What does the Dinuba traffic safety request form cover?

It requests review of traffic safety or transportation matters and provides sections for temporary public right-of-way closures, block party or business petitions, and amplifying equipment registration.

What should I include with a temporary closure request?

Provide the closure purpose, street and limits, date and time, planned activities, and any requested city equipment or special needs. The form says maps are required for all events.

How do I submit the traffic safety request?

Return the completed form to the attention of Dinuba’s Public Works Director at 1088 E. Kamm Avenue, Dinuba, CA 93618, for review by the Traffic Safety Committee.

Do I need a notary for the Dinuba traffic safety request form?

No. This document is signed without a notary. The requesting party signs and dates the request; applicable petition or amplifying equipment statements also require signatures.

Dinuba, CA · Tulare County

No notary required

Traffic Safety Improvement Public Right of Way Temporary Closure Request Form

Dinuba residents, businesses, and organizers use this form to request review of traffic or transportation concerns and temporary public right-of-way closures.

What this form is

Use this form to ask Dinuba’s Traffic Safety Committee to review a traffic safety or transportation matter, or to request a temporary closure of public right-of-way. For a closure, the form asks for the purpose, location, dates, times, activities, and requested city equipment or special needs. It also includes a block party or business petition and an amplifying equipment registration statement for applicable events.

Who needs it

Residents, businesses, and event organizers may use this form to request traffic or transportation review or a temporary public right-of-way closure.

How to submit it

Return the completed form to the attention of the Public Works Director, City of Dinuba, 1088 E. Kamm Avenue, Dinuba, CA 93618, for Traffic Safety Committee review.

About notarization

This document is signed without a notary; the requesting party signs and dates the request, and applicable petition or equipment statements are also signed.

How to submit this form

1
Download the Form
Download the Traffic Safety Improvement Public Right of Way Temporary Closure Request Form.
2
Complete the Request
Enter applicant and contact details, describe the matter, and complete the temporary closure section if applicable.
3
Gather Required Attachments
Include a map for any event. Complete the applicable block party or business petition and amplifying equipment registration statement.
4
Sign and Date
Sign and date the request and any applicable petition or equipment statement.
5
Submit to Public Works
Return the completed form to the Public Works Director at the address listed on the form for Traffic Safety Committee review.

Frequently asked questions

What does the Dinuba traffic safety request form cover?: It requests review of traffic safety or transportation matters and provides sections for temporary public right-of-way closures, block party or business petitions, and amplifying equipment registration.
What should I include with a temporary closure request?: Provide the closure purpose, street and limits, date and time, planned activities, and any requested city equipment or special needs. The form says maps are required for all events.
How do I submit the traffic safety request?: Return the completed form to the attention of Dinuba’s Public Works Director at 1088 E. Kamm Avenue, Dinuba, CA 93618, for review by the Traffic Safety Committee.
Do I need a notary for the Dinuba traffic safety request form?: No. This document is signed without a notary. The requesting party signs and dates the request; applicable petition or amplifying equipment statements also require signatures.

Need something notarized?

This Traffic Safety Improvement Public Right of Way Temporary Closure Request Form doesn’t need a notary — but if you have another Dinuba form that does, a commissioned online notary can help.