Nassau County Traffic Management

Lane Closure Notification Form

This form is NOT required for shoulder closures..
This is NOT a lane closure permit application. A road closure permit must be approved prior to closing any lanes on a County roadway. Contact permit at (516) 571-6740 or 1194 Prospect Avenue, Westbury.

Please provide the information requested below:

Approved Road Closure Permit Number: Name of Company/Municipality: Contact Name: * Address: *

City: * State: * Zip/Postal code: *

Contact Phone: * Ext:

Contact Email: *

Date(s) Closed Range: 24hr Closure

Time Close Start: Time Close End:

Road to be Closed: * From Cross Street: * To Cross Street: * Direction of Traffic: (closest applicable) Hamlet: * Number of Lanes Closed: * Reason for Closure: *

Nassau County Traffic Management
PLEASE COMPLETE THIS FORM AND SUBMIT NO LATER THAN 3PM ONE DAY PRIOR TO CLOSURE.
WEEKDAY CLOSURES FROM 7:00 AM TO 9:00 AM OR 4:00 PM TO 6:00 PM WILL NOT BE PERMITTED.

Nassau County Traffic Management
1194 Prospect Ave Westbury, New York 11590
Phone: (516) 571-6992
Fax: (516) 571-6882
Email: trafficmanagement@nassaucountyny.gov