Required fields are marked with asterisks (*)

Traffic Calming Application

Residents with traffic-related concerns can submit this form to request that the Town of Milton investigates traffic calming in their neighbourhood. You can learn more about the criteria and process for traffic calming in our Traffic Calming Policy.

Please note: Residents must live on the street that the traffic calming request is for.

_{Personal information contained on this form is collected under the authority of the Municipal Act, 2000 and will be used to respond to your request for traffic calming. For questions about this collection please call 905-878-7252.}

First Name:

Last Name:

Address:

Town/City:

Postal Code:

Phone Number:

Email Address:

In which season is traffic speeding an issue (select all that apply):

Winter

Spring

Summer

Fall

When is traffic speeding an issue (select all that apply):

Weekdays

Weekends

What time of day is traffic speeding an issue (select all that apply):

Early morning

Morning rush hour

Midday

Afternoon rush hour

Late evening

What is the area/zone of your traffic speeding concern (select all that apply):

Community centre

Park

Subdivision

Community safety zone

Road with limited visibility

Unsure

Hamlet/village

School zone

What is the main traffic speeding concern:

Please indicate the location for traffic calming request below.

Please note: Residents must live on the street that the traffic calming request is for.

Street Name:

From:

To:

Signature (this constitutes as your electronic signature):

Clear