Arizona State Transportation Board

Request for Public Input

Arizona Department of Transportation

ADOT logo - Arizona Department of Transportation

Request for Public Input Form

Request for Public Input Forms will be taken until 8:00 AM the morning of the Board Meeting.

Name: *

Title:

Date:

Month

Day

Year

Are you an elected official? *

Yes

No

Mailing Address:

City:

State:

Zip:

County:

Email Address: *

I am spokesperson for:

(self, business, civic group, religious affiliation, etc.)

How I will be attending the Board meeting *

In Person

Via Phone

Via Webex Computer Application

Via Webex Internet Application

Via Webex Smart Phone Application

Please provide a phone number at which you may be reached in advance of the Board meeting so an ADOT representative can contact you to give you instructions on how to comment using the technology described above. The phone number provided will remain confidential.

Phone: *

I wish to address the following issue: *

Pursuant to the Arizona Open Meeting Law, speakers must directly address the agenda items. Comments not related to an agenda item may be addressed at Call to the Audience. In order to allow sufficient time for all interested parties to address the State Transportation Board, time limits may be imposed. You may ask questions but our staff will formally respond at a later date.

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Request for Public Input

Request for Public Input Form