Difference between revisions of "Category:101 Standard Forms"
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==Bridge== | ==Bridge== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Bridge%20Division%20Memo.dot Bridge Division Memo] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Bridge%20Survey%20Memo.dot Bridge Survey Memo] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/BridgeHydraulicsReport_English3-1-06.dot BridgeHydraulicsReport_English3-1-06] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Change%20Order.dot Change Order] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Constructability%20Questionnaire.dot Constructability Questioinnaire] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/CulvertHydraulicsReport_English3-1-06.dot CulvertHydraulicsReport_English3-1-06] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Design%20Except%20to%20District.dot Design Except to District] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Design%20Exception.dot Design Exception] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Box).dot Design Layout (Box).dot] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Grade).dot Design Layout (Grade).dot] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Stream).dot Design Layout (Stream)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Wall).dot Design Layout (Wall)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Floodplain%20Permit.dot Floodplain Permit] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/FloodplainDevelopmentPermit.ToDistrict.CoverLetter.dot Floodplain Development Permit To District Cover Letter] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Layout%20to%20District.dot Layout to District] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Layout%20to%20FHWA.dot Layout to FHWA] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Layout%20to%20Railroad.dot Layout to Railroad] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Memo%20to%20Design,%20no%20Permit%20Required.dot Memo to Design, no Permit Required] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Memo%20to%20Design,%20Permit%20Required.dot Memo to Design, Permit Required] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Memo%20to%20District.dot Memo to District] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Missouri-Illinois%20Border%20Bridge%20Clearinghouse%20Form.dot Missouri-Illinois Border Bridge Clearinghouse Form] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/No-Rise%20Certificate.dot No-Rise Certificate.dot] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Request%20For%20Soil%20Properties.dot Request For Soil Properties] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Sounding%20Layout.dot Sounding Layout] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Sounding%20Request.dot Sounding Request] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Telefax.dot Telefax] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/BR/Transmittal%20Letter.dot Transmittal Letter] |
==Construction and Materials== | ==Construction and Materials== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/30%20Day%20Reminder%20Final%20Invoice%20Letter.dot 30 Day Reminder Final Invoice Letter] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/3-Year%20Graduate%20Engr%20Training%20Checklist.dot 3-Year Graduate Engr Training Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/60%20Day%20Final%20Acceptance%20Letter.dot 60 Day Final Acceptance Letter] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Affirmative%20Action%20Certification.dot Affirmative Action Certification] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Asphalt%20Roadway%20Report.dot Asphalt Roadway Report] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Bridge%20Clearance%20Report%20(C-239A).dot Bridge Clearance Report (C-239A).dot] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Bridge%20Fabrication%20Report.dot Bridge Fabrication Report] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Concrete%20Roadway%20Report.dot Concrete Roadway Report] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Construction%20and%20Materials%20Letterhead.dot Construction and Materials Letterhead] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Contingent%20Item.dot Contingent Item] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Contractor%20Affidavit%20(C-242).dot Contractor Affidavit (C-242)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Contractor%20Performance%20Questionnaire%20Letter.dot Contractor Performance Questionnaire Letter] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Contractor%20Performance%20Questionnaire%20Signature%20Page.dot Contractor Performance Questionnaire Signature Page] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Daily%20Utility%20Report%20(C-9).dot Daily Utility Report (C-9).dot] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Documentation%20Record.dot Documentation Record] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Erosion%20Control%20Inspection%20Record.dot Erosion Control Inspection Record] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Erosion%20Control%20Product%20Questionnaire.dot