Category:101 Standard Forms: Difference between revisions

From Engineering Policy Guide
Jump to navigation Jump to search
← Older edit
m Removed obsolete construction form "Estimate Summary Request."
m →‎Forms for MoDOT Use: removed 2024 JOC's and added 2026
 
(865 intermediate revisions by 8 users not shown)
Line 1: Line 1:
[[Image:101.jpg|520px|right]]
<div style="float: right; margin-top: 5px; margin-left: 15px; margin-bottom: 15px;">__TOC__</div>
==   ==
=== ===
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.
----
 
----
<div style="float: right; width: 550px; margin-top: 8px; margin-bottom: 8px; padding: 5px; border: 2px solid black; border-radius:5px; box-shadow:5px 5px 5px #888888">
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).
</div>
Standard forms organized by functional unit are accessible from this page.</br>
'''The files accessible by the links below are identical to those accessed through Word, Excel or other software application by MoDOT employees.'''</br>
Many of these file links are also contained in Engineering Policy Guide articles that refer to the forms.
----
----
==Bridge==
==Bridge==
*[http://epg.modot.mo.gov/forms/BR/Bridge%20Division%20Memo.dot Bridge Division Memo]
[[image:101 Bridge.jpg|right|150px]]
 
*[http://epg.modot.mo.gov/forms/BR/Bridge%20Survey%20Memo.dot Bridge Survey Memo]
 
*[http://epg.modot.mo.gov/forms/BR/BridgeHydraulicsReport_English3-1-06.dot BridgeHydraulicsReport_English3-1-06]
 
*[http://epg.modot.mo.gov/forms/BR/Change%20Order.dot Change Order]
 
*[http://epg.modot.mo.gov/forms/BR/Constructability%20Questionnaire.dot Constructability Questioinnaire]
 
*[http://epg.modot.mo.gov/forms/BR/CulvertHydraulicsReport_English3-1-06.dot CulvertHydraulicsReport_English3-1-06]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/DESIGN%20EXCEPTION%20INFORMATION.dot Design Exception Information]
 
*[http://epg.modot.mo.gov/forms/BR/Design%20Except%20to%20District.dot Design Except to District]
 
*[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Box).dot Design Layout (Box).dot]
 
*[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Grade).dot Design Layout (Grade).dot]
 
*[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Stream).dot Design Layout (Stream)]
 
*[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Wall).dot Design Layout (Wall)]
 
*[http://epg.modot.mo.gov/forms/BR/Floodplain%20Permit.dot Floodplain Permit]
 
*[http://epg.modot.mo.gov/forms/BR/FloodplainDevelopmentPermit.ToDistrict.CoverLetter.dot Floodplain Development Permit To District Cover Letter]
 
*[http://epg.modot.mo.gov/forms/BR/Layout%20to%20District.dot Layout to District]
 
*[http://epg.modot.mo.gov/forms/BR/Layout%20to%20FHWA.dot Layout to FHWA]
 
*[http://epg.modot.mo.gov/forms/BR/Layout%20to%20Railroad.dot Layout to Railroad]
 
*[http://epg.modot.mo.gov/forms/BR/Memo%20to%20Design,%20no%20Permit%20Required.dot Memo to Design, no Permit Required]


*[http://epg.modot.mo.gov/forms/BR/Memo%20to%20Design,%20Permit%20Required.dot Memo to Design, Permit Required]
<div style="margin-left: 30px;">


