Wireless Communications Request Form | Department of Transportation

What is your full name?

What is your company's name?

What is your phone number?

What is your email address?

Which carrier or tower company are you representing?

Request type? *

I want to request a pre-app for a New Wireless Telecommunications site (including new colocations)

I want to request a modification to an existing Wireless Telecommunications site

I want to request a renewal of an existing Wireless Telecommunication License

Other…

Type of facility being proposed

Macro Site

Small Cell

Colocation

Other…

Please provide Latitude and Longitude for proposed location (in decimal format, e.g. 33.245, -111.12354).

Upload File

One file only.
100 MB limit.
Allowed types: jpg, jpeg, txt, pdf, doc, docx.

What is the ADOT Lease Number (e.g. XM-0001-123) associated with this request?

Please provide a summary of the scope of work for this request.

Please upload A&E drawings and structural analysis. Please include ADOT Lease Number in your file names.

Maximum 5 files.
100 MB limit.
Allowed types: pdf, doc, docx, xls, xlsx.

Please provide any additional information that is pertinent to this request.

What is the ADOT Lease Number associated with this request (e.g., XM-0001-123)?

If applicable, please provide any additional relevant information.