Feedback Form

<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"> <html lang="en-US"> <head> <TITLE>Feedback Form</TITLE> <base href="https://www.dot.ny.gov/portal/pls/portal/"> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <meta http-equiv="Content-Language" content="en-us"> <META http-equiv="Content-Style-Type" content="text/css"> <META http-equiv="Content-Script-Type" content="text/javascript"> <meta http-equiv="imagetoolbar" content="false"> <meta name="robots" content="all"> <meta name="description" content="New York State Department of Transportation coordinates operation of transportation facilities and services including highway, bridges, railroad, mass transit, port, waterway and aviation facilities"> <meta name="keywords" content="NYSDOT, new york, road construction, bridge construction, road work, NYS, contracts, bids, NY, trucking, aviation, GIS, mapping, highway, new york state department of transportation, state highway, roadwork, road conditions, highway construction"> <meta name="author" content="New York State Department of Transportation"> <meta name="Copyright" content="Copyright (c) 1999-2012 New York State Department of Transportation"> <link rel="apple-touch-icon" href="/rexdesign/design/apple-touch-icon.png"> <link rel="stylesheet" type="text/css" href="/portal/pls/portal/PORTAL.wwui_api_body.render_wizard_css?p_bg_color=FFFFFF&p_is_bidi=0&p_version=10.1.4.1.0.113"> <link rel="stylesheet" type="text/css" href="/portal/pls/portal/PORTAL.wwv_setting.render_custom_css?p_bg_color=FFFFFF&p_is_bidi=0&p_version=10.1.4.1.0.113"> <link rel="Shortcut Icon" href="/portal/page/portal/design/favicon.ico"> <link rel="stylesheet" type="text/css" href="/portal/page/portal/rexdesign/design/global2.css"> <link rel="stylesheet" type="text/css" href="/portal/page/portal/rexdesign/design/homepagecss.css"> <script type="text/JavaScript" src="/portal/page/portal/rexdesign/design/homepage.js"></script> <script type="text/JavaScript" src="/portal/page/portal/rexdesign/design/textsizer.js"></script> <link rel="stylesheet" type="text/css" media="all" href="/portal/page/portal/rexdesign/design/howdoi2.css"> <script type="text/JavaScript" src="/portal/page/portal/rexdesign/design/howdoi.js"></script> <link href="/rexdesign/design/webcast.css" rel="stylesheet" type="text/css"> <script type="text/JavaScript" src="/rexdesign/design/webcast.js"></script> <script type="text/javascript"> function stopRKey(evt) { var evt = (evt) ? evt : ((event) ? event : null); 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vertical-align:top; padding-right:3px;"></a><a href="/index">HOME</a><li class="sidenavigationfirstitem" style="border-top: 1px solid #cccccc; background:#e6e2d2;"> Feedback Form </li> </ul></div> </div><br > </DIV></TD></TR> </TABLE> </DIV></TD></TR> <TR ALIGN="LEFT"> <td valign="top" style="padding:6px 4px 0px 4px;width:100%;"><div id="p684_30601571_684_30601568_30601568"><TABLE border="0" width="100%" cellpadding="0" cellspacing="0" class="RegionNoBorder"> <TR><td class="RegionHeaderColor" style="width:100%"><div id="pcnt684_30601571_684_30601568_30601568"><div class="Bodyid1siteid0"> <TABLE width="100%" id="rg151621" border="0" cellpadding="0" cellspacing="0" summary=""><TR ALIGN="LEFT"> <td valign="top" style="padding:0px 0px 0px 0px;width:100%;"><div id="p684_30601571_684_30601568_30601568-684_16025091_684_15841937_15841937"></DIV></TD></TR> </TABLE></DIV> </DIV></TD></TR> </TABLE> </DIV></TD></TR> <TR> <TD COLSPAN="1" style="width:100%;" ><IMG SRC="/images/pobtrans.gif" height="4" width="1" alt="" style="display:block"></TD> </TR> </TABLE></TD> <td valign="top" style="width:77%"> <TABLE width="100%" id="rg730295" border="0" cellpadding="0" cellspacing="0" summary=""><TR ALIGN="LEFT"> <td valign="top" style="padding:0px 0px 