Planned Event Form

Thank you for working with MoDOT to provide a safe event. We are willing to assist you in a variety of ways. Once we receive this form, we will contact you to offer assistance in traffic control.

* All fields are required. If you are unsure or it is not applicable, please type "unsure or N/A". We will contact you shortly about the details.

Name of Event:

Type of Event:

Parade
Run/Walk
Other (describe):

Contact Information
Lead Organization:
Contact Name:
Contact Phone Number:
Contact Cell Number:
Contact Email Address:
Organization Address:
City, State, Zip:

Event Information
Date of Event:
State Time of Event:
End Time of Event:

State Route(s) Effected by Event:
Number of Lanes Closed or Blocked:

Describe Event: (Location of where the event is starting and ending based on State Routes)

Describe what level of community resources are being utilized to assist in support of the event:

Describe how public/motorist will be impacted during the event:

Our mission is to provide a world-class transportation experience that delights our customers and promotes a prosperous Missouri.