Traffic Control Setup Request Form

This form must be submitted for any projects where setup of traffic control by UT Parking Office is requested. The Project Manager, whether a UT Department staff member, or an External Contractor, is responsible for Traffic Control on any projects impeding roadways, parking area entrances, exits, or drive lanes and accessible ADA pathways. UT Parking can provide setup of traffic control, for a charge, if the UT Department or External Contractor does not have access to these resources. Please note UT Parking support is limited to traffic control supplies, barricades, cones, etc., and does not include traffic control staff, flaggers, etc. Requests must be submitted seven (7) full business days in advance and are subject to availability of supplies. Any requests not meeting this deadline are subject to a late fee.

Who is requesting traffic control setup?*
- UT Department
- External Contractor
Project Name*
Project Description*
Description of Location- Be precise and identify exact area traffic control where traffic control setup is needed. Also, include quantity and types of traffic control devices and supplies are needed.*
In addition, a PDF-formatted MAP/DIAGRAM showing the location of the impacted area MUST be attached.
File Attachment*
Provide a PDF-formatted MAP/DIAGRAM showing the location (limit 5MB per file).
Accepted file types: pdf, Max. file size: 5 MB.
Are any of the following affected by the closure?
- Parking lot entrances/exits/drive lanes
- Sidewalks/walkways
- Accessible ramps
- Other- Please Specify Below
Other- Please Specify*
Start Date*
MM slash DD slash YYYY
Start Time*

: Hours

Minutes

AM/PM
End Date*
MM slash DD slash YYYY
End Time*

: Hours

Minutes

AM/PM
Who is the responsible party for traffic control during the project?*
please indicate name, email, and cell phone
Applicant's Email Address*
External Contractor Contact Information*
Must include: Applicant name, title, company name, address, and phone number. Any other details needed for billing such as Project Number.
UT Department Contact Information*
Must include: Name, title, address, and phone number. Any other details needed for billing such as Project Number.
UT Billing Number*
UT Project Manager Contact Information (if Applicable)
Must include: UT Project Manager name, title, phone number, and email address.
Failure to cancel a confirmed request at least 48 hours in advance may result in a fee up to $50.

Traffic Control Setup Request Form

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