Street Lab Intake Request | City of Edmonton

Use this form to request the City to explore a Vision Zero Street Lab in your neighbourhood to address traffic safety concerns.

First Name

Last Name

Phone

Which neighbourhood do you believe would benefit from a Vision Zero Street Lab?

Traffic Concerns

Tell us about your traffic concerns:

Are there issues with speeding?
Are there issues with pedestrian safety?
Are there issues with short-cutting?
Are there issues with poor driver attention?
Where do you see these concerns (intersections or areas)

Please describe:

What do you hope to achieve by having a Street Lab in your neighbourhood?

Is there anything else you would like to share with us about your traffic safety concerns?

Do you consent to give COE Safe Mobility your contact information to communicate with you for future Safe Mobility programs in your neighbourhood?

YesNo

If your neighbourhood is selected for a Vision Zero Street Lab, would you like to receive project updates from Safe Mobility?

YesNo

Your personal information is being collected for the purpose of requesting a Vision Zero Street Lab. Collection is authorized under Section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act and is managed and protected in accordance with the Act. If you have any questions about the collection and use of your information, contact Team Lead, Community Activation with Safe Mobility, 16th Floor Edmonton Tower, 10111 104 Avenue, Edmonton, AB, T5J 0J4, 780-218-4457, safemobilitybsa@edmonton.ca.