0px 0px;width:100%;"><div id="p684_30601573_684_30601568_30601568"><TABLE border="0" width="100%" cellpadding="0" cellspacing="0" class="RegionNoBorder"> <TR><td class="RegionHeaderColor" style="width:100%"><div id="pcnt684_30601573_684_30601568_30601568"><div class="Bodyid1siteid0"> <div id="breadcrumb"><TABLE cellSpacing="0" cellPadding="0" width="100%" border="0" summary=""> <TR> <TD style="text-align:right;vertical-align:middle; 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document.getElementById('submitbutton').disabled = false; document.getElementById('submitbutton').style.opacity='1'; } } } </script> </head> <body> <STYLE type=text/css> BODY { BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 0px; MARGIN: 0px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; FONT-FAMILY: "Arial"; FONT-SIZE: small; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0px } P { COLOR: blue } UL { BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 0px; LIST-STYLE-TYPE: none; MARGIN: 0px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; BORDER-TOP: medium none; LIST-STYLE-IMAGE: none; BORDER-RIGHT: medium none; PADDING-TOP: 0px } LI { BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 0.25em; MARGIN: 0px; PADDING-LEFT: 0.25em; PADDING-RIGHT: 0.25em; OVERFLOW: hidden; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0.25em } INPUT { BORDER-BOTTOM: 1px solid; BORDER-LEFT: 1px solid; PADDING-BOTTOM: 0px; MARGIN: 0px; 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BORDER-LEFT: 1px solid; WIDTH: 100px; HEIGHT: 25px; FONT-SIZE: small; BORDER-TOP: 1px solid; BORDER-RIGHT: 1px solid } </STYLE> <div id="ajaxResponse" style="padding-bottom:5px; text-align:center; width:100%"></div> <ul> <FORM name="ccmcomment" id="ccmcomment" method="post" action="https://ccm.dot.ny.gov/submit/add" > <li><span> <LABEL>Name:</LABEL> <INPUT id="wdtEnvoy_lastname" type="text" name="wdtEnvoy_lastname" maxlength="200" size="50"> </span></li> <li><span> <LABEL>Address:</LABEL> <input type="text" id="wdtEnvoy_address" name="wdtEnvoy_address" size="70"> </span></li> <li><span> <LABEL>City:</LABEL> <input type="text" id="wdtEnvoy_city" name="wdtEnvoy_city" size="50" maxlength="50"> </span></li> <li><span> <LABEL>Zip Code:</LABEL> <input type="text" id="wdtEnvoy_zipcode" name="wdtEnvoy_zipcode" size="10" maxlength="10"> </span></li> <li><span> <LABEL>Email Address:</LABEL> <INPUT id="wdtEnvoy_email" type="text" name="wdtEnvoy_email" maxlength="100" size="50"> </span></li> <li><span> <LABEL>* Subject:</LABEL> <SELECT id="wdtEnvoy_subject" name="wdtEnvoy_subject"> <OPTION selected value=""> <OPTION VALUE="511NY - TRAVEL INFORMATION">511NY - TRAVEL INFORMATION</option> <OPTION VALUE="ADMINISTRATION">ADMINISTRATION</OPTION> <OPTION VALUE="AVIATION">AVIATION</OPTION> <OPTION VALUE="BRIDGES">BRIDGES</OPTION> <OPTION VALUE="BUS/TRUCK SAFETY">BUS/TRUCK SAFETY</OPTION> <OPTION VALUE="CLEAN PASS">CLEAN PASS</OPTION> <OPTION VALUE="CONSTRUCTION">CONSTRUCTION</OPTION> <OPTION VALUE="CONTRACTS">CONTRACTS</OPTION> <OPTION VALUE="ENGINEERING">ENGINEERING</OPTION> <OPTION VALUE="FUNDING">FUNDING</OPTION> <OPTION VALUE="HIGHWAYS/ROADS">HIGHWAYS/ROADS</OPTION> <OPTION VALUE="HUMAN RESOURCES">HUMAN RESOURCES</OPTION> <OPTION VALUE="LEGAL">LEGAL</OPTION>  <OPTION VALUE="PERMITS">PERMITS</OPTION> <OPTION VALUE="PLANNING">PLANNING</OPTION> <OPTION VALUE="RAIL">RAIL</OPTION> <OPTION VALUE="REAL ESTATE">REAL ESTATE</OPTION> <OPTION VALUE="TRANSITS (BUS)">TRANSITS (BUS)</OPTION> </SELECT> </span></li> <li><span> <LABEL style="height:4em;">* Please Enter Your Question or Comments:</LABEL> <TEXTAREA id="wdtEnvoy_comments" rows="10" cols="80" name="wdtEnvoy_comments"></TEXTAREA> </span></li> </ul> <div style="text-align:center; 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