Citizen Concern Request Form

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.

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FORM

PDF

[button size=”large” url=”/resources/ctst/forms/Form-CitizenConcern-CTST2020.pdf” ]DOWNLOAD (English)[/button]

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1 Step 1
CITIZEN CONCERN REQUEST FORM
Requestor Information
Location Information
Maintaining Agency:
Type of Issue:

For more information, please contact:
Carlos Sarmiento, Community Traffic Safety Programs Coordinator & Safety Campaigns Manager
Florida Department of Transportation – District Six
Traffic Operations Department, 1000 N.W. 111 Avenue, Miami, FL 33172
Phone: 305-470-5335 I Email: Carlos.Sarmiento@dot.state.fl.us

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