CITY OF MORGANTOWN
TRAFFIC COMMISSION
REQUEST FORM
*PLEASE FILL OUT THE PURPLE HIGHLIGHTED AREAS*
NAME:
ADDRESS:
HOME PHONE: BUSINESS PHONE:
LOCATION OF REQUEST: NATURE OF REQUEST:
ADDITIONAL INFORMATION (reason why):
DATE: SIGNATURE:
WILL YOU BE AVAILABLE TO ATTEND THE NEXT TRAFFIC COMMISSION MEETING AS A REPRESENTATIVE
FOR THE REQUEST? YES OR NO
Use of this form is for any item that is requested to be considered by the Morgantown Traffic
Commission. Traffic Commission meetings are held on the first Wednesday of each month. Requests to
be considered must be received on this form in the Public Works Department no later than the 22
nd
day
of the preceding month in order to be eligible to be on the agenda for the
following month’s meeting.
Please make sure the form is filled out legibly and accurately. Please be as detailed as possible as to the
nature of the request and the reason it is being requested.