Department and Contact Details Contact Person Email Address Phone Number Department Location/Lease Information Type of Space Required Address of Desired Space Desired Lease Start Date Length of Lease (# of years) # of Renewal Options Do you need space greater than 5,000 sq ft? Yes No Have you identified a space? Yes No Lessor Information Company Name Company Contact Name Company Email Company Phone Number Address of Potential Space FSU Funding Information Funding Department Project Number (if known) Additional Information Have you checked with the Office of the Provost to ensure there is no space available on-campus to meet this space need? Yes No Has the Leasing Manager checked with Planning and Space Management for possible state owned space? Yes No Contact EH&S regarding insurance requirements I attest that entering into this lease is in the best interest of Florida State University I have read and understand the FSU Leasing Policies and Procedures for leasing space off-campus FSU Leasing Policies and Procedures Additional Comments Submit