Erosion Control Product Questionnaire] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Erosion%20Inspection%20Report%20Summary.dot Erosion Inspection Report Summary] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Estimate%20Cover%20Letter.dot Estimate Cover Letter] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Estimate%20Summary%20Request.dot Estimate Summary Request] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Fax%20Cover.dot Fax Cover.dot] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Final%20Acceptance%20-%20Off%20System.dot Final Acceptance - Off System.dot] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Final%20Acceptance%20(C-239).dot Final Acceptance (C-239)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Final%20Acceptance%20Checklist.dot Final Acceptance Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Final%20Plans%20Checklist.dot Final Plans Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Final%20Utility%20Report%20(C-13).dot Final Utility Report (C-13)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/FinalPlansCert.dot FinalPlansCert] |
*[[media:137 Force Account Worksheet.xls|Force Account Worksheet]] | *[[media:137 Force Account Worksheet.xls|Force Account Worksheet]] | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Inspectors%20Pay%20Qty%20Report%20(IPQR).dot Inspectors Pay Qty Report (IPQR)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Internal%20MoDOT%20Product%20Form.dot Internal MoDOT Product Form] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Milestone%20Worksheet.dot Milestone Worksheet] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Mobile%20Mixer%20Verification%20Sheet.dot Mobile Mixer Verification Sheet] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/MoDOT%20Quick%20Estimate%20Summary%20Request.dot MoDOT Quick Estimate Summary Request] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/No%20Cost%20C-O%20Sig%20FHWA.dot No Cost C-O Sig FHWA] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/No%20Cost%20C-O%20Sig.dot No Cost C-O Sig] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Nuclear%20Density%20(C-709ND).dot Nuclear Density (C-709ND)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Nuclear%20Density%20of%20Plastic%20Portland%20Cement%20Concrete%20(C-710ND).dot Nuclear Density of Plastic Portland Cement Concrete (C-710ND)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/OJT-4%20Trainee%20Contact.dot OJT-4 Trainee Contact] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/OJT-5%20Discrimination%20Complaint.dot OJT-5 Discrimination Complaint] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/OJT-6%20Final%20Summary.dot OJT-6 Final Summary] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Order%20Record.dot Order Record] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Overdimension%20Restrict.dot Overdimension Restrict] |
*[http://wwwi/intranet/cm/materials/documents/PTSSubmittalForm_000.doc Pavement Type Selection Submittal Information (PTS Submittal Form)] | *[http://wwwi/intranet/cm/materials/documents/PTSSubmittalForm_000.doc Pavement Type Selection Submittal Information (PTS Submittal Form)] | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Pay%20Quantity%20Cert.dot Pay Quantity Cert] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Pile%20Driving%20Data.dot Pile Driving Data] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Pore%20Pressure%20Report%20-%20Type%20A.dot Pore Pressure Report - Type A] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Pore%20Pressure%20Report%20-%20Type%20B.dot Pore Pressure Report - Type B] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/PreCon%20Letter%20-%20Federal%20No%20Trainees.dot PreCon Letter - Federal No Trainees] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/PreCon%20Letter%20-%20Federal.dot PreCon Letter - Federal] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/PreCon%20Letter%20-%20State.dot PreCon Letter - State] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Producer-Supplier%20List.dot Producer-Supplier List] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Profilograph%20Report.dot Profilograph Report] |
*[http://epg.modot.org/forms/CO/Railroad%20Crossing%20Inspection.dot Railroad Crossing Inspection] | *[http://epg.modot.org/forms/CO/Railroad%20Crossing%20Inspection.dot Railroad Crossing Inspection] | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/RE%20Letterhead.dot RE Letterhead] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Material%20Transfer%20Request.dot Request for Transfer of Inspected Material] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Semi-annual%20Labor%20Compliance%20Report.dot Semi-annual Labor Compliance Report] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Semi-Final%20Inspection%20(C-236).dot Semi-Final Inspection (C-236)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Subcontracts.dot Subcontracts] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Time%20Adj%20C-O%20Sig%20FHWA.dot Time Adj C-O Sig FHWA] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Time%20Adj%20C-O%20Sig.dot Time Adj C-O Sig] |
