Douglas County Forms

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Adopt-A-Road Application

  1. Douglas County Adopt-A-Road
    Adopt-A-Road

    Adopt-A-Road Application




  2. LIST THE SECTION(S) OF COUNTY ROAD YOU ARE INTERESTED IN ADOPTING IN ORDER OF PREFERENCE:
  3. *EXAMPLE*

    EASTMONT AVEUNE                                     FROM GRANT ROAD                                               TO 19TH STREET

  4. ROAD NAME

  5. FROM ROAD                                                                           TO ROAD

  6. ROAD NAME

  7. FROM ROAD                                                                           TO ROAD

  8. ROAD NAME

  9. FROM ROAD                                                                           TO ROAD

  10. Sections of a County road are assigned on a safety and first-come, first-serve basis. The County will conduct a traffic safety review before assigning a section. If the section(s) your group has identified above is not available or suitable for adoption, DOUGLAS COUNTY SOLID WASTE PROGRAM will assist your group in identifying alternative road sections.

    DOUGLAS COUNTY SOLID WASTE PROGRAM will assist your group in identifying alternative road sections.

    WARNING! PLEASE READ CAREFULLY. Participants in the Adopt-A-Road Program are advised that working adjacent to any road is a DANGEROUS ACTIVITY. Risks associated with this activity include, but are not limited to, serious injury or death. Each participant is further advised that the risk of harm is present even if all safety precautions are followed.

  11. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  12. Signature of Volunteer Group Representative

  13. Leave This Blank:

  14. This field is not part of the form submission.