conf. rooms, etc.)		 *
Construction Required: Yes No *
Justification & Additional description:
*