Notification of special event on state highways

Event/activity info

* indicates a required field

Title *

Brief description *

Website *

Region *

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Start date *

Month

Day

Year

Start time *

City and cross streets of starting point *

End date *

Month

Day

Year

End time *

City and cross streets of end point *

Number of participants *

Has this event/activity happened previously? *

Yes

Previous start date *

Month

Day

Year

Will there be road closures? *

Yes

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

Yes

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

Signature authority info

Name *

Email *

Phone *

Address *

City *

State *

ZIP *

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.

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