If you have a roadway related concern that you would like for us to evaluate, please download the enclosed PDF version or fill out the online form below. FORM PDF DOWNLOAD (English) 1 Step 1 CITIZEN CONCERN REQUEST FORM Requestor Information Name of Concerned Citizen/ Requestor Title Name of Agency/Organization Telephonephone Emailemail Address Location Information County Municipality Maintaining Agency:FDOTCountyMunicipalityOtherUnknown Road Name Intersecting Roadway (if applicable) Location Description Type of Issue:EngineeringEducationEnforcementEmergency Services Additional Comments0 / SUBMIT For more information, please contact:Carlos Sarmiento, Community Traffic Safety Programs Coordinator & Safety Campaigns ManagerFlorida Department of Transportation – District SixTraffic Operations Department, 1000 N.W. 111 Avenue, Miami, FL 33172Phone: 305-470-5335 I Email: Carlos.Sarmiento@dot.state.fl.us keyboard_arrow_leftPrevious Nextkeyboard_arrow_right FormCraft - WordPress form builder