Form OC 101 Adopt-A-highway Clean-Up Report - Illinois

Form OC101 is a Illinois Department of Transportation form also known as the "Adopt-a-highway Clean-up Report". The latest edition of the form was released in June 7, 2018 and is available for digital filing.

Download an up-to-date Form OC101 in PDF-format down below or look it up on the Illinois Department of Transportation Forms website.

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Adopt-A-Highway
Clean-Up Report
The electronic version of this form is available on IDOT's website at:
http://www.idot.illinois.gov/about-idot/employment-opportunities/
community-involvement/index
Submittal Instructions
Please complete this report and submit it to IDOT's AAH Coordinator using one of the following three options:
1. Submit reports electronically by clicking the 'Email' button above.
2. Leave hard copy reports attached to bags being picked up by IDOT's maintenance yard.
3. Submit hard copy reports to: Adopt-A-Highway Program
Illinois Department of Transportation
2300 South Dirksen Parkway, Rm 118
Springfield, IL 62764
(217) 557-3224
Clean-Up Date
Permit Number/Group Number
Group Contact Name (First, M.I., Last)
Group Contact Email Address
Group Name
Route Location
City
County
Number of Participants
Estimated Hours for Clean-up
Number of Bags with Trash
Number of Bags with Recyclable Materials
Please list any unusual items that were picked up or tagged.
For additional bags and vests, contact your county garage.
We would like to hear from you. In the space provided below, please take the time to provide recommendations or suggestions for
improving Illinois' Adopt-A-Highway program.
Thank you for keeping Illinois' roadsides beautiful.
Printed 06/05/19
OC 101 (Rev. 06/07/18)
Adopt-A-Highway
Clean-Up Report
The electronic version of this form is available on IDOT's website at:
http://www.idot.illinois.gov/about-idot/employment-opportunities/
community-involvement/index
Submittal Instructions
Please complete this report and submit it to IDOT's AAH Coordinator using one of the following three options:
1. Submit reports electronically by clicking the 'Email' button above.
2. Leave hard copy reports attached to bags being picked up by IDOT's maintenance yard.
3. Submit hard copy reports to: Adopt-A-Highway Program
Illinois Department of Transportation
2300 South Dirksen Parkway, Rm 118
Springfield, IL 62764
(217) 557-3224
Clean-Up Date
Permit Number/Group Number
Group Contact Name (First, M.I., Last)
Group Contact Email Address
Group Name
Route Location
City
County
Number of Participants
Estimated Hours for Clean-up
Number of Bags with Trash
Number of Bags with Recyclable Materials
Please list any unusual items that were picked up or tagged.
For additional bags and vests, contact your county garage.
We would like to hear from you. In the space provided below, please take the time to provide recommendations or suggestions for
improving Illinois' Adopt-A-Highway program.
Thank you for keeping Illinois' roadsides beautiful.
Printed 06/05/19
OC 101 (Rev. 06/07/18)

Download Form OC 101 Adopt-A-highway Clean-Up Report - Illinois

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