*[http://epg.modot.org/forms/CO/Wage%20Interview%20(Form%20CR-1).dot Wage Interview (Form CR-1)] | *[http://epg.modot.org/forms/CO/Wage%20Interview%20(Form%20CR-1).dot Wage Interview (Form CR-1)] | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Waste%20Disposal%20Agreement.dot Waste Disposal Agreement] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/CO/Weekly.dot Weekly] |
===Forms for Contractor Use === | ===Forms for Contractor Use === | ||
| Line 201: | Line 201: | ||
:*[http://www.modot.org/business/materials/Project%20Conflict%20Resolution%20Flowchart.pdf Conflict Resolution Flowchart] | :*[http://www.modot.org/business/materials/Project%20Conflict%20Resolution%20Flowchart.pdf Conflict Resolution Flowchart] | ||
| − | :*[http:// | + | :*[http://epg.modot.mo.gov/forms/CO/Contractor%20Affidavit%20(C-242).dot Contractor's Affidavit Regarding Settlement of Claims (C-242), 2008 version] |
:*[http://www.modot.org/pdf/business/Contractor%20Affidavit%20Regarding%20Settlement%20of%20Claims%20(C-242).pdf Contractor's Affidavit Regarding Settlement of Claims (C-242), 2000 version] | :*[http://www.modot.org/pdf/business/Contractor%20Affidavit%20Regarding%20Settlement%20of%20Claims%20(C-242).pdf Contractor's Affidavit Regarding Settlement of Claims (C-242), 2000 version] | ||
| Line 265: | Line 265: | ||
:*[http://www.modot.org/business/materials/Important%20Wage%20Rate%20Info%20FHWA-1495.pdf Important Wage Rate Info FHWA-1495] (also available [http://www.modot.org/business/materials/Important%20Wage%20Rate%20Infor%20FHWA1495a%20(Spanish).pdf en español]) | :*[http://www.modot.org/business/materials/Important%20Wage%20Rate%20Info%20FHWA-1495.pdf Important Wage Rate Info FHWA-1495] (also available [http://www.modot.org/business/materials/Important%20Wage%20Rate%20Infor%20FHWA1495a%20(Spanish).pdf en español]) | ||
| + | |||
:*[http://www.modot.org/business/materials/Job%20Safety%20&%20Health%20OSHA%203165.pdf Job Safety and Health OSHA] (also available [http://www.modot.org/business/materials/Job%20Safety%20&%20Health%20OSHA%20%20Spanish%203167.pdf en español]) | :*[http://www.modot.org/business/materials/Job%20Safety%20&%20Health%20OSHA%203165.pdf Job Safety and Health OSHA] (also available [http://www.modot.org/business/materials/Job%20Safety%20&%20Health%20OSHA%20%20Spanish%203167.pdf en español]) | ||
| Line 303: | Line 304: | ||
==Design== | ==Design== | ||
===Bridge=== | ===Bridge=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Bridge/404%20Permits.dot 404 Permits] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Bridge/BridgeSurvey%20Report%20Form%20-%20English.dot Bridge Survey Report Form] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Bridge/Structural%20Rehab%20Checklist.xlt Structural Rehab Checklist (Excel)] |
===Checklist=== | ===Checklist=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Checklist/Design%20Progress%20Check%20List.dot Design Progress Check List] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Checklist/District%20Final%20Design%20Checklist%20-%20D12.dot District Final Design Checklist - D12] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Checklist/Preliminary%20Plans%20Check%20List.dot Preliminary Plans Check List] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Checklist/Right%20of%20Way%20Check%20List.dot Right of Way Check List] |
===Computer=== | ===Computer=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Computer/Design%20Computer%20Files%20&%20Drawings%20Log%20Sheet%20-%20D-97.dot Design Computer Files & Drawings Log Sheet - D-97] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Computer/MicroStation%20Computer%20Drawings%20Log%20Sheet%20-%20D96.dot MicroStation Computer Drawings Log Sheet - D96] |
===Contracts=== | ===Contracts=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Contracts/Award.dot Award] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Contracts/Computer%20Deliverable%20Contract%20Plans%202003.dot Computer Deliverable Contract Plans 2003] |
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Consultant Services Contract - State Funded (MoDOT Users)] | *[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Consultant Services Contract - State Funded (MoDOT Users)] | ||
| Line 337: | Line 338: | ||
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot DE11] | *[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot DE11] | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Contracts/Sample%20Scope%20of%20Services%20-%20Location%20and%20Environment.dot Sample Scope of Services - Location and Environment] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Contracts/Sample%20Scope%20of%20Services%20Design.dot Sample Scope of Services Design] |
| Line 347: | Line 348: | ||
