Notification of special event on state highways

Event/activity info

Title

Brief description

Website

Region

Eastern

North Central

Northwest

Olympic

South Central

Southwest

Cross-region

Start and end date and location

Start date and time

City and cross streets of starting point

End date and time

City and cross streets of end point

Event details

Number of participants

Has this event/activity happened previously?

Yes

No

Previous state date

Will there be road closures?

Yes

No

Have you prepared a traffic control plan that complies with the Manual on Uniform Traffic Control Devices (MUTCD) (lane or road closures)?

Yes

No

Describe how and where support/escort vehicles will operate Provide information about event/activity participant compliance with laws pertaining the use of state highways during the course of event/activity

Signature authority info

First Name

Last Name

Email

Phone

Address

Address 2

City/Town

State

ZIP/Postal Code

Be prepared to provide a copy of the registration and event or activity waiver.

Contact the nearest WSDOT Regional Traffic Office if you need help completing this form. The form can be submitted electronically, or, you can submit a paper copy to the nearest WSDOT Regional Traffic Office.

Notification of special event on state highways

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