Form Center

2. Use this form to request the installation of a driveway to access a COUNTY ROAD.
   Please mark the proposed location of the driveway so that Highway Department personnel can easily locate. Once the location has been evaluated, you will be contacted and informed the price of the drainage pipe, if required.
4. Driveway Request must be on County Maintained Roads. For City Streets and State Highways, contact the respective city and/or the Alabama Department of Transportaton.
6. Please use one form per driveway request.
10. Contact Information
12. First Name*
13. Last Name*
15. Phone Number*
16. Email
18. County Road Number*
20. Location of Proposed Driveway. (Please be detailed. Provide an address number, if available, or address of the nearest residence.)*
22. Descripton of how location is marked (ie. blue tape on fence, two wooden stakes..) *
    Please be as detailed as possible.
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field