2. First Name*
3. Last Name*
5. Address
7. City
8. State
9. Zip Code
11. Phone Number*
12. Email Address
14. Select the location of traffic signal

    1. Airport Blvd. at Ross Ave.
    2. Airport Blvd. at Westgate Dr.
    3. Airport Blvd. at Nielson St.
    4. Airport Blvd. at Loma Prieta Ave.
    5. Airport Blvd. at Hangar Way
    6. Airport Blvd. at Freedom Blvd.
    7. Freedom Blvd. at Alta Vista Ave.
    8. Freedom Blvd. at Brennan St.
    9. Freedom Blvd. at Clifford Ave.-Gardner Ave.
    10. Freedom Blvd. at Crestview Dr.
    11. Freedom Blvd. at Davis Ave.
    12. Freedom Blvd. at Green Valley Rd.
    13. Freedom Blvd. at Martinelli St.
    14. Green Valley Rd. at Carnation Dr.
    15. Green Valley Rd. at Harkins Slough Rd.-Silverleaf Dr.
    16. Green Valley Rd. at Home Depot Dwy
    17. Green Valley Rd. at Kralj Dr.
    18. Green Valley Rd. at Lawrence Ave.
    19. Green Valley Rd. at Loma Prieta
    20. Green Valley Rd. at Quiet Meadow Dr.
    21. Main St. at Second St.-Maple Ave.
    22. Ohlone Parkway at Harkins Slough Rd.
    23. Rodriguez St. at W. Beach St.
    24. Rodriguez St. at W. Lake Ave.
    25. West Beach St. at Lee Rd.
16. Day of the week*

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
17. Time of day*
18. Direction of travel*

    1. Northbound
    2. Southbound
    3. Eastbound
    4. Westbound
20. Describe your concern*
22. Cal Trans Traffic Signals
    Cal Trans Traffic Signals

    If you do not see the traffic signal listed in the City's list, it could be property of Caltrans.
23. County of Santa Cruz Traffic Signals
    County of Santa Cruz Public Works

    If you do not see the traffic signal listed in the City's list, it could be property of Santa Cruz County. To report a traffic operational problem after hours: (831) 477-3999.
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26. Email address

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