Form OC 102 Adopt-A-highway Notice of Abandonment - Illinois

Form OC102 or the "Adopt-a-highway Notice Of Abandonment" is a form issued by the Illinois Department of Transportation.

Download a PDF version of the Form OC102 down below or find it on the Illinois Department of Transportation Forms website.

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Adopt-A-Highway
Notice of Abandonment
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 notice and submit it to IDOT's AAH Coordinator using one of the following two options:
1. Submit notices electronically by clicking the 'Email' button above.
2. Submit hard copy notices to: Adopt-A-Highway Program
Illinois Department of Transportation
2300 South Dirksen Parkway, Rm 118
Springfield, IL 62764
(217) 557-3224
Date of Abandonment
Permit Number/Group Number
Group Name
Group Contact Name (First, M.I., Last)
Email Address
Route Location
City
County
By checking the box, the Group representative hereby notifies the Department that the Group has ceased activities and wishes to
abandon this segment of highway enrolled in the Adopt-A-Highway Program. The Group also agrees to return all non-disposable materials
provided by the Department to the county garage from where they were received. Upon completion of this form, the Group further
acknowledges the Department will remove all signage for their Group and that the segment will immediately be available for adoption by
others.
Group Title
Date
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.
DO NOT WRITE BELOW THIS LINE
The Department acknowledges the permitted group wishes to cease Adopt-A-Highway activities along the segment of highway identified
above. The Department has hereby revoked the Adopt-A-Highway permit for the segment identified above. Roadside Adopt-A-Highway
signs will be made available to other groups and all non-disposable materials returned to the county garage where they were received.
Adopt-A-Highway Coordinator
Date
Permit Number
District Number
Thank you for participating in Illinois' Adopt-A-Highway Program.
Printed 06/05/19
OC 102 (Rev. 06/07/18)
Adopt-A-Highway
Notice of Abandonment
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 notice and submit it to IDOT's AAH Coordinator using one of the following two options:
1. Submit notices electronically by clicking the 'Email' button above.
2. Submit hard copy notices to: Adopt-A-Highway Program
Illinois Department of Transportation
2300 South Dirksen Parkway, Rm 118
Springfield, IL 62764
(217) 557-3224
Date of Abandonment
Permit Number/Group Number
Group Name
Group Contact Name (First, M.I., Last)
Email Address
Route Location
City
County
By checking the box, the Group representative hereby notifies the Department that the Group has ceased activities and wishes to
abandon this segment of highway enrolled in the Adopt-A-Highway Program. The Group also agrees to return all non-disposable materials
provided by the Department to the county garage from where they were received. Upon completion of this form, the Group further
acknowledges the Department will remove all signage for their Group and that the segment will immediately be available for adoption by
others.
Group Title
Date
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.
DO NOT WRITE BELOW THIS LINE
The Department acknowledges the permitted group wishes to cease Adopt-A-Highway activities along the segment of highway identified
above. The Department has hereby revoked the Adopt-A-Highway permit for the segment identified above. Roadside Adopt-A-Highway
signs will be made available to other groups and all non-disposable materials returned to the county garage where they were received.
Adopt-A-Highway Coordinator
Date
Permit Number
District Number
Thank you for participating in Illinois' Adopt-A-Highway Program.
Printed 06/05/19
OC 102 (Rev. 06/07/18)

Download Form OC 102 Adopt-A-highway Notice of Abandonment - Illinois

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