Safe Creative Space Inquiry Form

Name

First Name

Last Name

Zip Code

Please describe your space, how it is used, who uses it, and your safety compliance concern?

Have you already received a cost-estimate for the work?

Yes

If yes, please provide the estimate amount

Are you already enrolled in the Safety Compliance Program or have you been in touch with an City agency?

Yes

Do you own or rent your space?

Own

Rent

If you rent, what is your current lease terms?

Less than 2 years

More than 2 years

Anything else you would like to share about your situation?