Public Meeting Comment Form
FM 359 from FM 1093 to Mason Road

Virtual: Tuesday, January 24, 2023

In person: Thursday, January 26, 2023

Submit Comments by Friday, February 10, 2023

Question Title

* 1. Comments

Question Title

* 2. Name and Address - Optional (if you would like to receive future notifications about this project)

Title (e.g. Mr., Ms.)

First Name

Last Name

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 3. Organization (if applicable)

Organization Name

Position

Question Title

* 4. I am an Elected Official

Yes

Question Title

* 5. Per Texas Transportation Code, §201.811(a)(5): check each of the following boxes that apply to you:

I am employed by TxDOT.

I do business with TxDOT.

I could benefit monetarily from the project or other item about which I am commenting.

Question Title

* 6. I support the proposed project

Yes

Question Title

* 7. How did you hear about the event?

Newspaper

Television

Neighbor

Letter

Social Media

Messaging Sign

Other (please specify)

Question Title

* 8. Title VI Information (Optional)
This information is used to help improve TxDOT’s outreach efforts.

African American

American Indian or Alaska Native

Asian

Native Hawaiian or Other Pacific Islander

White/Caucasian

Question Title

* 9. Title VI Information (Optional)
Are you of Hispanic / Latino / Spanish origin?

Yes

Public Meeting Comment Form FM 359 from FM 1093 to Mason Road

Question Title

* 1. Comments

Question Title

* 2. Name and Address - Optional (if you would like to receive future notifications about this project)

Question Title

* 3. Organization (if applicable)

Question Title

* 4. I am an Elected Official

Question Title

* 5. Per Texas Transportation Code, §201.811(a)(5): check each of the following boxes that apply to you:

Question Title

* 6. I support the proposed project

Question Title

* 7. How did you hear about the event?

Question Title

* 8. Title VI Information (Optional)This information is used to help improve TxDOT’s outreach efforts.

Question Title

* 9. Title VI Information (Optional)Are you of Hispanic / Latino / Spanish origin?

Public Meeting Comment Form
FM 359 from FM 1093 to Mason Road

* 8. Title VI Information (Optional)
This information is used to help improve TxDOT’s outreach efforts.

* 9. Title VI Information (Optional)
Are you of Hispanic / Latino / Spanish origin?