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 State Roadway Cleanup Registration

 
Submitted Date *
Select a date from the calendar.

Contact Name *

Group/Organization

Address

City

Zip Code

Contact Phone NumberPlease include area code and number

Fax

E-mail

Number of Adults *Please list the number of adults participating in the cleanup event

Number of Children *(Ages 12 - 17) list the number of children participating

Location Preference *
What is your location preference?

ODOT Zephyr The Ohio Department of Transportation
1980 West Broad Street, Columbus Ohio, 43223
John R. Kasich, Governor | Jerry Wray, ODOT Director
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