*[http://epg.modot.mo.gov/forms/DE-DEForms/4R%20PAVEMENT%20REHABILITATION%20ANALYSIS%20DATA%20AND%20CONCEPTUAL%20STUDY%20REPORT.dot 4R Pavement Rehabilitation Analysis Data and Conceptual Study Report] | *[http://epg.modot.mo.gov/forms/DE-DEForms/4R%20PAVEMENT%20REHABILITATION%20ANALYSIS%20DATA%20AND%20CONCEPTUAL%20STUDY%20REPORT.dot 4R Pavement Rehabilitation Analysis Data and Conceptual Study Report] | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Aerial%20Mosiac%20Submittal%20for%20Recon%20Study.dot Aerial Mosiac Submittal for Recon Study] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Commission%20Backup%20Form%20Blank.dot Commission Backup Form Blank] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Commission%20Backup%20Form%20Instructions.dot Commission Backup Form Instructions] |
*[http://epg.modot.mo.gov/forms/DE-DEForms/Conceptual%20Study%20Report.dot Conceptual Study Report] | *[http://epg.modot.mo.gov/forms/DE-DEForms/Conceptual%20Study%20Report.dot Conceptual Study Report] | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Consultant%20Rating%20Form.dot Consultant Rating Form] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Cultural%20Resource%20Assessment%20Letter.dot Cultural Resource Assessment Letter] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/D-28%20Sign%20Design%20Order%20Form.dot D-28 Sign Design Order Form] |
*[http://epg.modot.mo.gov/forms/DE-DEForms/DESIGN%20EXCEPTION%20INFORMATION.dot Design Exception Information] | *[http://epg.modot.mo.gov/forms/DE-DEForms/DESIGN%20EXCEPTION%20INFORMATION.dot Design Exception Information] | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Equipment%20and%20Materials%20List.dot Equipment and Materials List] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Highway%20Lighting%20Warrants%20D21.dot Highway Lighting Warrants D21] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Inquiry%20Report.dot Inquiry Report] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Job%20Special%20Provisions%20Stylesheet.dot Job Special Provisions Stylesheet] |
*[http://epg.modot.mo.gov/forms/DE-DEForms/Location%20Study%20Report.dot Location Study Report] | *[http://epg.modot.mo.gov/forms/DE-DEForms/Location%20Study%20Report.dot Location Study Report] | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Pavement%20Distress%20Log%20Form%20-%20Asphalt%20-%2011x17.dot Pavement Distress Log Form - Asphalt - 11x17] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Pavement%20Distress%20Log%20Form%20-%20Concrete%2011x17.dot Pavement Distress Log Form - Concrete 11x17] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Pavement%20Repair%20Log.dot Pavement Repair Log] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Preliminary%20Plans%20Proposal%20Review.dot Preliminary Plans Proposal Review] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Preliminary%20Signal%20Plan%20Submittal.dot Preliminary Signal Plan Submittal] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/PROJECT%20ASSIGNMENTS%20AND%20COMPLETION%20DATES.dot Project Assignments and Completion Dates] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/PROJECT%20CORE%20TEAM%20CERTIFICATION_D13.dot Project Core Team Certification D13] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Project%20Data%20for%20BAMS.dot Project Data for BAMS] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Project%20Initialization%20Estimate%20Form.dot Project Initialization Estimate Form] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Submittal%20to%20Professional%20Services%20Committee.dot Submittal to Professional Services Committee] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Suggested%20Revision%20to%20a%20CADD%20Standard.dot Suggested Revision to a CADD Standard] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Test-Cultural%20Resource%20Assessment%20Letter.dot Test-Cultural Resource Assessment Letter] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Traffic%20Signal%20Warrants,%20Form%20D22.dot Traffic Signal Warrants, Form D22] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Utility%20Print%20Submittal%20Letter.dot Utility Print Submittal Letter] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/Utility%20Print%20Submittal%20letter_Revised%20Plans.dot Utility Print Submittal letter_Revised Plans] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-DEForms/WORK%20DAY%20STUDY%20-%20124.dot Work Day Study - 124] |
===Environmental and Cultural=== | ===Environmental and Cultural=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Categorial%20Exclusion%20Form.dot Categorical Exclusion Form] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Categorial%20Exclusion%20For%20Hardships%20Determined.dot Categorical Exclusion Determination for Hardships] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Categorial%20Exclusion%20Form.dot Cultural Resource Assessment Letter] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Cultural%20Resource%20Structure%20Log.dot Cultural Resource Structure Log] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/DNR%20Land%20Survey%20Request.dot DNR Land Survey Request] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Farmland%20Conversion%20IMpact%20Rating%20(Site).dot Farmland Conversion Impact Rating (Corridor)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Farmland%20Conversion%20Impact%20Rating%20(Corridor).dot Farmland Conversion Impact Rating (Site)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Fig%202-06-9,%20Farmland%20Conversion%20Impact%20Rating.dot Fig 2-06-9, Farmland Conversion Impact Rating] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Initial%20Site%20Assessment%20Form.dot Initial Site Assessment Form] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Request%20for%20Environmental%20Studies.dot Request for Environmental Studies] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/RES%20Instruction%20sheet.doc RES Instruction sheet] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Env&Cultural/STRUCT.dot STRUCT] |
