Public Meeting Comment Form I-635 and I-35E Interchange Survey

1.Comments

2.I am an Elected Official

Yes

No

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.Organization (if applicable)

Organization Name

Position

6.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