Get Az Dept Of Transportation Encroachment Permits Form

Filling out the Az Department of Transportation Encroachment Permits Form online is a straightforward process that requires attention to detail and accuracy. This guide aims to provide you with comprehensive, step-by-step instructions to ensure a smooth completion of your application and compliance with all necessary requirements.

Follow the steps to effectively complete the online form:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the 'ADOT Agreement Number' and any other relevant numbers such as the 'Permit Number' and 'ADOT Project Number' at the top of the form.
3. In the first section, provide the name of the 'Encroachment Owner' and their 'Mailing Address'. Ensure that this information is accurate and complete.
4. Next, enter the contact information for the 'Authorized Agent / Applicant' if they are different from the owner. Include their phone number and email address.
5. Specify the legal relationship of the 'Authorized Agent' to the 'Encroachment Owner' in the provided field.
6. Identify the local point of contact by filling out their name and contact information, indicating their relationship to the project (e.g., contractor, engineer, etc.).
7. Complete the section that specifies the location of the encroachment, including the highway route number, milepost, and the side of the highway where the encroachment will take place.
8. Describe the proposed work or activity in detail. This section should clearly outline what the encroachment involves and any potential impacts on the right-of-way.
9. Review the general obligations and responsibilities listed in the form carefully, as these will outline your commitments as the permittee.
10. Both the Encroachment Owner and Authorized Agent must print their names, sign, and date the application, affirming that the information is accurate.
11. Once you have completed all sections, save changes and decide whether to download, print, or share the form, ensuring you keep a copy for your records.

Ready to manage your encroachment application? Complete the Az Department of Transportation Encroachment Permits Form online today!