Adopt-A-Street Completion Form

This form is used by the Adopt-A-Street Program Coordinator to keep track of program participants and the frequency of projects they are involved in. Please remember to fill out and submit this form after each cleanup. 

Download t​he form for Mail, FAX, or Email delivery.

Note: Call the Adopt-a-Street Program Coordinator at (916) 875-ROAD, the following business day after each cleanup to report completion. 


For information regarding the Adopt-A-Street program Completion Form contact:

Customer Service
4100 Traffic Way, Sacramento, CA 95827   
Phone:  916-875-5171
Fax:  916-875-5773