Number Assignment Requ
est Form
Florida Master Site File
Division of Historical Resources / R.A. Gray Building
500 South Bronough St., Tallahassee, Florida 32399-0250
Phone 850.245.6440 / Fax 850.245.6439 / Email SiteFile@dos.myflorida.com
Check for Previously Assigned Numbers (Required)
Yes, Florida Master Site File records were checked for previously recorded resources at this location.
Please indicate the date and search method(s) used for checking:
Township, Range & Section GIS FMSFweb Site File Staff Consulted Address
Contact Information (Required)
Name: _____________________________________________________________
Organization (if applicable):______________________________________________
Address: ___________________________________________________________
Phone: ___________________________ Fax: _____________________________
Email: _____________________________________________________________
Project Name
(if applicable; use key words indicating location, tract name, survey phase, etc.)
Individual Request
(If more than 5 site numbers are needed use Block Request at bottom)
County: ______________ Request Date: ___________ Date Assigned: ___________ FMSF Staff: _______
Select Resource Type: □Archaeological □Bridge □Cemetery □Structure □Resource Group
Use a separate request form for each resource type, county, and project.
Resource Name Address or GPS Coordinates or Twn/Rng/Sect Assigned Number
1 __________________________________________________________________
2 __________________________________________________________________
3 __________________________________________________________________
4 __________________________________________________________________
5 __________________________________________________________________
Block Request
(Use if more than 5 site numbers are needed)
County: ______________ Request Date: ___________ Date Assigned: ___________ FMSF
Staff: _______
A
r
chaeological Sites:
_____
Bridges:_____ Cemeteries:_____ Structures:_____
Resource Groups:_____
Range
of Numbers Assigned by the Florida Master Site File _________________________________________
Date Checked____________
IMPORTANT: Assignment of a State Site Number DOES NOT mean a resource is recorded at the Site File. The
resource is not added to the inventory until a completed resource recording form has been submitted. Requesting a
State Site Number indicates your agreement to complete and submit a recording form for each number requested.
Resource recording forms can be found on-line here: Site File website.
