Phoenix, AZ · Maricopa County
Dedication Application Questionnaire
This questionnaire collects property history and site information from applicants submitting a dedication application to the city.
What this form is
Submit this questionnaire with a dedication application. It asks when the property was purchased, who owned it previously, and how the site was used. It also asks about tanks, wells, disposed materials, regulatory investigations, sampling, and substances used in business activities on the property; the owner signs the completed questionnaire.
Who needs it
Applicants submitting a dedication application should answer the questionnaire and include it with their application.
How to submit it
Submit responses with your dedication application. For information about the application process and review time frames, call 602-262-7811.
About notarization
This questionnaire is signed without a notary; it requests the property owner's signature and identifies no notarized attachment or related step.
How to submit this form
- 1
Download The Questionnaire
Download the Dedication Application Questionnaire PDF.
- 2
Complete The Questions
Answer the property history and site questions to the best of your knowledge.
- 3
Gather Additional Sheets
Attach additional sheets if needed to provide your answers.
- 4
Submit With Your Application
Submit your responses with your dedication application.
Frequently asked questions
- What does the Dedication Application Questionnaire ask?
- It asks about property purchase date, previous owners and land use, tanks and wells, disposed materials, investigations, sampling, and business-related substances.
- Who submits this questionnaire?
- Applicants submitting a dedication application should complete the questionnaire and submit their responses with that application.
- Do I need a notary for the Dedication Application Questionnaire?
- No. The questionnaire requests the property owner's signature and identifies no notarized attachment or related step.
- How do I submit the Dedication Application Questionnaire?
- Submit your responses with your dedication application. For information about the application process and review time frames, call 602-262-7811.
Need something notarized?
This Dedication Application Questionnaire doesn’t need a notary — but if you have another Phoenix form that does, a commissioned online notary can help.