Okaloosa County BOCC — May 19, 2015 — 2015 FTP SIS Comment Form

PUBLIC COMMENT FORM The Florida Department of Transportation encourages written comments. This form is part of the public record. Name: Organization: Contact Information: Date or Meeting Attended: Please make your comment(s) as specific as possible and offer suggestions to address your concerns. You may continue on the back, if necessary. This form is part of the public record. COMMENT(S): Please give your completed form to FDOT Staff or email to Regina Colson at regina.colson@dot.state.fl.us. If you wish to mail your comment form back please send to: Regina Colson, Florida Department of Transportation, MS 28, 605 Suwannee Street, Tallahassee, FL 32399. Additional comment(s) can be made on-line: www.FloridaTransportationPlan.com Please note: Florida has a very broad public records law. Most written communications to or from state officials regarding state business are public records available to the public and media upon request. Your email communications may be subject to public disclosure. Public participation is solicited without regard to race, color, national origin, age, sex, religion, disability, or family status. Persons who require special accommodations under the American with Disabilities Act or persons who require translation services (free of charge) should contact Paula San Gregorio at Toll Free 866-374-3368, extension 4800 or at 850-414-4811.