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Traffic Concern Form
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Submit a Traffic Safety Concern
Location
Main street name:
Nearest intersection:
Type of Traffic Concern
Bike lane
Sight distance
Drainage
Sign
Pothole
Speeding
Request for Radar Speeder Sign
Traffic calming
Road Condition
Traffic Signal
Road striping
Vegetation
Sidewalk
Other
Please describe the traffic concern(s) in detail.
Contact Info
Name:
Address:
City:
AL
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CO
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DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
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MS
MO
MT
NE
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NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
WA
WV
WI
WY
Zip code:
Phone:
Email:
Do you want to be contacted by a county staff member regarding your concern?
Yes
No
Do you want your information to remain confidential?
Yes
No