IBTTA 2019 Toll Excellence Awards -- Private Sector -

1. Submission Guidelines:
– Please read the submission guidelines
– Please submit one (1) electronic copy of your entry by clicking submit at the end of the form
– No additional supporting materials (e.g. DVDs, hard copy documents, reports) will be accepted
– Links to websites can be included in the description below *This question is required.

Check the box to indicate that you have have read the submission guidelines

2. Please provide the following: *This question is required.

Company Name

Project/Program Name

Contact Person

Title

Street Address *This question is required.

City *This question is required.

State *This question is required.

Zip Code *This question is required.

Country *This question is required.

Email Address

Phone Number

3. Please enter the launch date for the project or program: *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

4. Yes, the applicable agency is aware of this submission

Clear

Signature of

5. Does this program have at least 12 months of proven experience? *This question is required.

How many months of proven experience is this submission based upon? *This question is required.

6. Briefly describe the project or program. *This question is required.

7. What objective(s) was the project or program designed to accomplish? *This question is required.

8. How did the project or program accomplish the stated objectives? *This question is required.

9. What was the budget for the project or program and how was funding secured? *This question is required.

10. What were the demonstrable results of the project or program that positively affected the
customer, agency and/or the community (e.g. reduced traffic congestion, lower accident
rates, increased revenue, etc.)? *This question is required.

11. Is your project or program relevant and applicable to the overall toll industry? If so, how? *This question is required.

12. How did this project or program achieve or demonstrate excellence? *This question is required.

13. Describe any innovative aspects of your project or program. *This question is required.

14. List individuals worthy of special recognition for this project or program.