Agency Request for New Accommodation Form - DOC

Agency Request for Office Accommodation

This form is designed to assist with defining the accommodation requirements of your agency to assist Building Management Accommodation and Property Services (BMAPS) to identify accommodation options to meet your business needs.

Date of Request
Department Name
Agency Name
Type of Accommodation Request / New RequestYES/NO
Lease RenewalYES/NO
Broad description of purpose of tenancy
ACCOMMODATION DESCRIPTION (NOT APPLICABLE IF LEASE RENEWAL)
Preferred Location
Is customer access important? / YES / NO
Is a ground floor location required? / YES / NO
Is access to public transport essential? / YES / NO
Number of dedicated car parks required
Number of off-street car parks required
Please specify any unique facility requirements
Compliance with mandated across-government security requirements - includes but is not limited to:
at entry: contain all arrivals secured in a space using access control gates/doors, employee access cards with photo ID, optional reception counter/desk, CCTV surveillance, appropriate signage
inside tenancy: panic/duress buttons to key areas such as reception + public meeting rooms; monitored security system covering critical doors/windows, intruder detection, CCTV for critical/vulnerable zones, lighting appropriate for all-hour use, after hours security mode
external: good lighting levels for access/CCTV; CCTV surveillance for critical/vulnerable zones; appropriate signage, fences, boom-gates and other appropriate containment measures.
DDA: all items must offer equitable access for disabled arrivals to AS 1428.1-2009.
Any requirements relating to Australian Government’s “Protective Security Policy”
AREA REQUIREMENT
Number of people to be accommodated / (head count not just FTE’s)
Are staff numbers expected to remain stable? If not please provide detail. / YES / NO
What is the current location of these people?
(not applicable if lease renewal).
(eg. If more than one location identify staff numbers from each location)
*Total area requirement m²
*Note: Agencies are mandated to meet the Government office accommodation standards. (Refer to PCO18) When determining the total area requirement allow approximately 14m² per person, although extra space may be required for “Special Agency Facilities”. Refer to the Government Office Accommodation standards on:

Number of enclosed workstations required?
Number of workstations required?
Special agency facilities required? (Please specify any unique facility requirements).
Describe the activities that will be undertaken by agency that are considered as critical infrastructure?
LEASE TERM
Estimated period of occupancy
Occupation date required(not applicable if lease renewal).
ADDITIONAL INFORMATION
Please provide any further information regarding your agency’s accommodation requirements that may assist with identifying
options.(eg level of fitout required)
CONTACT DETAILS
Name and Position
Phone Number
E-mail address
FUNDING
What level of recurrent funding is available? / $
What level of funding is available for fitout work? (not applicable if lease renewal).
A budget in the range of $1,595/m² to $1,785/m² (depending on the amount of public space) is required for a complete new fitout in a ‘greenfield’ site. / $
Is funding available for decommissioning existing premises? (n/a if not applicable).
(Approx $100 - $120/m²) / YES / NO / $
What is the source of the funding for on-going lease cost? (e.g. rent)
What is the source of the funding for fit out work? (n/a if not applicable).
FUNDING APPROVAL AND EXPENDITURE AUTHORITY
Does this request form part of the Department’s 1 and 5 year strategic plan? / YES / NO
Are there any political / sensitive issues that need to be considered? / YES / NO
If Yes, what?
Who has the authority to approve the lease?
(eg. Cabinet, Minister, CE, CE Board of entity)
Has this person’s approval been sought and granted to enter into a new lease? / YES / NO
Note:
Projects > 2000m² or > $2M rental and fit out costs over the term of the lease require a full submission to GOAC. This entails facility plans, comparison with other options and financial analysis.
A DPTI Risk Manager must be engaged for projects with a value > $150K.
Indicative timeframes for completing accommodation projects can be viewed on the Accommodation and Property Services website at

Please note that a fee may apply if the lease is not proceeded with.

(original signed)

……………………………….…………………… …………………………………………..………

Authorised Officer on behalf of Title

the Agency’s Chief Executive

Date:

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