Virtual Public Meeting Comment Form SH 115 South from Spur 57 to SH 128Ward, Winkler and Andrews Counties Survey

1.Contact Information (Optional)

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

First Name

Last Name

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

2.Organization (if applicable)

Organization Name

Position

3.Would you like to receive future notifications about this project?

Yes

No

4.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.

5.Comments