Category:101 Standard Forms: Difference between revisions
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m →Forms for MoDOT Use: moved Mobilization payment calc to this section per email |
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* [https://epg.modot.org/forms/CM/Mobile_Mixer_Calibration.xlsx Mobile Mixer Calibration] | * [https://epg.modot.org/forms/CM/Mobile_Mixer_Calibration.xlsx Mobile Mixer Calibration] | ||
* [https://epg.modot.org/forms/CM/Mobile_Mixer_Verification_Sheet.pdf Mobile Mixer Verification Sheet]] | * [https://epg.modot.org/forms/CM/Mobile_Mixer_Verification_Sheet.pdf Mobile Mixer Verification Sheet]] | ||
* [https://epg.modot.org/forms/CM/Mobilization_Payments_Calculator.xlsx Mobilization Payments Calculator] | |||
* [https://epg.modot.org/forms/CM/NCR_Non_Conformance_Report.pdf Nonconformance Report (NCR)] | * [https://epg.modot.org/forms/CM/NCR_Non_Conformance_Report.pdf Nonconformance Report (NCR)] | ||
* [https://epg.modot.org/forms/CM/Nuclear_Density_C709ND.pdf Nuclear Density (C-709ND)] | * [https://epg.modot.org/forms/CM/Nuclear_Density_C709ND.pdf Nuclear Density (C-709ND)] | ||
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* [https://epg.modot.org/forms/CM/Affidavit_for_Compliance_with_Prevailing_Wage.pdf Affidavit for Compliance with Prevailing Wage] | * [https://epg.modot.org/forms/CM/Affidavit_for_Compliance_with_Prevailing_Wage.pdf Affidavit for Compliance with Prevailing Wage] | ||
* [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242.pdf Contractor Affidavit Regarding Settlement of Claims] | * [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242.pdf Contractor Affidavit Regarding Settlement of Claims] | ||
* [https://epg.modot.org/forms/CM/Contractor_Questionnaire.pdf Contractor Questionnaire] | * [https://epg.modot.org/forms/CM/Contractor_Questionnaire.pdf Contractor Questionnaire] | ||
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf CUF Determination Form] | * [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf CUF Determination Form] | ||
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* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Re_Notification.pdf Lead Abatement MoDOT Project Re-Notification] | * [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Re_Notification.pdf Lead Abatement MoDOT Project Re-Notification] | ||
* [https://epg.modot.org/forms/CM/Lead_Abatement_Program_Contact_Info.pdf Lead Abatement Program Contact Info] | * [https://epg.modot.org/forms/CM/Lead_Abatement_Program_Contact_Info.pdf Lead Abatement Program Contact Info] | ||
* [https://epg.modot.org/forms/CM/NCR_Non_Conformance_Report.pdf Nonconformance Report (NCR)] | * [https://epg.modot.org/forms/CM/NCR_Non_Conformance_Report.pdf Nonconformance Report (NCR)] | ||
* [https://epg.modot.org/forms/general_files/BR/Pile_Driving_Set_Calculator.xlsx Pile Driving Set Calculator] | * [https://epg.modot.org/forms/general_files/BR/Pile_Driving_Set_Calculator.xlsx Pile Driving Set Calculator] | ||
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* [https://epg.modot.org/forms/CM/Request_to_Subcontract_C_220.pdf Request to Subcontract Work (C-220)] | * [https://epg.modot.org/forms/CM/Request_to_Subcontract_C_220.pdf Request to Subcontract Work (C-220)] | ||
* [https://epg.modot.org/forms/CM/Request_to_Subcontract_C_220_Excel.xlsm Request to Subcontract Work (C-220), Excel] | * [https://epg.modot.org/forms/CM/Request_to_Subcontract_C_220_Excel.xlsm Request to Subcontract Work (C-220), Excel] | ||
* [https://epg.modot.org/forms/CM/Sample_CPRRatingReport.pdf Sample Contractor Performance Rating Report] | |||
* [https://epg.modot.org/forms/CM/Sign_Certification_of_Destruction.pdf Sign Certification of Destruction (PDF)] | * [https://epg.modot.org/forms/CM/Sign_Certification_of_Destruction.pdf Sign Certification of Destruction (PDF)] | ||
* [https://epg.modot.org/forms/CM/Sign_Delivery_Certification.pdf Sign Delivery Certification (PDF)] | * [https://epg.modot.org/forms/CM/Sign_Delivery_Certification.pdf Sign Delivery Certification (PDF)] | ||
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* [https://epg.modot.org/forms/DE/SWPPP_Project_Specific_Form_806.8.2.pdf Form 806.8.2, Project-Specific SWPPP Information] | * [https://epg.modot.org/forms/DE/SWPPP_Project_Specific_Form_806.8.2.pdf Form 806.8.2, Project-Specific SWPPP Information] | ||