===Hearings=== | ===Hearings=== | ||
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Generic Meeting Sign-Up Sheet] | *[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Generic Meeting Sign-Up Sheet] | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Hearings/Notice%20of%20Formal%20Public%20Hearing.dot Notice of Formal Public Hearing] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Hearings/Open-House%20Public%20Hearing.dot Open-House Public Hearing] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Hearings/Public%20Hearing%20Statement%20Form.dot Public Hearing Statement Form] |
===Materials=== | ===Materials=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Materials/Hazardous%20Waste%20Removal%20Bid%20Information.dot Hazardous Waste Removal Bid Information] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Materials/Itemized%20Proposal%20-%20Demolition,%20Asbestos,%20UST%20Removal.dot Itemized Proposal - Demolition, Asbestos, UST Removal] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Materials/Materials%20Suppliers,%20Source%20and%20Location.dot Materials Suppliers, Source and Location] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Materials/Request%20for%20Asphalt%20Cement%20%25%20Grade.dot Request for Asphalt Cement % Grade] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Materials/Soil%20Info%20Request.dot Soil Info Request] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Materials/Soil%20Survey%20Request.dot Soil Survey Request] |
===Photo=== | ===Photo=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Photo/Aerial%20Photography%20Requisition.dot Aerial Photography Requisition] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Photo/Microfilm-Print%20Billing%20Form.dot Microfilm-Print Billing Form] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Photo/Prints%20of%20Previous%20Photography%20Requistion.dot Prints of Previous Photography Requistion] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Photo/Request%20for%20Color%20Copies.dot Request for addition to flight program] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Photo/Request%20for%20addition%20to%20flight%20program.dot Request for Color Copies] |
===Planning=== | ===Planning=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Planning/ARAN%20Report%20Request.dot ARAN Report Request] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Planning/Conceptual%20Study%20Traffic%20Count%20Request.dot Conceptual Study Traffic Count Request] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Planning/Fis%20Formc.dot Fis Formc] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Planning/Turning%20Movement%20Traffic%20Count%20Request.dot Turning Movement Traffic Count Request] |
===Right of Way=== | ===Right of Way=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/3-4.1a.dot 3-4.1a] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/3-4.1b.dot 3-4.1b] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/3-4.2a.dot 3-4.2a] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/Forthcoming%20RW%20Plan%20changes.dot Forthcoming RW Plan Changes] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/Preliminary%20Right%20of%20Way%20Estimate.dot Preliminary Right of Way Estimate] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/Right%20of%20Way%20Plans%20Reviewed.dot Right of Way Plans Reviewed] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/Right%20of%20Way%20Plans%20to%20Dist%20RW%20Agent.dot Right of Way Plans to Dist RW Agent] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Apr%20Condemnation%20Required%20.dot RW Apr Condemnation Required] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Change%20Information%20for%20Microfilming.dot RW Change Information for Microfilming] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Plans%20-%20Commission%20Certification%20(Amended).dot RW Plans - Commission Certification (Amended)] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Plans%20-%20Commission%20Certification.dot RW Plans - Commission Certification] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Plans%20Approval%20-%20Letter%20of%20Certification.dot RW Plans Approval - Letter of Certification] |
