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Tenant Contact Form

Company Name *

Attention *

Mailing Address *

Phone Number *

Building Address (if different than Mailing Address)

Attention

Phone Number

Number of Full-Time Employees that will Occupy Your Space *

Number of personal computers, including both laptops & desktops, that will be used in the space *

Please assign a Point of Contact (POC) as the person authorized by your organization to be the liaison between you and the management office. This person will be the primary point of contact for correspondence regarding day-to-day operations at the property, maintenance requests and notices. In the case that the Office Manager cannot be reached, we will contact a secondary POC.

PRIMARY POC

Name and Title *

Direct Line *

Cell Phone *

Email *

SECONDARY POC

Name and Title *

Direct Line *

Cell Phone *

Email *

At times, we may experience after-hour emergencies. In order to promptly and safely notify you, Property Management requires that at least two Emergency Contacts be registered with our office. This information will be used only for notification of emergency situations.

PRIMARY EMERGENCY CONTACT

Name *

Cell Phone *

Home Phone

SECONDARY EMERGENCY CONTACT

Name *

Cell Phone *

Home Phone

Please list any handicapped employees that are unable to use the stairs. This would include permanent handicap and temporary (such as a person with a broken leg). This information will be posted in the Fire Control room to notify the Fire Department of individuals that may need assistance in exiting the building during an emergency situation.

Name	Direct Line	Cell Phone	Email

Additional Employees or Comments

* Required

In the event of a change in personnel, please notify the Property Management Office by re-submitting this form.