Apply to Adopt-a-Mile for Alabama County Roads

Adopt-a-Mile — County Road Application form

Tell us about your organization

Organization Name(Required)

Type of Organization(Required)

County(Required)

Organization Address(Required)

City(Required)

State(Required)

Postal Code(Required)

Phone(Required)

Contact Person Information

Name(Required)

First Last

Address(Required)

City(Required)

State(Required)

Postal Code(Required)

Email(Required)

Phone(Required)

Highway section(s) you propose to adopt

County Road #(Required)

From Mile Post

To Mile Post

If the county road has mile markers (many don't), you can enter in the start mile marker and the end mile marker of the road section you'd like to adopt. If no markers exist, use the Description box to define the starting and ending point.

Description of Section

If the county road doesn't have any mile markers, use this text box to provide a description that defines the starting and ending points of the section of road you would like to adopt.

I authorize the use of the typed name below as an electronic signature.

Leave this checkbox unchecked if you would like to print this form and fax or mail it.

If you check this box, please type in your name below. Your form will be submitted automatically to Alabama PALS.

Electronic Signature

For Program Sponsorship Information or to Ask About Planned Giving, please email [email protected]

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Apply to Adopt-a-Mile for Alabama County Roads

Adopt-a-Mile — County Road Application form

Tell us about your organization

Contact Person Information

Highway section(s) you propose to adopt

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