Street Closure Request Form

Consideration for usage must be presented 60 days prior to the event date. The undersigned herewith requests the use of the following city streets and/or parking areas listed below and acknowledges any use of spray paint or adhesive markings on city streets and/or trails is prohibited.

If you are holding an event on a city street or in a city parking lot, you will need to complete the Site Safety Plan, located at the bottom of this page (along with your Road Closures Application).

Applications are also available at the Mayor’s office, 132 S. Main Street, Monday-Friday, 8 am to 4 pm.

Requests are reviewed on the 2nd Monday of the month by the members of the Batesville Board of Works. Final decisions will be forwarded to the contact name listed on the application.

Event Details

Event Name (required)

Contact Name (required)

Organization (if applicable)

Email (required)

Phone number (required)

Date of requested closure (required)

Requested street(s)/parking lot(s) to be closed (required)

Hours of requested closure (required)

Address, State, Zip Code (required)

Requirements

Please check off that you have done the following:
Form may not be submitted unless all items are completed.

Submitted route(s)
Notified property owners of affected street(s) closure

Additional Information

Please select the following, if needed:

xRequest ConesRequest BarricadesRequest Police Traffic Assistance

Additional Requests

Certificate of Liability (if applicable)

Upload a copy of your Certificate of Liability (only applies to usage of parking lots.)

Site Safety Plan (if applicable)

Groups that are holding Festivals/Events of Assembly must submit a Site Safety Plan to the Batesville Fire Chief.

Check here to submit Site Safety Plan

Event Coordinator

Name (required)

Phone number (required)

Secondary Event Coordinator

Name (required)

Phone number (required)

Equipment to be used (required)
List items used to close/block off parking lot/road

Life Safety Strategy
See Chapter 4 of the Indiana Fire Code, Section 404.3.2, #4

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