Please provide us with some information about yourself, so we can best assist you:

First Name:

Last Name:

Email Address:

Phone Number:

Name of Firm:

Name of Client:

Name of Company or Organization:

Name of Governmental Entity:

Name of Elected Official:

What type of application assistance are you requesting?

Assistance with submitting an applicationAssistance with a previously submitted application

What kind of application question do you have?:

Agriculture (Farming, Apiary, Bees, etc.)Commercial Real Estate (Commercial Leases, Land Sales, Signs)Minerals and Oil/Gas (Mining, Subsurface)Range and GrazingRight of Way (Power Lines, Roads, Communication Lines)Water Resources and Rights (Wells, Groundwater rights)Cultural ResourcesOther

Do you have a login to our Community site?:

Yes

No

ASLD's Community page is the best source for questions and resource information related to applications and the application process, located here: https://azland.force.com/s/

To obtain access to our Community Portal site, please click the link (https://azland.tfaforms.net/4630248) to request access

Please provide a detailed description of your issue/question:

What is your lease or permit number?:

Your lease or permit number is located at the top of any invoice you have received or on the lease/permit documents, referenced as 'KE Lease Number'

Is this in reference to a particular lease or permit number?:

Please provide either the address; nearby address; the cross roads and city; or Township, Range, and Section (which may be access via the Parcel Viewer) of the location:

Is this request related to an NRCD?

YesNo

Please provide the name of the NRCD:

Please provide a detailed description of your request:

Use of Record:

Commercial

Non-Commercial

Commercial purpose includes:

Obtaining records which will be used for sale or resale,
Obtaining names and address for purpose of solicitation, or
The sale of names and addresses for the purpose of solicitation or any other purpose in which the purchaser can reasonably anticipate monetary gain. A.R.S. §39-121.03

This does not include the use of public records as evidence or research for evidence in an action. it also does not include obtaining records for journalistic purposes.

Please provide a clear description of the intended commercial use of the requested document(s):

Please provide a clear description of the intended use of the documents. If you wish to not disclose the use, please type 'N/A'

What is your preferred format for your requested information?:

Certified Paper CopyPaper CopyPDF CopyRecord Inspection Only

The Arizona State Land Department is located at:

1110 West Washington St.

Phoenix, AZ 85007

Hours of Operation:
Monday through Friday 8 a.m. to 5 p.m.
Closed on State Holidays

Address:

City:

State:

Zip:

Country:

Please provide a detailed description of the issue:

Please select the closest city or town to the issue:

Please provide a detailed location of where the issue is occurring (include cross-streets, county, etc. don't include Assessor Parcel Number (APN)):

I need:

Assistance with purchasing a recreational permitA copy of my recreational permitOther

Recreational Permits can be purchased online at: https://asld.secure.force.com/recreationalpermit/

Please provide the application number:

Please provide your question(s):

Attorney	Business
Individual	Elected Official/Staffer
Governmental Entity	Lessee
Member of the Media

Billing Information	Communications
Lease Information	Legal Documents
Maps/GIS Data	Permits
I have a general question on recreational permits or I need something else

Damage or Removal of Resources	Littering/Dumping
OHV	Shooting
Trespass	Other Unauthorized/Illegal Use of Land
Other (Non land related issue)