Jump to Navigation

Preliminary Site Information Questionnaire (PSIQ)

This questionnaire is intended to provide preliminary information to assist in evaluating a property's eligibility for the National Register of Historic Places and/or the Register of Historic Kansas Places. It is not a nomination form.

Please include with this questionnaire at least six current photographs of the interior, six current photographs of the exterior, and a historic photograph of the property.  Please provide clear prints of digital or 35mm photographs.  In answering these questions, you may attach additional pages as necessary.

If, on the basis of this information, the property appears to meet the criteria for the registers, a nomination form will be sent to you.  If you have any questions about this questionnaire, please contact the Cultural Resources Division at 785-272-8681, ext. 240.

PSIQ (Word format, download and save to your computer)

PSIQ (PDF)

Please return the questionnaire to:
Cultural Resources Division
Kansas Historical Society
6425 SW 6th Avenue
Topeka KS 66615-1099