Temporary Entry Request
This form must be submitted for Temporary Access and Rights of 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 address *
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? *
Desired Start Date *
NOTE: Please allow at least two weeks, or use today's date for "ASAP"
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Primary Reason for Request *
Your answer
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