Adopt-a-Highway Application

Please fill in the information below and click 'Submit Application'. Required fields are marked with an asterisk (*).
 
Applications can also be faxed to us at (302) 739-2092 or mailed to us at:
AAH Program Coordinator, P.O. Box 778, Dover, DE 19901
Participant Information  





Home Phone*
(  )   -  		Work Phone
(  )   - 



(limit 28 characters) 		If someone calls about your group, would you like your phone number released?
Yes No
Location Information  (State-maintained roads must be two miles long to be eligible.)
County of First Location Choice*
New Castle Kent Sussex


We agree that work will be performed under and in accordance with the Delaware Department of Transportation's Adopt-A-Highway conditions attached to this application and incorporated herein by reference.
We further agree that upon approval, each participating member of our organization, for themselves, shall at all times indemnify and save harmless the Delaware Department of Transportation (DelDOT) and DelDOT employees, agents and officers from responsiblity, damage or liability arising from the exercise of the privileges granted in such applications.
We further agree that this application may be terminated by DelDOT if at any time DelDOT determines that, in its opinion, the applicants do not comply with the conditions of this program or at any time the applicants' work under this program is unsafe or causes a conflict with traffic. The Department reserves the right to revise or discontinue this program at any time.

By clicking on the "Submit Application" button, you accept all of the conditions attached to this application and incorporated herein by reference.
 
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