Select the Highway Safety Day date and location for which you would like to register. If you need to register for an additional location, you will need to submit another registration form and will prompted at the end of the registration process.
What is the name of your county/municipality?
To whom should we send Highway Safety Day correspondence, audiometric test results, and MSHA certification sheets?
Please provide a phone number for the contact listed above.
Please provide the name of the Highway Commissioner/Director of Public Works
Please provide a phone number for the Highway Commissioner/Director of Public Works