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 Schedule for Litter Pickup

Please fill out the form completely and then click the send button once done. The message will be reviewed and you will be contacted regarding your pickup time and location if there is any problem or scheduling conflict. Thank you and we here at the Ohio Department of Transportation appreciate your help in keeping our roadways clean and beautiful.

* Indicates required field

Today's Date *
Select a date from the calendar.

Name of group *

Route number where you are to pickup

Section of the above route where picking up

Ohio County

Day of the week

Date of pickup
Select a date from the calendar.

Time of pickup

Contact name *

Phone number

Disclaimer

These applications for the adopt-a-highway program are only preliminary steps for the program.  The form you send via the web will enable the staff to prepare the proper forms and resources to better serve your adopting needs.  Please fill out the forms honestly, so we can better serve you and get you and your group out to preserve our road's beauty, as soon as possible.  Thank you and we anticipate the arrival of your application.