Request New Tim Responder Course | Traffic Incident Management

Request a New TIM Responder Course

Use the form below to request the setup of a new class. A TIM Coordinator will use this information to create the class and publish it on the AZ TIM Responder Training Calendar where responders can find it and register to attend.

First Name

Last Name

Your email address

Phone Number

Instructor

Name of instructor, or "TBA" if unknown

Co-Instructor

Course Date

Course Time

Enter course time as plain text, e.g. 9am - 12 noon

Host Agency

Location Name

Street Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Message

Course description and notes about the course, location, registration, or special instructions.

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