Adopt-A-Highway Report Cleanup

Adopt-A-Highway Cleanup Report

If you need help completing this form, please contact the coordinator for your county.

Fields marked with an asterisk (*) are required.

Group Information

Group Number

Group Name

Group Contact

Contact First and Last Name

Contact Phone Number

Contact Email Address

Cleanup Information

Date Completed

County

Site Number or Description

Bags of Trash Collected

Bags of Recycling Collected

Number of Participants

Number of Hours

Comments

In the space below please take the time to provide recommendations or suggestions for improving Wisconsin's Adopt-A-Highway program. We would like to hear from you.

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