State of Vermont - Environmental Assistance Office

Please fill out the fields below and click the [Submit] button to obtain a user pass for the use of Other Power Driven Mobility Devices (OPDMD) on Agency of Natural Resources Land

Name:

* required *

Address:

* required *

Town:

* required *

State:

* required *

Zip:

* required *

Phone#:

* required *

Email Address:

* required *

Date of Birth:

* required *

Duration of pass:

* required *

What classes of OPDMDs will you be using:

CLASS I: Small (vehicle width less than 36 inches)

CLASS II: (ATVs, vehicle width of 36 to 50 inches)

CLASS III: (UTV, autos, vehicle width more than 50 inches)

Region (select all that apply)

North-East

North-West

South-East

South-West

Central

Please tell us some trails/areas that you will be accessing and what kind of activities you will engage in so that we can better target our efforts to increase accessibility:

Please note that all OPDMD use is restricted to 3 mph which is the average pedestrian walking speed. This is in order to provide a safe environment for all users.

To view the full Agency of Natural Resources policy on OPDMDs please see http://fpr.vermont.gov/accessibility

By clicking the [Submit] button, you hereby affirm that you have a mobility disability.