City of Joondalup Forms – A Global City: Bold | Creative

Company/Contact Details

Company Name*

Application Contact Name*

Given Name Surname

Phone*

Other Phone

Email*

Traffic Management Plan Details

Type of Traffic Management Plan (TMP)*

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?*

No

Yes

Can you please name the "not for profit" organisation?*

Event Name

If the event has a name – please enter

Event Contact Person*

Event Contact Phone*

Description of event*

AWTM Designer Name*

AWTM Designer Ref/No.*

Is this a priority Traffic Management Plan i.e. starting within the next 10days?*

To be eligible for this submission you must have received prior approval from the Traffic Management Officer.

No

Yes

Proposed Start Date*

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.

Priority Proposed Start Date*

If variable days please enter full details in the additional date/time information box below.

Proposed Start Time*

If variable times/hours please enter details in the additional date/time information box below.

:

Proposed Completion Time*

If variable times/hours please enter details in the additional date/time information box below.

:

Proposed Completion Date*

If variable days please enter full details in the additional date/time information box below.

Priority Proposed Completion Date*

If variable days please enter full details in the additional date/time information box below.

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 ?*

Yes

No

Road Traffic Manager (RTM) endorsed ?*

Yes

No

Description of works*

Address of closure

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Event / Works location details*

Building name, nearest cross-street, landmark or identifiable objects in the vicinity

Traffic Management Plan*

Please supply the Traffic Management Plan (TMP) in pdf format

Accepted file types: pdf, Max. file size: 50 MB.

WA Police sign-off

If you have WA Police sign-off, please attach a copy of the authorisation here.

Max. file size: 10 MB.

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*

Yes

Payment Details

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payment_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 Code

Fee (including GST)*

Price:

Fee (including GST)*

Price:

Fee (including GST)*

Price:

Fee (including GST)*

Price:

Fee (including GST)*

Price:

Fee (including GST)*

Price:

Total (including GST)

Credit Card*

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

TRAFFIC MANAGEMENT PLAN SUBMISSION

Company/Contact Details

Traffic Management Plan Details

Guidelines

Payment Details