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COVID-19: Distribution Event Traffic Control Support Request Form

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6023 COVID-19 Traffic Control Support_Web Header 

The City of Fort Lauderdale is committed to helping our neighbors support one another during the COVID-19 crisis. One of the ways the City can do this is by offering traffic control support to community and faith-based organizations that want to distribute food and essential items to neighbors in need.

If you would like to prevent traffic-related issues at your distribution event, the City encourages you to complete the form below. Providing some basic details about your distribution event will assist the City with assigning the appropriate number of certified personnel to manage and facilitate a smooth, organized flow of traffic during your event. Organizations are encouraged to notify the City about their distribution events as soon as possible. Resources will be assigned based on traffic impact and availability. 

To help stop the spread of COVID-19, the City encourages food distribution organizers to follow the recommended social distancing guidelines and wear recommended personal protective equipment when distributing items to our neighbors. For more information, please www.coronavirus.gov, www.floridahealth.gov, or www.cdc.gov.

For more information, please contact Keith Farrell in the City’s Office of Neighbor Support at kfarrell@fortlauderdale.gov or call the City’s 24-hour Neighbor Service Center at 954-828-8000.

1

Name of Organization/Association/Business Hosting Distribution Event:

 *
2

Contact Person:

 *
Contact Person:
3

Distribution Location Information

 *
Distribution Location Information
4
Date and Time
 *
Date and Time
5
Frequency of Event
Frequency of Event
6
What items are you distributing?  (Please check all that apply)
 *
What items are you distributing? (Please check all that apply)
7

Please list the total number of each item you will be giving away.
(i.e., total number of meals, total number of gloves, total number of masks, etc.)

 *
8
Please provide a short description of your event:
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.