===Scoping=== | ===Scoping=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Bridge%20Checklist.dot Bridge Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Construction%20and%20Materials%20Checklist.dot Construction and Materials Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Design%20Checklist.dot Design Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Draft%20Project%20Scoping%20Memorandum.dot Draft Project Scoping Memorandum] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Environmental%20Checklist.dot Environmental Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/FHWA%20Checklist.dot FHWA Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Maintenance%20Checklist.dot Maintenance Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Major%20Project%20Scope%20or%20Estimate%20Change.dot Major Project Scope or Estimate Change] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Non-Major%20Project%20Scope%20or%20Estimate%20Change.dot Non-Major Project Scope or Estimate Change] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Planning%20Checklist.dot Planning Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Development%20Liaison%20Checklist.dot Project Development Liaison Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Estimate%20Quality%20Assurance%20Report.dot Project Estimate Quality Assurance Report] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Scoping%20Checklist.dot Project Scoping Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Scoping%20Memorandum.dot Project Scoping Memorandum] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Public%20Information%20and%20Outreach%20Checklist.dot Public Information and Outreach Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Railroad%20Checklist.dot Railroad Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Right%20of%20Way%20Checklist.dot Right of Way Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Traffic%20Checklist.dot Traffic Checklist] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Scoping/Utilities%20Checklist.dot Utilities Checklist] |
===Survey=== | ===Survey=== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Survey/Center%20Line%20Staking%20-%20Letter%20to%20Property%20Owner.dot Center Line Staking - Letter to Property Owner] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Survey/Center%20Line%20Staking.dot Center Line Staking] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Survey/Permanent%20RW%20Marker%20Setting%20-%20letter%20to%20property%20owner.dot Permanent RW Marker Setting - letter to property owner] |
| − | *[[http:// | + | *[[http://epg.modot.mo.gov/forms/DE-Survey/Permanent%20RW%20Marker%20Settings.dot Permanent RW Marker Settings] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Survey/Preliminary%20Surveying%20-%20letter%20to%20property%20owner%201.dot Preliminary Surveying - letter to property owner 1] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Survey/Preliminary%20Surveying%20-%20letter%20to%20property%20owner.dot Preliminary Surveying - letter to property owner] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Survey/Preliminary%20Surveying.dot Preliminary Surveying] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Survey/RW%20Marker%20Setting.dot RW Marker Setting] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/DE-Survey/Survey%20Request%20Form.dot Survey Request Form] |
| Line 565: | Line 566: | ||
==Motor Carrier Services== | ==Motor Carrier Services== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/MCS/Accounting%20Payment%20Error%20Notice.dot Accounting Payment Error Notice] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/MCS/IRP%20Altered%20Temporary.dot IRP Altered Temporary] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/MCS/IRP%20Outstanding%20Temporaries.dot IRP Outstanding Temporaries] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/MCS/IRP%20Surrendering%20Plates.dot IRP Surrendering Plates] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/MCS/IRP%20Suspension.dot IRP Suspension] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/MCS/IRP-IFTA%20Reject%20Letters.dot IRP-IFTA Reject Letters] |
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/MCS/MCS%20MoDOT%20Letterhead.dot MCS MoDOT Letterhead] |
==Planning== | ==Planning== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/MCS/MCS%20MoDOT%20Letterhead.dot MTFC Letterhead] |
==Right of Way== | ==Right of Way== | ||
| − | *[http:// | + | *[http://epg.modot.mo.gov/forms/RW/RW%20Mortgage%20Analyzer.xlt RW Mortgage Analyzer (Excel)] |
Revision as of 08:54, 8 October 2008
Contents
Standard forms organized by functional unit are accessible from this page. The files accessible by the links below are identical to those accessed through Word, Excel or other software application by MoDOT employees. Many of these file links are also contained in Engineering Policy Guide articles that refer to the forms.
Bridge
Construction and Materials
Forms for Contractor Use
Construction and Contractor Related
Materials Related
Posters, Federal Aid
- Equal Employment Opportunity (also available en español)
- Important Wage Rate Info FHWA-1495 (also available en español)
- Job Safety and Health OSHA (also available en español)
- Minimum Wage 1088 (also available en español)
- Notice Polygraph WH 1462 (also available en español)
Posters, State Aid
- Workers Compensation WC 106 (also available en español)
Utility or Right of Way Related
Design
Bridge
Checklist
Computer
Contracts
Design Forms
Environmental and Cultural
Hearings
Materials
Photo
Planning
Right of Way
Scoping
Survey
Motor Carrier Services
Planning
Right of Way
