Nassau County, NY

239-f On-Site Traffic Engineering Meeting Request Form

Please fill out the following form to request an on-site meeting with one of our traffic engineers to discuss a pending 239-f application. You must provide the 239-f application Work Order Number as assigned by the Nassau County Department of Public Works (NCDPW). On-site meetings with NCDPW traffic engineering staff will only take place after NCDPW has already provided comments on an application. In the “Reason for Meeting Request” section, please specify which NCDPW comment your meeting request pertains to. A representative from the NCDPW Traffic Engineering Unit will respond to the request as soon as possible

239-f Application Work Order Number* Please enter the 239-f application Work Order Number in the field above. The Work Order Number consists of four numbers followed by the letter “f.” This number is provided on all 239-f correspondence by the Department of Public Works. If you do not know your work order number, please call the 239-f General Information Line at 516-571-3300.

Authorized Project Representative

First Name* Please enter your first name in the field above.

Last Name* Please enter your last name in the field above.

Company Name* Please enter your company name in the field above.

Street Address* Please enter your address in the field above.

Street Address 2 Please enter additional address information above.

Town* Please enter your town in the field above.

State* Please select your state from the field above.

ZIP Code* Please enter your zip code in the field above.

Email Address* Please enter your email address in the field above.

Primary Phone Number* Please enter your phone number in the field above.

Secondary Phone Number Please enter your secondary phone number in the field above.

Reason for Meeting Request* Please enter your reasons for meeting in the box above. The specific traffic-related NCDPW comment(s) that you are requesting clarification on must be stated.

Property Owner

First Name* Please enter your first name in the field above.

Last Name* Please enter your last name in the field above.

Company Name Please enter your company name in the field above.

Street Address* Please enter your address in the field above.

Street Address 2 Please enter additional address information above.

Town* Please enter your town in the field above.

State* Please select your state from the field above.

ZIP Code* Please enter your zip code in the field above.

Property's Section Number* Please enter your property section number in the field above.

Property's Block Number* Please enter your property block number in the field above.

Property's Lot Number* Please enter your property lot number in the field above.

Primary Phone Number* Please enter your phone number in the field above.

Email Address Please enter your email address in the field above.