*[http://epg.modot.mo.gov/forms/BR/Memo%20to%20District.dot Memo to District]
<div class="mw-customtoggle-BR1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-BR1">
<div class="mw-collapsible-content">
* [https://epg.modot.org/forms/general_files/BR/BridgeDivisionMemo.dotx Bridge Division Memo]
* [https://epg.modot.org/forms/general_files/BR/101_Bridge_Hydraulics_Report_Feb.dotx Bridge Hydraulics Report]
* [https://epg.modot.org/forms/general_files/BR/ChangeOrder.dotx Change Order]
* [https://epg.modot.org/forms/general_files/BR/ConstructabilityQuestionnaire.dotx Constructability Questionnaire]
* [https://epg.modot.org/forms/general_files/BR/Culvert_Hydraulics_Report.docx Culvert Hydraulics Report]
* [https://epg.modot.org/forms/general_files/BR/131.1_Design_Exception.docx Design Exception Information]
* [https://epg.modot.org/forms/general_files/BR/DesignExceptToDistrict.dotx Design Except to District]
* [https://epg.modot.org/forms/general_files/BR/101_Design_Layout_Box.docx Design Layout (Box)]
* [https://epg.modot.org/forms/general_files/BR/DesignLayout-Grade.dotx Design Layout (Grade)]
* [https://epg.modot.org/forms/general_files/BR/101_Design_Layout_Stream.docx Design Layout (Stream)]
* [https://epg.modot.org/forms/general_files/BR/DesignLayout-Wall.dotx Design Layout (Wall)]
* [https://epg.modot.org/forms/general_files/BR/101_Floodplain_Development_Permit_Application.pdf Floodplain Development Permit/Application]
* [https://epg.modot.org/forms/general_files/BR/101_Floodplain_Development_Permit_To_District_Cover_Letter.docx Floodplain Development Permit To District Cover Letter]]
* [https://epg.modot.org/forms/general_files/BR/LayouttoFHWA.dotx Layout to FHWA]
* [https://epg.modot.org/forms/general_files/BR/LayoutToRailroad.dotx Layout to Railroad]
* [https://epg.modot.org/forms/general_files/BR/Missouri-IllinoisBorderBridgeClearinghouseForm.dotx Missouri-Illinois Border Bridge Clearinghouse Form]
* [https://epg.modot.org/forms/general_files/BR/101_No_Rise_Certificate.pdf No-Rise Certificate]
* [https://epg.modot.org/forms/general_files/BR/Request_for_Final_Soundings_for_Structures_Form.xlsx Request for Final Soundings for Structures Form]
* [https://epg.modot.org/forms/general_files/BR/Telefax.dotx Telefax]
* [https://epg.modot.org/forms/general_files/BR/TransmittalLetter.dotx Transmittal Letter]
* [https://epg.modot.org/forms/general_files/BR/131.1_Vertical_Clearance_Coord_Form.pdf Vertical Clearance Design Exception Coordination with SDDCTEA]
</div>
</div>


*[http://epg.modot.mo.gov/forms/BR/Missouri-Illinois%20Border%20Bridge%20Clearinghouse%20Form.dot Missouri-Illinois Border Bridge Clearinghouse Form]
</div>
 
*[http://epg.modot.mo.gov/forms/BR/No-Rise%20Certificate.dot No-Rise Certificate.dot]
 
*[http://epg.modot.mo.gov/forms/BR/Request%20For%20Soil%20Properties.dot Request For Soil Properties]
 
*[http://epg.modot.mo.gov/forms/BR/Sounding%20Layout.dot Sounding Layout]
 
*[http://epg.modot.mo.gov/forms/BR/Sounding%20Request.dot Sounding Request]
 
*[http://epg.modot.mo.gov/forms/BR/Telefax.dot Telefax]
 
*[http://epg.modot.mo.gov/forms/BR/Transmittal%20Letter.dot Transmittal Letter]


==Construction and Materials==
==Construction and Materials==
*[http://epg.modot.mo.gov/forms/CO/30%20Day%20Reminder%20Final%20Invoice%20Letter.dot 30 Day Reminder Final Invoice Letter]
[[image:101CM.jpg|right|150px]]
 
*[http://epg.modot.mo.gov/forms/CO/3-Year%20Graduate%20Engr%20Training%20Checklist.dot 3-Year Graduate Engr Training Checklist]
 
*[http://epg.modot.mo.gov/forms/CO/60%20Day%20Final%20Acceptance%20Letter.dot 60 Day Final Acceptance Letter]
 
