2. Please Note: Any organization who requests Public Works property to be loaned for an event must accept full liability for damages and/or loss of any materials and/or equipment.
4. Name of Event*
6. Sponsoring Non-Profit (or City Dept.)*
8. Name of Contact Person*
10. Contact Person's Phone Number*
12. Contact Person's Email Address*
14. Date/Time Event will Begin*
    Date/Time Event will Begin

    Date/Time Event will Begin
16. Date/Time Event will End*
    Date/Time Event will End

    Date/Time Event will End
18. Event Location*
20. If the Event, such as a race, includes a route or pathway, please briefly describe the route
22. Please select what items you would like to borrow*

    1. Orange Traffic Cones
    2. Barricades
    3. Stop Signs
    4. Handicap Parking Signs
    5. Sandbags for Sign Bases
    6. Other Materials
23. Please Indicate Specific Quantities of Each Item Selected*
25. The items requested above shall be picked up by the applicant at Public Works Operations (PWO), 1950 E. Continental Blvd., on the day prior to the event or agreed upon date coordinated with PWO. The applicant shall be responsible for pick up, set up, and return of the borrowed items in good condition.
27. Additional Comments Regarding Event Details
29. Loan Agreement*

    1. This organization accepts full responsibility for any damages and/or loss of any Public Works property loaned for this event
31. Need assistance or have questions? Please call us at: Public Works Traffic Division: 817-748-8370.
33. Event or Traffic Plan Attachments
    If you have any attachments you would like to include, please add them here.
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field