Contact Update Form

We are building a common database for all contact information held by the Facilities Planning & Construction Department at the University of Virginia in hopes of being able to transition, as much as possible, to an "all electronic" notification environment. To do this successfully we need your help and ask that you complete the on-line form below and click on the "Submit" button.

Please don't hesitate to call Kim Breeden at 434-982-4621 if you have any questions.

Thank you!


* indicates required fields.
* Organization Name:
* Primary Contact Name:
* Primary Contact or Generic Email:
Organization Website Address:
* Address 1:
Address 2:
* City:
* State:
* Zip Code:
* Phone:	ex. 555-555-5555
FAX:	ex. 555-555-5555
Organization Type: (check all that apply)	Architectural / Engineering Contractor HECOM VAPPA
A/E/C: