To accommodate persons with disabilities, this form is available in alternate formats upon request. Date CONTACT INFORMATION Name Mr/Mrs/Ms - None -MissMsMrMrsDr First Name Last Name Address Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip Telephone Email Address STOP CONTROL -- Select --1-Way Stop Control2-Way Stop Control3-Way Stop Control4-Way Stop ControlTraffic SignalOther At the intersection of and Please note: The County of Riverside DOES NOT install stop signs to control speeding. Speeding is an enforcement issue. If this is your concern, please contact your local California Highway Patrol Office. RESTRICTED PARKING -- Select --No Parking/No StoppingTime Restricted Parking ZoneLoading ZoneOther At the intersection of and Explain SPEED ZONE On Between and Reason OTHER REQUEST OTHER REQUEST ADDITIONAL INFO ADDITIONAL INFO Please note: The County of Riverside, as a practice, does NOT install speed bumps on County-maintained Roads. The County of Riverside does not install "Children at Play" signs on a public roadway. It is the practice of the Transportation Department not to install speed limit signs on dirt roads. On a dirt road, the road surface can vary significantly due to changing weather conditions and other factors. When there is no speed limit posted on a road, the Basic Speed law as stated in Section 22350 for the California Vehicle Code applies. Speeding is an enforcement issue. Past experience has shown the most effective tool to curtail speed violators is active law enforcement. Should you observe habitual speed violators in your community, it is recommended you contact your local California Highway Patrol (C.H.P.) office. Information relating to vehicle description, time of day, direction of travel, and license plate number is very useful for the C.H.P. in prioritizing limited manpower and resources.
