Certified Site Intake Form

Thank you for your interest in participating in the Arizona Certified Sites (Buildings) Program. The following intake form is to be used a as a "pre-screening" process to ensure your property meets minimum qualifications to continue forward in the certification process. Please answer the follow questions to the best of your ability. Please email your questions to rural@azcommerce.com.

The location of your site will be shown on the map once you enter an address. You can adjust the location by dragging the marker to the correct location.
Place Marker | Reset Map | Toggle Size

Community / Economic Development Organization
Contact Information

Property Owner or Authorized Representative
Contact Information