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Complete one form for each building.

We recommend that you print this information before you send it to us.

Contact Information:

Name:

Title:

Telephone Nr:

Fax Nr.

E-mail address:

Building Location:

Building Id:

If one does not exist, assign a unique one. 

Location Id:

If one does not exist, assign a unique one.

Type of use: (Check all that apply for each building.)

Aircraft hanger

Gymnasium

Recreational

Apartments /  Townhouses

Hazardous Waste Storage

Religious

Artist Studios

High Security

Research Facility

Bank

Hospital

Restaurant

Barn: Animal

Labs

Retail

Barn: Equipment

Labs: Clean rooms

School

Barracks

Machine  shops

Senior Care

Call Center

Mall: Enclosed

Shelter: First Aid

Day Care

Mall: Strip stores

Shelter: Homeless

Dinning

Manufacturing

Shipping/Receiving

Distribution facility

Medical facility

Shopping center

Educational

Military

Single unit residence

Emergency Command Center

Museum

Stadium

Executive Offices

Nursing home

Storage: Cold

Firefighters

Other:

Storage: Long term

Food Storage

Paint Shops

Testing

Garage

Police

Theater

Health Club

Prison

TV/Radio/Movie Studios

Government Offices

Professional offices

Warehouse

Description (Provide additional detail, if necessary.)

 

Occupants

Does the facility house a single tenant?  Yes  No, How many tenants are there?

If yes, is it maintained from within the company?  Yes   No, Who does?

How many people work in this building?

If this is a public building what is it's legal capacity?