*[http://epg.modot.mo.gov/forms/CO/Affirmative%20Action%20Certification.dot Affirmative Action Certification]
 
*[http://epg.modot.mo.gov/forms/CO/Asbestos%20Survey%20Report%20-%20All%20Materials%20(Form%20T748).dot Asbestos Survey Report - All Materials (Form T748)]
 
*[http://epg.modot.mo.gov/forms/CO/Asbestos%20Survey%20Report%20-%20All%20Suspect%20ACM%20%20(Form%20T746).dot Asbestos Survey Report - All Suspect ACM (Form T746)]
 
*[http://epg.modot.mo.gov/forms/CO/Asbestos%20Survey%20Report%20-%20Nonfriable%20ACM%20(Form%20T747).dot Asbestos Survey Report - Nonfriable ACM (Form T747)]
 
*[http://epg.modot.mo.gov/forms/CO/Asphalt%20Roadway%20Report.dot Asphalt Roadway Report]
 
*[http://epg.modot.mo.gov/forms/CO/Bridge%20Clearance%20Report%20(C-239A).dot Bridge Clearance Report (C-239A).dot]
 
*[http://epg.modot.mo.gov/forms/CO/Bridge%20Fabrication%20Report.dot Bridge Fabrication Report]
 
*[http://epg.modot.mo.gov/forms/CO/Concrete%20Roadway%20Report.dot Concrete Roadway Report]
 
*[http://epg.modot.mo.gov/forms/CO/Construction%20and%20Materials%20Letterhead.dot Construction and Materials Letterhead]
 
*[http://epg.modot.mo.gov/forms/CO/Contingent%20Item.dot Contingent Item]
 
*[http://epg.modot.mo.gov/forms/CO/Contractor%20Affidavit%20(C-242).dot Contractor Affidavit (C-242)]
 
*[http://epg.modot.mo.gov/forms/CO/Contractor%20Performance%20Evaluation%20Letter.dot Contractor Performance Evaluation Letter]
 
*[http://epg.modot.mo.gov/forms/CO/Contractor%20Performance%20Evaluation%20Signature%20Page.dot Contractor Performance Evaluation Signature Page]
 
*[http://epg.modot.mo.gov/forms/CO/Daily%20Utility%20Report%20(C-9).dot Daily Utility Report (C-9).dot]
 
*[http://epg.modot.mo.gov/forms/CO/Documentation%20Record.dot Documentation Record]
 
*[http://modot.mo.gov/business/materials/Electronic%20Documentation%20Choice%20Request%20Form.pdf Electronic Documentation Choice Request]
 
*[http://epg.modot.mo.gov/forms/CO/Erosion%20Control%20Inspection%20Record.dot Erosion Control Inspection Record]
 
*[http://epg.modot.mo.gov/forms/CO/Erosion%20Control%20Product%20Questionnaire.dot Erosion Control Product Questionnaire]
 
*[http://epg.modot.mo.gov/forms/CO/Erosion%20Inspection%20Report%20Summary.dot Erosion Inspection Report Summary]
 
*[http://epg.modot.mo.gov/forms/CO/Estimate%20Cover%20Letter.dot Estimate Cover Letter]
 
*[http://epg.modot.mo.gov/forms/CO/Fax%20Cover.dot Fax Cover.dot]
 
*[http://epg.modot.mo.gov/forms/CO/Final%20Acceptance%20-%20Off%20System.dot Final Acceptance - Off System.dot]
 
*[http://epg.modot.mo.gov/forms/CO/Final%20Acceptance%20(C-239).dot Final Acceptance (C-239)]
 
*[http://epg.modot.mo.gov/forms/CO/Final%20Acceptance%20Checklist.dot Final Acceptance Checklist]
 
*[http://epg.modot.mo.gov/forms/CO/Final%20Plans%20Checklist.dot Final Plans Checklist]
 
