Proposed Reeves County Regional Mobility Authority Survey

1.Contact Information

Name

Address

Address 2

City or Town

State

Zip Code

Email Address

2.Comment

3.Representing

4.Texas Transportation Code, §201.811(a)(5)): Check each of the following boxes that apply to you.(Required.)

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.

None of the above apply to me.

Proposed Reeves County Regional Mobility Authority