Leasing Notification Form

All fields marked with an * are required and must be completed. Request subject to availability.

General Information

*Date: (mm/dd/yyyy)

*State Agency:

*Agency No:

Sub-Division:

Contact Information

*Contact Person:

*Email Address:

*Phone Number: (123-123-1234)

Mailing Address:

Space Criteria

Type of Space: Office Storage Other

Space Requirements: Existing New

Preferred Location:
City: County: State:

Desired Occupancy Date: (mm/dd/yyyy)

Term of Lease: Years & Months

Estimate Size of space needed: sq. ft. # of Employees:

Planned Use:

Projected Co-location Date: (mm/dd/yyyy)

Parking Requirements:

Notes:

Upon clicking the "Submit Form" button, you will receive the Lease Notification Form - Submission Results which are the results of your submittal. You may print this form for your records. You will also receive an automated reply from leasing.section@da.ks.gov.

DFM Leasing Notification Form