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/ Traffic Management Plan Application
Traffic Management Plan Application
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Company/Contact Details
Company Name
*
Required
Company Name
Application Contact Name
*
Required
Given Name
Surname
Phone
*
Required
Other Phone
Email
*
Required
Traffic Management Plan Details
Type of Traffic Management Plan (TMP)
*
Required
Event TMP
Works on road - basic TMP
Works on road - Standard/Complex TMP (RTM signoff reqd)
Is the event for a not for profit organisation?
*
Required
No
Yes
Can you please name the "not for profit" organisation?
*
Required
Event Name
If the event has a name - please enter
Event Contact Person
*
Required
Event Contact Phone
*
Required
Description of event
*
Required
AWTM Designer Name
*
Required
AWTM Designer Ref/No.
*
Required
Is this a priority Traffic Management Plan i.e. starting within the next 10days?
*
Required
To be eligible for this submission you must have received prior approval from the Traffic Management Officer.
No
Yes
Proposed Start Date
- must be dd/mm/yyyy format
*
Required
Earliest start date must be 10 days in advance unless prior approval received. If variable days please enter full details in the additional date/time information box below.
DD slash MM slash YYYY
Priority Proposed Start Date
- must be dd/mm/yyyy format
*
Required
If variable days please enter full details in the additional date/time information box below.
DD slash MM slash YYYY
Proposed Start Time
*
Required
If variable times/hours please enter details in the additional date/time information box below.
Hours
:
Minutes
AM/PM
AM
PM
Proposed Completion Date
- must be dd/mm/yyyy format
*
Required
If variable days please enter full details in the additional date/time information box below.
DD slash MM slash YYYY
Priority Proposed Completion Date
- must be dd/mm/yyyy format
*
Required
If variable days please enter full details in the additional date/time information box below.
DD slash MM slash YYYY
Proposed Completion Time
*
Required
If variable times/hours please enter details in the additional date/time information box below.
Hours
:
Minutes
AM/PM
AM
PM
Additional date/time information
Please enter any additional day/time information related to the TMP for the duration of the period.
Does the event/works require road closure ?
*
Required
Yes
No
Road Traffic Manager (RTM) endorsed ?
*
Required
Yes
No
Description of works
*
Required
Set the location by Map
To select a location you can enter address details in the Address box below the map or move the pin to the required location for the Traffic Management area and click to set the location.
NOTE : Whilst the mouse is over the map the mouse scroll wheel will zoom in and out of the map. Move the mouse away from the map and the mouse scroll wheel will navigate up and down the form.
Address
I did not find the location on the map
I will manually enter the location details
Event/Works location details
*
Required
Enter Street address if known, suburb and or building name as well as nearest cross-street, landmark or identifiable objects in the vicinity.
Traffic Management Plan
*
Required
Please supply the Traffic Management Plan (TMP) in pdf format (<= 50Mb). NOTE : Only one TMP can be lodged with each submission.
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RTM sign-off
*
Required
Please supply the RTM signoff in pdf format (5Mb limit)
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WA Police sign-off
If you have WA Police sign-off, please attach a copy of the authorisation here.
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Guidelines
By ticking the box below, the applicant declares the submitted information is correct and agrees to the
City’s Traffic Management Guidelines for Events and Works on Roads.
Agreement
*
Required
Yes
CAPTCHA
Payment Details
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NOTE: THE PAYMENT PROCESSING CONTROLS ON THIS FORM ARE CURRENTLY SET FOR TEST MODE
(Use either 5555444433331111 or 4444333322221111 for the Credit Card No. with 111 as the CCV)
Payment Type Code
Fee (including GST)
*
Required
Price:
Fee (including GST)
*
Required
Price:
Fee (including GST)
*
Required
Price:
Fee (including GST)
*
Required
Price:
Fee (including GST)
*
Required
Price:
Fee (including GST)
*
Required
Price:
Total (including GST)
$ 0.00
Credit Card
*
Required
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
Security Code
Cardholder Name
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