Facilities Service Center

Fields marked with * are required.

Requestor Information
Name: *
Email: *
Agency: *
Phone: *
Request Category:	Space Assignment (leased or state-owned)

Subject (title): *

1. Current Occupancy Status (if applicable)

A. Name of Division or Program:

B. Program Type:

C. Current Space Type:

If other please explain:

D. Current FTE's: *

E. Current Location: Lease Space State Owned

Lease # / Bldg. Name: City: SqFt:

_____________________________________________________

2. Requested Action:

_____________________________________________________

3. Requested Space Type:

If other please explain:

_____________________________________________________

4. Requested Location:

City:

County:

Please list the requested city and county. If requesting a geographic area less
than city wide, provide justification for the restricted areas:

_____________________________________________________

5. Requested Space Requirements:

A. Projected FTE's: *

B. Tenant Improvements/Maintenance Issues: No Yes

If Yes, please specify:

_____________________________________________________

6. Certification of Funds:

A. Estimated funds appropriated for space requested: *

B. Funds used to pay for this request: GR Federal Other

If other please specify:

I hereby attest to the following:

1) The fiscal officer of the agency has certified that funds are available and
obligated to pay the costs associated with this space request.

2) The Executive Director of the agency has approved this space request.

By: *

Critical Need Date: (optional)

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I understand that as a result of this portal request, I may receive documents that contain confidential information related to critical infrastructure, as described in Texas Government Code Sec. 418.181, Confidentiality of Certain Information Relating to Critical Infrastructure. I agree to take all necessary and reasonable precautions to prevent their unauthorized disclosure and to ensure they do not fall into the public domain or the possession of unauthorized third parties.

Notice: As of March 1, 2024, all facilities requests for the Sam Houston Building should be directed to the State Preservation Board.
Monday - Friday (8am - 5pm) call 512-463-5495 option #1 / After hours call 512-463-1251 / Email requests to SPB.Facilities@tspb.texas.gov

Notice: As of April 1, 2024, all facilities requests for the REJ Building should be directed to the State Preservation Board.
Monday - Friday (8am - 5pm) call 512-463-5495 option #1 / After-hours call 512-463-1251 / Email requests to SPB.Facilities@tspb.texas.gov

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