*[http://epg.modot.mo.gov/forms/CO/Final%20Utility%20Report%20(C-13).dot Final Utility Report (C-13)]
 
*[http://epg.modot.mo.gov/forms/CO/FinalPlansCert.dot FinalPlansCert]
 
*[[media:137 Force Account Worksheet.xls|Force Account Worksheet]]
 
*[http://epg.modot.mo.gov/forms/CO/Inspectors%20Pay%20Qty%20Report%20(IPQR).dot Inspectors Pay Qty Report (IPQR)]
 
*[http://epg.modot.mo.gov/forms/CO/Internal%20MoDOT%20Product%20Form.dot Internal MoDOT Product Form]
 
*[http://epg.modot.mo.gov/forms/CO/Milestone%20Worksheet.dot Milestone Worksheet]
 
*[http://epg.modot.mo.gov/forms/CO/Mobile%20Mixer%20Verification%20Sheet.dot Mobile Mixer Verification Sheet]
 
*[http://epg.modot.mo.gov/forms/CO/MoDOT%20Quick%20Estimate%20Summary%20Request.dot MoDOT Quick Estimate Summary Request]
 
*[http://epg.modot.mo.gov/forms/CO/Nuclear%20Density%20(C-709ND).dot Nuclear Density (C-709ND)]
 
*[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://epg.modot.mo.gov/forms/CO/OJT-4%20Trainee%20Contact.dot OJT-4 Trainee Contact]
 
*[http://epg.modot.mo.gov/forms/CO/OJT-5%20Discrimination%20Complaint.dot OJT-5 Discrimination Complaint]
 
*[http://epg.modot.mo.gov/forms/CO/OJT-6%20Final%20Summary.dot OJT-6 Final Summary]
 
*[http://epg.modot.mo.gov/forms/CO/Order%20Record.dot Order Record (C-259)]
 
*[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://epg.modot.mo.gov/forms/CO/Pay%20Quantity%20Cert.dot Pay Quantity Cert]
 
*[http://epg.modot.mo.gov/forms/CO/Pile%20Driving%20Data.dot Pile Driving Data]
 
*[http://epg.modot.mo.gov/forms/CO/Pore%20Pressure%20Report%20-%20Type%20A.dot Pore Pressure Report - Type A]
 
*[http://epg.modot.mo.gov/forms/CO/Pore%20Pressure%20Report%20-%20Type%20B.dot Pore Pressure Report - Type B]
 
*[http://epg.modot.mo.gov/forms/CO/PreCon%20Letter%20-%20Federal%20No%20Trainees.dot PreCon Letter - Federal No Trainees]
 
*[http://epg.modot.mo.gov/forms/CO/PreCon%20Letter%20-%20Federal.dot PreCon Letter - Federal]
 
*[http://epg.modot.mo.gov/forms/CO/PreCon%20Letter%20-%20State.dot PreCon Letter - State]
 
*[http://epg.modot.mo.gov/forms/CO/Producer-Supplier%20List.dot Producer-Supplier List]
 
*[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.mo.gov/forms/CO/RE%20Letterhead.dot RE Letterhead]
 
*[http://epg.modot.mo.gov/forms/CO/Material%20Transfer%20Request.dot Request for Transfer of Inspected Material]
 
*[http://epg.modot.mo.gov/forms/CO/Semi-annual%20Labor%20Compliance%20Report.dot Semi-annual Labor Compliance Report]
 
*[http://epg.modot.mo.gov/forms/CO/Semi-Final%20Inspection%20(C-236).dot Semi-Final Inspection (C-236)]
 
*[http://epg.modot.mo.gov/forms/CO/Subcontracts.dot Subcontracts]
 
*[http://epg.modot.mo.gov/forms/CO/Time%20Adj%20C-O%20Sig%20FHWA.dot Time Adj C-O Sig FHWA]
 
*[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.mo.gov/forms/CO/Waste%20Disposal%20Agreement.dot Waste Disposal Agreement]
<div style="margin-left: 30px;">


