Adopt-A-Highway Cleanup Report Form

Fill out the information below within one week after your pickup in order to receive credit for your efforts. Your participation cannot be credited until this information is received.

  • Name of road(s) and/or Beginning and Ending Mile Points
  • MM slash DD slash YYYY
  • The total number of volunteers that assisted with this particular cleanup.
  • Please list any comments or concerns about your cleanup.
  • Upload documents, photos, or video files related to your cleanup. You may share up to 5 files.
    Drop files here or
    Accepted file types: pdf, doc, docx, txt, rtf, jpg, jpeg, gif, mp3, mp4, m4a, zip, tif, tiff, png, wpf, odt, wav, mov, xls, wpd, ppt, pptx, avi, mpg, xlsx, sib, mus, 3gp, flv, webm, psd, ai, mobi, epub, wmv, eps, key, ogg, aac, flac, aiff, wma, mkv, musx, ibooks, iba, tex, bbl, ltx, m4v, svg, fdx, dwg, vsd, vss, vst, vdx, vsx, vtx, mpp, mpx, Max. file size: 5 MB, Max. files: 5.

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