- Name of organization, business, or person requesting a PIP Address.
-Applicant:
-Contact person:
-Phone number of contact person:
-Email address:
- Location of the proposed phone. Provide a description of the location in relationship to an identifiable address.
- Do you own the property on which the PIP would be placed? If not, please provide the name and address of the property owner and state whether the owner agrees to allow a PIP on the property.
- Is the proposed PIP inside or outside a building? If outside, is it protected from weather? Please explain why it should be inside or outside.
- Will the proposed PIP be available to the public 24 hours per day? Why or why not?
- Should the proposed PIP be capable of receiving incoming calls? Why or why not?
- Explain how the proposed PIP will meet a public welfare, health, or safety need. Note that this is the first of the six criteria listed in the box above, and is a requirement that all PIPs must meet.
- If you have any information at your disposal that will allow the Commission to evaluate and rank your PIP proposal using the remaining five criteria listed in the box above, please provide it. Note that the Commission will also attempt to obtain this information through other means.
- If known, please state the location of the payphone that is nearest to the proposed PIP.
The responses to these questions should be submitted as a PDF document to the Commission's case management system (CMS). The following link outlines the process for registering with CMS and submitting a PIP application. CMS Registration Process.