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DOT&PF Lease Action Request Form

Contact Information
Is this lease action affecting an existing lease? *    

New Lease or Extension

Are you going to be leaving existing leased space? *    
Would you like this lease agreement to contain additional renewal options? *    
I certify that the facts herein and on supporting documents are correct, that this request constitutes a legal charge against funds and appropriations cited, that sufficient funds are encumbered to pay this obligation, or that there is a sufficient unencumbered balance in the appropriation cited to cover this obligation. I am aware that certifying false, inaccurate or misleading documents constitutes an unsworn falsification under AS 11.56.210 *