Traffic Safety Concern Application

2. 

4. Traffic Safety Concern Application

6. Traffic safety concerns are reviewed by the Engineering Division of Public Works. Once the application is received a Cartegraph request number will be assigned and you will receive an email with this request number within (2) two weeks. Depending on the issue selected, staff will review: MUTCD Code, Crash Data, Daily Traffic Volume, and will make a site visit if necessary. In some cases an outside safety expert may be required.

   If checking the status of your request you can email Publicworks@ci.waynesboro.va.us or leave a voicemail on the Engineering extension at 540-942-6624 (Option 1). Please provide your Cartegraph request number when checking your status.

   If your issue does not currently meet the requirements for signage installation, etc. then staff will perform a periodic review of the area of concern to track any changes.

8. Applicant Name*
10. Applicant Address*
12. Phone*
13. Email*
15. Traffic Safety Concern*
    -- Select One --SpeedingSignageParkingBicycle Pedestrian Other

    Please Select an Issue From The Dropdown List.

17. Description of The Issue*

    Please Describe In Detail The Traffic Safety Issue.

    
    

19. Location Of Traffic Safety Issue*

    Describe The Location As Clearly As Possible. You Can Attach A Supporting Photo/Drawing Below Or Email It To Public Works at Publicworks@ci.waynesboro.va.us 

21. Support Photo/Drawing Upload
25. Additional Comments
    Please Type Additional Comments Here.
27. Date*
    Date

    Date
28. Signature

    Please Enter First and Last Name.

Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field