Request a Roadside Memorial

Step 1.Find out if you are eligible

To place a memorial marker in someone's honor:

• the person who passed must have passed as a result of a motor vehicle, pedestrian or bicycle crash on segments of roadways within incorporated Clearwater city limits
• the request must be made by an immediate family member or friend
• the request must be signed off by an immediate family member
• The fatality must have occurred after January 1, 2005. 

Step 2.Fill out the form

Fill out the form with the location of the crash, date, name of the deceased, safety message of choice, your name and relationship to the deceased, contact information and payment of $300. 

Download the form(PDF, 257KB)

Step 3.Mail, fax or drop off the form at the Clearwater Municipal Services Building

Mailing Address
City of Clearwater
Public Works Department/Traffic Engineering
P.O. Box 4748
Clearwater, FL 33758-4748

Physical Address
Municipal Services Building, Suite #220
100 S. Myrtle Ave.
Clearwater, FL 33756-5520

Phone: (727) 562-4750
Fax: (727) 562-4755

Office Hours: Monday to Friday: 8 a.m. to 4:30 p.m.

Step 4.What happens next?

• Memorial markers will be designed, constructed and installed by the Clearwater Traffic Operations Division.
• The Traffic Operations Division will be responsible for designing the sign and ensuring proper and safe placement – the exact location will be at the discretion of the City. Memorial markers will not be allowed within the limits of active construction work zones.
• There shall be no activities while the memorial marker is in place that poses a safety hazard to the public or that violates any provision of Chapter 316 of the Florida Statutes concerning stopping, standing, parking, or obstruction of traffic on public roads.
• You will be notified once the installation is complete.
• Memorial markers will be allowed to remain in place for one year after installation unless earlier removal is necessitated by construction activities. After one year, the sign will be removed by the City. If you wish to keep the sign, you may request to keep it.