Delaware Department of Transportation - Adopt-a-Highway Activity Report

Adopt-a-Highway Activity Report

Note: Please fill in the form below and click SUBMIT ACTIVITY REPORT.
Activity Reports can also be mailed to: DelDOT, AAH Program Coordinator, P.O. Box 778, Dover, DE 19901.

Participant Information

AAH Group Name*	Contact Person*
Phone Number* ( ) -	Email*

Location Information

Location of Roadway*

County*

Activity Information

Date of Clean Up*:
Did you clean the entire length of your roadway?*
How many people participated in the cleanup?*
How many hours did the cleanup last?*
How many bags of trash were collected?*
How did you dispose of the AAH Trash?* DelDOT can pick up from AAH sign at: Took to DelDOT Area Yard With personal/business trash
What was the general condition of the bike path before the clean up?* Excellent Good Fair Poor Other
Please report any hazardous materials, large items or dead animals for DelDOT to retrieve
Please report any items on bridges, riprap, or ON the roadway for DelDOT to retrieve
Comments (Please note any address/contact person changes in comments field below)

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