Do you have thoughts about the SR 95 Realignment Study that you would like to share? Would you like to be part of the network of community leaders ADOT calls upon for input? Please take a moment to let your thoughts be known.
The information you disclose to the agency will generally become a matter of public record pursuant to A.R.S. § 39-121, et seq., which means that ADOT may be required to provide certain information in response to a public records request.
Please be assured that your personal information will be held in strict confidence while ADOT processes your online transaction. ADOT will not share, sell or otherwise disseminate this information to any outside person or entity, except as required or authorized by law. ADOT encourages you to read the ADOT Privacy Statement.
If you have any questions or comments regarding how ADOT will use the information you submit online, please contact us.
Please provide your answers to the questions listed below. We respect your privacy. Your comments will be displayed anonymously.
*Indicates Required Fields
*First Name:
*Last Name:
*Street Address:
*City:
*State:
*Zip Code:
*Email Address:
Phone Number:
Fax Number:
Describe how you would like to be involved with this study:
Provide comment
Attend public meetings
Be a neighborhood point of contact
How can ADOT better inform people in your area about ADOT projects?
(Please check all that apply)
Come meet with our community leaders
Conduct town hall meetings
Provide more information on this web site
Issue electronic newsletters more frequently
If Other, please specify:
What are the two most critical issues related to this realignment study?
What is the best way for us to keep you informed about this project?
Email updates (eNewsletter)
Regular mail
By fax
No, thank you
What other information would you like to see on the Web site?
Do you have general comments you would like to make?
May we contact you?
Yes
No
I would like to receive project information via email.
Please put me on the project email list.
I do not wish to be included on the email list.
Please verify all information before sending.
Your feedback is important to us. Thank You.
Project Information Contact: Michele Beggs
Kingman District Senior Community Relations Officer 928.681.6054
