Traffic Management Plan Application Step 1 of 5 0% Company/Contact DetailsCompany Name * Required Company Name Application Contact Name * Required Given Name Surname Phone * Required Other Phone Email * Required Traffic Management Plan DetailsType 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? * RequiredEvent NameIf the event has a name - please enter Event Contact Person * Required Event Contact Phone * Required Description of event * RequiredAWTM Designer Name * Required AWTM Designer Ref/No. * Required Is this a priority Traffic Management Plan i.e. starting within the next 10days? * RequiredTo 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 * RequiredEarliest 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 * RequiredIf variable days please enter full details in the additional date/time information box below. DD slash MM slash YYYY Proposed Start Time * RequiredIf 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 * RequiredIf 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 * RequiredIf variable days please enter full details in the additional date/time information box below. DD slash MM slash YYYY Proposed Completion Time * RequiredIf variable times/hours please enter details in the additional date/time information box below. Hours : Minutes AM/PM AM PM Additional date/time informationPlease 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 MapTo 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.AddressI did not find the location on the map I will manually enter the location details Event/Works location details * RequiredEnter 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 * RequiredPlease supply the Traffic Management Plan (TMP) in pdf formatAccepted file types: pdf, Max. file size: 50 MB.Maximum file size - 50 mega bytes. RTM sign-off * RequiredPlease supply the RTM signoff in pdf formatAccepted file types: pdf, Max. file size: 5 MB.Maximum file size - 5 mega bytes. WA Police sign-offIf you have WA Police sign-off, please attach a copy of the authorisation here.Max. file size: 10 MB.Maximum file size - 10 mega bytes. GuidelinesBy 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 Payment DetailsHiddenpayment_process_mode 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 CodeFee (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 MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name