Please provide the following information for each item below that applies
to your event:
* Required - These fields are required to complete the application. If the fieleds are not filled in the form
will not be submitted and an error message will appear.
Name of Signature Authority:
Signature Authority E-mail:
Event or activity website address:
Name of the event or activity:
Be prepared to provide a copy of the registration and event or activity waiver.
Contact the nearest WSDOT Regional Traffic
Office if you need help
completing this form. The form can be submitted electronically, or,
you can submit a paper copy to the nearest WSDOT
Regional Traffic Office.