Bullhead City, AZ · Mohave County

No notary required

Encroachment Permits Work Notification & Project Completion Date

Bullhead City contractors use this form to notify the city about permitted work in an ADOT right-of-way and provide a project completion date.

What this form is

This form notifies Bullhead City about permitted work in an ADOT right-of-way and provides a project completion date. The city says to submit it by email with the proposed traffic control plan two to three working days before work begins. It asks for permittee and contractor details, work dates and times, location, lane closures, traffic control, restrictions, and on-site 24/7 contact information.

Who needs it

Contractors performing permitted activity in an ADOT right-of-way need to submit this notification and the proposed traffic control plan before work begins.

How to submit it

Email the completed form and proposed traffic control plan to [email protected] two to three working days before beginning the permitted activity.

About notarization

No notary is required; the form requests a project completion date and identifies no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the Bullhead City encroachment work notification form.

  2. 2

    Complete The Form

    Provide the permittee or contractor details, work dates and times, location, traffic control information, restrictions, and required contacts.

  3. 3

    Gather The Traffic Control Plan

    Include the proposed traffic control plan with the completed form.

  4. 4

    Email The City

    Email both items to [email protected] two to three working days before beginning the permitted activity.

Frequently asked questions

Do I need a notary for the work notification form?
No. The form does not require notarization and identifies no notarized attachment or sworn step; it requests a project completion date.
How do I submit the work notification form?
Email the completed form and proposed traffic control plan to [email protected] two to three working days before beginning the permitted activity.
What information does the form ask for?
It asks for permittee or contractor details, work dates and times, location, lane closures, traffic control information, restrictions, and on-site 24/7 contacts.
When should I send the form?
The city says to email the form and proposed traffic control plan two to three working days before beginning the permitted activity.

Need something notarized?

This Encroachment Permits Work Notification & Project Completion Date doesn’t need a notary — but if you have another Bullhead City form that does, a commissioned online notary can help.