Temporary Entry Request

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This form must be submitted for Temporary Entry on ADOT-owned property. Please call 602.712.7587 or email us for additional information: RightofWayPropMgmt@azdot.gov.

Please note that any such request will be for non-exclusive access to ADOT-owned property, unless explicitly agreed otherwise, and ADOT retains the right to modify and/or revoke access at will. Additional terms to be determined at ADOT's sole discretion.

IMPORTANT: Please also note, once this form is completed, you will be asked to forward it directly to ADOT R/W.

Email *

Type of Access Desired (Choose One) *

Consider overall duration of access required to suit your needs

Do you expect the need to renew this agreement at the end of its term? *

Yes

Maybe or Unsure

Desired Start Date *

NOTE: Please allow at least two weeks, or use today's date for "ASAP"

Date

Desired End Date (Estimate if Needed) *

Date

Primary Reason for Request *

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