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

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: *

Last Name: *

Company Name: *

Address 1: *

Address 2:

City: *

State: *

Zip Code: *

Primary Phone Number: *

Secondary Phone Number:

Email Address: *

Reason for Meeting Request: *

Property Owner

First Name: *

Last Name: *

Company Name: *

Address 1: *

Address 2:

City: *

State: *

Zip Code: *

Property's Section Number: *

Property's Block Number: *

Property's Lot Number: *

Phone Number: *

Email Address: