Use this form to let us know about opportunities to spread the word about the 2019 State Active Transportation Plan.
- Tell us about an upcoming event, meeting, or other gathering where you would like to have someone present information.
- Let us know if you would like to become an Active Community Ambassador to help your family, friends, and neighbors share their priorities.
- Request electronic files for materials to hand out and share in social media.
- Tell us where you could put up flyers or posters.

Americans with Disabilities Act (ADA) Notice to Public
This questionnaire can be made available in an alternate format by emailing the WSDOT Diversity/ADA Affairs team at wsdotada@wsdot.wa.gov or by calling toll free, 855-362-4ADA (4232). Persons who are deaf or hard of hearing may make a request by calling the Washington State Relay at 711.

Información del Acta (ADA) de Estadounidense con Discapacidad
Este material se puede hacer disponible en un formato alternativo o traducción al español por correo electrónico al equipo de Asuntos de diversidad/ADA WSDOT en wsdotada@wsdot.wa.gov o llamando gratis, 855-362-4ADA (4232). Personas sordas o con problemas de audición pueden solicitar llamando el relé de estado de Washington al 711.

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* 1. Your contact information. We need to be able to get in touch to confirm or clarify information you submit.

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* 2. Event information (any type of event: meetings, community events, other). Provide as much information as you can. Be sure to include contact information so we can follow up. We'd like to have contact information for someone with the entity whose event this is.

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* 3. What else should we know to help us determine if/how we can participate in the event opportunity described above? 
Is this a SUGGESTION or a CONFIRMED INVITATION to participate as described above?

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* 4. We will be providing all toolkit materials in English and Spanish, with other translation needs to be determined. What other language(s), if any, would be most useful for translation of materials?

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* 5. Will people attending the event or receiving materials you will distribute need them in an alternate format to be accessible to those with disabilities, as far as you know?

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* 6. Tell us how you want to be involved in spreading the word about the State Active Transportation Plan.

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