Traffic Committee Request Form

2. Traffic Request Form

   Please complete required fields and submit.

4. Name*
5. Email Address*
7. Street Address*
8. Phone Number*
10. Location of Concern*

    Example: Forest Avenue between Blair and Campbell

12. Type of Issue*
    -- Select One --SpeedingCut-thru trafficSight distanceTraffic or pedestrian signalParkingCrosswalkSafetyOther
14. Detailed Description of Concern*

    Describe your concern or request in detail.

16. Proposed Solution

    Describe any proposed solutions that you think would solve the issue.

18. Media Upload

    If you have a picture or video that provides additional documentation of your concern/request, upload it here.

19. Important*

    1. I have the reviewed the Traffic Committee's Frequently Asked Questions (FAQ) regarding traffic requests and concerns

    View the Traffic Committee FAQ

23. Neighborhood Support

    Analyzing traffic requests can take a significant amount of staff time, and we require neighborhood support for a particular issue before beginning review.

    Please provide at least two neighbors' contact information, who are in agreement with your concerns or request.  They must be from separate households. They will be notified if this item is brought to the Traffic Committee.

25. Name*
26. Address*
27. Email*
29. Name*
30. Address*
31. Email*
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field