Feedback Form
JUNE 2014
Prospect Highway upgrade
Display of concept design and Review of Environmental Factors
Roads and Maritime Services is planning for the future upgrade of the Prospect Highway between
Reservoir Road at Prospect and St Martins Crescent at Blacktown to meet traffic demand in the corridor.
All community feedback is appreciated and will be carefully considered by Roads and Maritime in
finalising the project design. If there are any further changes to the design the community will be
informed.
Your contact details:
Name:
Email:
Address:
Contact number:
□ I would like to receive more information and updates on this project. If yes, how would you like to be
contacted by email or post? _____________________________________________________
To allow us to effectively collate your feedback, please tick the box below that best describes you.
□ Local resident
□ Community group
□ Local business name: __________________
□ Pedestrian/cyclist
□ Heavy vehicle operator
□ Transport group
□ Government agency name: ______________
□ Road user
□ Other _______________________
Your comments, feedback, suggestions, concerns, or ideas for consideration:
Roads and Maritime Services
Your comments, feedback, suggestions, concerns, or ideas for consideration:
Feedback on community information session
How did you hear about the community information sessions?
Was the community information session a useful channel to get more information? Yes / No
Comments (i.e. time, day, format, information provided):
Thank you for your feedback
Please return your comments to Roads and Maritime by Monday 30 June 2014 by either:
 Submitting this form to: the project team at the community information displays.
 Mail to: Prospect Highway upgrade, Roads and Maritime Services, PO Box 973 PARRAMATTA
CBD NSW 2124
 Or email to prospecthighway@rms.nsw.gov.au
Privacy: The Roads and Maritime Services is subject to the Privacy and Personal Information Protection Act 1998 (“PPIP Act”) which requires
that we comply with the Information Privacy Principles set out in the PPIP Act.
All information in correspondence is collected for the sole purpose of assisting in the development of the Prospect Highway upgrade. The
information received, including names and addresses of respondents, may be published in subsequent documents unless a clear indication is
given in the correspondence that all or part of that information is not to be published. Otherwise Roads and Maritime will only disclose your
personal information, without your consent, if authorised by the law. Your personal information will be held by Roads and Maritime at 27 Argyle
Street, Parramatta NSW 2150. You have the right to access and correct the information if you believe that it is incorrect.
RMS/Pub 14.207