* [https://epg.modot.org/forms/DE/Form_D21.pdf Highway Lighting Warrants D21] | * [https://epg.modot.org/forms/DE/Form_D21.pdf Highway Lighting Warrants D21] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Location_Study_Report.dotx Location Study Report] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/M-40.docx M-40 Request for Drilling Services] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Pavement_Distress_Log_Form_-_Asphalt_-_11x17.dotx Pavement Distress Log Form - Asphalt - 11x17] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Pavement_Distress_Log_Form_-_Concrete_11x17.dotx Pavement Distress Log Form - Concrete 11x17] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Pavement_Repair_Log.dotx Pavement Repair Log] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Preliminary_Plans_Proposal_Review.dotx Preliminary Plans Proposal Review] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Project_Data_for_BAMS.dotx Project Data for BAMS] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Project_Initialization_Estimate_Form.dotx Project Initialization Estimate Form] | ||
* [ | * [https://epg.modot.org/index.php/Job_Special_Provisions Roadway Job Special Provision Formatting Guide] | ||
* [https:// | * [https://epg.modot.org/index.php/Job_Special_Provisions Roadway Job Special Provision Instructions] | ||
* [ | * [https://epg.modot.org/index.php/Job_Special_Provisions Roadway Job Special Provision Template] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/134.2.2.2 Submittal to Professional Services Committee] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Suggested_Revision_to_a_CADD_Standard.dotx Suggested Revision to a CADD Standard] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Test-Cultural_Resource_Assessment_Letter.dotx Test-Cultural Resource Assessment Letter] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Traffic_Signal_Warrants,_Form_D22.dotx Traffic Signal Warrants, Form D22] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Utility_Print_Submittal_Letter.dotx Utility Print Submittal Letter] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/Utility_Print_Submittal_Letter_Revised_Plans.dotx Utility Print Submittal Letter, Revised Plans] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/124_Work_Day_Study_a.dotx Work Day Study] | ||
</div> | </div> | ||
</div> | </div> | ||
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<div class="mw-collapsible-content" style="margin-bottom:15px;"> | <div class="mw-collapsible-content" style="margin-bottom:15px;"> | ||
* [https://epg.modot.org/forms/general_files/DE/ENV/CE2_Template.docx Categorical Exclusion Form(CE2)] | * [https://epg.modot.org/forms/general_files/DE/ENV/CE2_Template.docx Categorical Exclusion Form(CE2)] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/ENV/127.11_Farmland_Conversion_Impact_Rating_Corridor.pdf Farmland Conversion Impact Rating (Corridor)] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/ENV/127.11_Farmland_Conversion_Impact_Rating_Site.pdf Farmland Conversion Impact Rating (Site)] | ||
* [https://www6.modot.mo.gov/EnvironmentalRequest/Pages/Login.aspx Request for Environmental Services (RES) Form] | * [https://www6.modot.mo.gov/EnvironmentalRequest/Pages/Login.aspx Request for Environmental Services (RES) Form] | ||
* [https://epg.modot.org/forms/general_files/DE/ENV/RES_Instruction_Manual.docx Instructions for the RES Form] | * [https://epg.modot.org/forms/general_files/DE/ENV/RES_Instruction_Manual.docx Instructions for the RES Form] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/ENV/Property_Permission_Letter_E-HP_sample.docx Sample letter requesting permission] | ||
</div> | </div> | ||
</div> | </div> | ||
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<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE6"> | <div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE6"> | ||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | <div class="mw-collapsible-content" style="margin-bottom:15px;"> | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/101_Request_for_Asphalt_Cement_%_Grade.dotx Request for Asphalt Cement % Grade] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/101_Soil_Info_Request.dotx Soil Info Request] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/101_Soil_Survey_Request.dotx Soil Survey Request] | ||
</div> | </div> | ||
</div> | </div> | ||
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<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE7"> | <div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE7"> | ||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | <div class="mw-collapsible-content" style="margin-bottom:15px;"> | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/101_ARAN_Report_Request.dotx ARAN Report Request] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/101_Conceptual_Study_Traffic_Count_Request.dotx Conceptual Study Traffic Count Request] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/101_Fis_Formc.dotx Fis Formc] | ||
