QUESTIONNAIRE Date Organization Address City State ---AlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Postal Code Building Information Building Type ---Commercial Office/RetailMulti-FamilyWarehouseCommunity CenterSchoolHealth InstitutionReligious BuildingEducational CenterOther Number Of Units In Building Total Square Footage Of Building Management Information Management Name Management Phone Management Email On Site Contact Information On Site Contact Name On Site Contact Phone On Site Contact Email Utility Company Please provide copy of Utility Bill – include all pages of the bill Account Number
