Instructions of Real Estate Leases Facility Use Agreement (FUA) - short-term (less than one-year) rental of a facility, i.e., rooms for seminars & training; short-term mini storage, parking, etc. A fully signed Facility Use Agreement must accompany the Purchase Request for payment. Contract Services Web-Site Link to FUA Form http://ss.uams.edu/contract/forms/Facility%20Use%20Agreement.doc Email FUA Form to LeslieSuzanne@UAMS.edu AND/OR LangstonTriciaM@uams.edu .
A fully signed Facility Use Agreement must accompany the Purchase Request for payment of short-term (less than one year) rental of a facility, i.e., rooms for seminars & training; short-term storage, parking, etc. UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES FACILITY USE AGREEMENT
Agency: University of Arkansas for Medical Sciences_ UAMS Department: Address: 4301 West Markham, Little Rock, AR 72205 Mail Slot The Institution named above hereby agrees to rent from: Phone No.
(Name of Facility)
(Address of Facility)
(Facility Contact Person)
(Facility Phone Number) The space/facility is described as follows: Rental period: (Beginning & Ending Dates) For the purpose of (describe activity): For the sum of $ to be paid Weekly
(UAMS Contact Person & Phone Number)
Monthly
Lump Sum
Additional terms of rental: University of Arkansas for Medical Sciences __________________________________________ Signature (requesting dept.) (Date) __________________________________________ Dean or Director or appropriate official (Date) __________________________________________ Suzanne Leslie, Paralegal Director of Contract Services (Date) NOTE: If the Facility has a standard agreement/contract, please include with the Facility Use Agreement Facility __________________________________________ Signature (representative of facility) (Date)
/form-facilityuse.doc
revised 03-10-08