this form is REQUIRED to request new or additional space or
to make any alterations to existing space with DPA/DCS/Capitol
Current Location (Building Name and
Reason for Request (Examples include: adding staff,
programs, etc.; new finishes such as paint, carpeting, etc.;
relocating walls to provide new office configuration,
additional storage space, etc.)
Estimated Square Footage:
Consult with Capitol Complex representative to determine
impacts on Capitol Complex
Will the work impact structural systems?
Will the work impact mechanical systems?
Will the work impact electrical systems?
Will the work impact fire protection systems?
Will the work impact existing partition systems?
and/or access to exits?
Are there other known building code considerations?
What is the agency’s budget for the work? $
What is the funding source?
When does the agency want to begin design work?
When does the agency want to begin construction?
When does the agency want the project completed?
For planning purposes refer to
Space Standards section under Real Estate on the State
Buildings and Real Estate Programs website.