Complete this worksheet to request an extension of a CTR deadline. Click the submit button to send the form electronically to your Employer Transportation Representative. Or print and mail the form to:

Commute Trip Reduction Services
King County Metro
400 Yesler Way
MS: YES-TR-0650
Seattle, WA 98104

Request Information

You are requesting an extension for (choose one from list):

Submitting your annual program reportImplementing your approved programImplementing an approved program element(s)Completing your mandatory site survey

Please state your reason for requesting this extension (required):

Company Information

Organization name

Branch

Site address

City

State

Zip Code

Date

Phone

E-mail

For Internal Use Only

Date Received

Approved

By

Original Due Date

Number of Days

Revised Due Date
(Calculated by database)