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Transportation Improvement Request Form
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If there is a concern with the state of a road, bridge, MoDOT maintenance, or other MoDOT concern please use the following form to alert your Green Hills Region Transportation Advisory Committee (TAC)
1.
Do you have a MoDOT concern?
Yes
No
2.
In which county is the concern located?
Caldwell
Carroll
Chariton
Daviess
Grundy
Harrison
Linn
Livingston
Mercer
Putnam
Sullivan
3.
Type of concern
Roadway
Bridge
Sidewalk
Maintenance
Multimodal
Other (please specify)
4.
Please provide specific information about your concern. Be sure to include the location and a general description of the problem.
5.
If this is a road, bridge, or sidewalk, how often do you use in a week?
0-2 times per week
3-5 times per week
6-10 times per week
10+ times per week
6.
On a scale of 1 to 10 with 10 being the worst condition, what would you rate your concern?
0
10
Clear
