WSDOT LTAP Online Registration

Local Technical Assistance Program (LTAP) Online Registration

(NOTE: Required fields are marked with an asterisk [*].)

(name only, no titles or degrees)

*Student Name:

*Email:

*Agency:

*Phone:

*Mailing Address:

- P.O. Box if applicable

*City:

*State: *Zip Code:

Security Code:

Please enter the security code from the right:

Department:

WSDOT Org Code:

WSDOT MailStop: (WSDOT employees only)

Purchase Order:

(Only if required by your agency.)

*Select the class you wish to take:

Before submitting this request - are you sure you have selected the correct class?