TMP Request Form

To request a Traffic Management Plan (TMP) please complete the form below. If you would like to enquire about our TMP design service please contact us here.

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If you are selecting to not open an account with Parallaxx you will be required to pay in advance for your TMP

I am an EXISTING Parallaxx customerI am NEW client to Parallaxx

1. Email address *

2. Who's the request for (your name) *

3. The organisation who this request is for *

(who are we billing)

4. Your mobile number *

5. Once complete, this TMP needs to be *

Returned to me (the requesting person)Submitted to the Road Controlling Authority (RCA)Returned to me (requesting person) then submit to the RCAOther

6. Work Information

(what work is happening & where)

7. What is the work activity?

(the more detail the better)

8. Will the TMP be required to allow for continuous work over multiple days? *

(i.e a 'long term' operation) or is this a daily 'in and out' activity?


Location

Complete the following location AND please provide a sketch, aerial markup or similar imagery (i.e photos) by email to info@parallaxx.co.nz to ensure correct TMP preparation

9. Work Location *

(physical address)

10. Where is the work located? *

(select all that apply)
Carriageway - In the Road (where the traffic drives)Carriageway - Shoulder (outside the edgeline, where the traffic doesn't drive)Front Berm (grass or similr - between footpath & road)Back Berm (grass or similar - between foothpath & boundary)Foothpath (part of all)Other


Work Dates

(please provide as accurate as possible date information and work duration. Include contingency if appropriate).

11. The actual work itself needs how many days/ nights/ weeks/ months? *

(DO NOT give a window, give actual work requirements)

12. This work duration includes appropriate contingency *

YesNo

13. When would you like the first day of work to begin? DD/MM/YYYY *

14. When would you like the end of the work window to finish? DD/MM/YYYY *

(i.e end date of the TMP) (must not be less than the required workdays)

15. Will this TMP be required multiple times? *

YesNo


Working Hours

(Remember working hours may be restricted by the Road Controlling Authority (for Level 2, roads this is typically 9am-4pm weekdays, 7am-7pm weekends and 9pm -6am night works))

16. What working hours are you hoping for? *

(do not include Traffic Management setup & removal time)


Traffic Management Requirements

This is the TMP methodology you are expecting needing (if you don't know, we can assist you). If during the TMP design process your desired Traffic Management method needs to change, we will get in touch and discuss this with you.

17.Traffic Management Type

(select all that apply)
I don't know, you tell meSite AccessShoulder ClosureFoothpath/Berm Closure or DiversionPartial Lane Closure (some-way into the road but not pushing traffic across the centreline)Contraflow (realigning the traffic lanes and adjusting the centreline with cones)Stop/Go OperationTemporary Traffic Signals OperationLane Closure (of a multi-lane road)ChicaneOne-Way Road Closure (one-way detour)Road ClosureOther


Principal Contract (Asset Owner)

This is the individual commissioning the work - the OWNER OF THE ASSET (i.e Auckland Transport, Vector, Watercare). Another contractor (if this job is subcontracted), or a consultant is NOT the principal

18. Principal Contact Name *

19. Principal Contact Company/Organisation *

20. Is this Principal already an AT customer? *

(do they have an existing customer number or have they been billed by AT before)
YesNo (they will need to fill out a new customer form- download from link below)


Please download and complete the two attached documents

http://tiny.cc/AT_Customer_App_Form
https://tinyurl.com/AT-Terms-of-Business

21. Do we already have the Principal Contact Info for this person in our records? *

YES (skip the next 2 questions)NO (complete the information below)

22. Principal Contact Email Address *

23. Principal Contact Phone Number *


Contractor Contact (who is doing the work)

This is the person responsible for the work activity on site (they are named on the TMP as the 'Contractors Representative')

24. I am the Contractor contact (person filling in this form) *

(if yes, we have your information already)
YES (continue to the next section)NO (complete all questions in this section)

25. Contractor Contact Name

(if not you)

26. Contractor Organisation

27. Contractor Contact Mobile Number

28. Who will undertake the Traffic Management Onsite? *

Please supply this for meAn external provider (please provide their name below)We will supply the traffic Management ourselves - skip to the next section

29. External TTM Provider

(The external TTM provider I'm using)


Financial Information

(So we can ensure things are processed smoothly internally and externally)

30. Purchase order for this TMP request is *

31. If submission to the Road Controlling Authority is required, who will accept the application costs?

I will (purchase order required below)Watercare Services (A WSL PO No. for the CAR charges (starting with 4500) is required)Another Bill PayerOther

32. The Purchase Order for the submission Charge is

If the Bill Payer is NOT Utility, Auckland Transport, Auckland Council or NZTA - the following form must be completed and returned (E2 Form)
Auckland Transport alternate bill payer Form (E2 Form): https://tinyurl.com/AT-E2-Form