* [https://epg.modot.org/forms/general_files/TP/Road_User_Costs_Request_Form.pdf Road User Costs Request Form] | * [https://epg.modot.org/forms/general_files/TP/Road_User_Costs_Request_Form.pdf Road User Costs Request Form] | ||
* [https://epg.modot.org/forms/general_files/TP/Traffic_Forecast_Request_Form.pdf Traffic Forecast Request Form] | * [https://epg.modot.org/forms/general_files/TP/Traffic_Forecast_Request_Form.pdf Traffic Forecast Request Form] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/101_Turning_Movement_Traffic_Count_Request.dotx Turning Movement Traffic Count Request] | ||
</div> | </div> | ||
</div> | </div> | ||
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<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE8"> | <div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE8"> | ||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | <div class="mw-collapsible-content" style="margin-bottom:15px;"> | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/101_Public_Hearing_Statement_Form.dotx Public Hearing Statement Form] | ||
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Letter%20Advertising%20a%20Public%20Hearing.docx Sample Letter Advertising a Public Hearing] | * [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Letter%20Advertising%20a%20Public%20Hearing.docx Sample Letter Advertising a Public Hearing] | ||
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%204f.docx Sample Notice 4F] | * [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%204f.docx Sample Notice 4F] | ||
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%20of%20Public%20Hearing.docx Sample Notice of Public Hearing] | * [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%20of%20Public%20Hearing.docx Sample Notice of Public Hearing] | ||
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample_Opportunity_for_Public_Hearing.doc Sample Opportunity for a Public Hearing/Meeting Notice] | * [https://epg.modot.org/forms/DE/Public%20Involvement/Sample_Opportunity_for_Public_Hearing.doc Sample Opportunity for a Public Hearing/Meeting Notice] | ||
* [ | * [https://epg.modot.org/forms/general_files/DE/129_Sample_Public_Involvement_or_Communication_Plan.docx Sample Public Involvement Plan or Communication Plan] | ||
* [https://epg.modot.org/forms/DE/Public%20Involvement/SampleRequestforApprovelofLocationorDesigntoStateDesignEngineer.docx Sample Request for Approval of Location and/or Design of Highways to State Design Engineer] | * [https://epg.modot.org/forms/DE/Public%20Involvement/SampleRequestforApprovelofLocationorDesigntoStateDesignEngineer.docx Sample Request for Approval of Location and/or Design of Highways to State Design Engineer] | ||
* [https://epg.modot.org/forms/DE/Public%20Involvement/SampleRequestforApprovelofLocationorDesigntotheCommission.docx Sample Request for Approval of Location to the Commission] | * [https://epg.modot.org/forms/DE/Public%20Involvement/SampleRequestforApprovelofLocationorDesigntotheCommission.docx Sample Request for Approval of Location to the Commission] | ||
Latest revision as of 14:39, 17 March 2025
EPG articles are not referenced as "sections" but as EPG XXX.X or as "articles" to avoid confusion with MoDOT specs (which are contractually binding).
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
[+/-] Bridge Forms
Construction and Materials
Forms for MoDOT Use
[+/-] General Forms
[+/-] Job Order Forms
[+/-] AC Index Price and Fuel Adjustment Forms
[+/-] Asphalt Inspection Forms
[+/-] Concrete Inspection Forms
Forms for Contractor Use
[+/-] Construction and Contract Administration Forms
[+/-] Materials Forms
[+/-] Civil Rights Related Forms and Posters
[+/-] Permit Forms for Working on Right of Way
Quick Reference Guides (QRGs)
[+/-] AASHTOWare Project
[+/-] Digital Signatures
[+/-] Storm Water Database
Design
[+/-] Bridge
[+/-] Checklist
[+/-] Contracts
[+/-] Design
[+/-] Environmental and Cultural
[+/-] Materials
[+/-] Planning
[+/-] Public Involvement
[+/-] Scoping
[+/-] Survey
Financial Services
[+/-] Financial Services Forms
Highway Safety & Traffic
[+/-] Highway Safety & Traffic Forms
Maintenance
[+/-] Bridge Maintenance
[+/-] Commuter Lots
[+/-] Disasters
[+/-] Miscellaneous Forms
[+/-] Rest Areas
[+/-] Snow and Ice Control
Motor Carrier Services
[+/-] Bridge Maintenance