*[http://epg.modot.mo.gov/forms/CO/Weekly.dot Weekly]
===Forms for MoDOT Use ===
<div class="mw-customtoggle-CM1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] General Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM1">
<div class="mw-collapsible-content" style="margin-bottom:15px;">


*[http://epg.modot.mo.gov/forms/CO/Zero%20Dollar%20C-O%20Signature%20Page.dot Zero Dollar C-O Signature Page]
<div class="mw-customtoggle-CM1a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Project Closeout and As-Built Plans</div>
<div class="mw-collapsible" id="mw-customcollapsible-CM1a" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/As_Built_Final_Plans_Checklist_SL_District.pdf As Built Plans Checklist - SL District]
* [https://epg.modot.org/forms/CM/Bridge_Clearance_Report_C239A.pdf Bridge Clearance Report (C-239A)]
* [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_With_Exceptions.pdf Contractor's Affidavit Regarding Settlement of Claims (C-242) with Exceptions]
* [https://epg.modot.org/forms/CM/Final_Acceptance_C_239.pdf Final Acceptance Report (C-239), pdf version]
* [https://epg.modot.org/forms/CM/Final_Plans_Certification.pdf Final Plans Certification]
* [https://epg.modot.org/forms/CM/Final_Plans_Checklist.pdf Final Plans Checklist]
* [https://epg.modot.org/forms/CM/KC_Final_Plans_Memo.pdf Final Plans Memo]
* [https://epg.modot.org/forms/CM/C13_Final_Utility_Report.pdf Final Utility Report (C-13)]
* [https://epg.modot.org/forms/CM/Bluebeam_Revu_Editing_As-Built_Plans.pdf Preparing As-Built (Final) Plans in Construction Using Bluebeam Revu]
* [https://epg.modot.org/forms/CM/Semi_Final_Inspection_C_236.pdf Semi-Final Inspection (C-236)]
</div>
</div>


*[http://epg.modot.mo.gov/forms/CO/Zero%20Dollar%20C-O%20Signature%20Page%20FHWA.dot Zero Dollar C-O Signature Page FHWA]
----
* [https://epg.modot.org/forms/CM/30_Day_Reminder_Final_Invoice_Letter.pdf 30 Day Reminder Final Invoice Letter]
* [https://epg.modot.org/forms/CM/60_Day_Final_Acceptance_Letter.pdf 60 Day Final Acceptance Letter]
* [https://epg.modot.org/forms/CM/ADA_Checklist.pdf ADA Checklist (PDF)]
* [https://epg.modot.org/forms/CM/ADA_Checklist.docx ADA Checklist (MS Word)]
* [https://epg.modot.org/forms/CM/Aggregate_Base_Random_Locations.xlsm Aggregate Base Random Locations]
* [https://epg.modot.org/forms/CM/Asbestos_Bulk_Sample_Bridge_CL_EL_5.pdf Asbestos Bulk Sample Bridge CL EL 5]
* [https://epg.modot.org/forms/CM/Asbestos_Bulk_Sample_Parcel_CL_EL_5.pdf Asbestos Bulk Sample Parcel CL EL 5]
* [https://epg.modot.org/forms/CM/Asbestos_Survey_Report_T746_T747_T748_C760.pdf Asbestos Survey Report - All Suspect ACM (Form T746), Nonfriable ACM (Form T747) and All Materials (Form T748)]
* [https://epg.modot.org/forms/CM/Bluebeam_Revu_2015_Training_Manual.pdf Bluebeam Revu Training Manual]
* [https://epg.modot.org/forms/CM/Change%20Order.XLS Change Order]
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form]
* [https://epg.modot.org/forms/CM/Contingent_Item_Price_Check.pdf Contingent Item Price Check]
* [https://epg.modot.org/forms/CM/Contractor_Performance_Evaluation_Letter.pdf Contractor Performance Evaluation Letter]
* [https://epg.modot.org/forms/CM/Contractor_Performance_Evaluation_Signature_Page.pdf Contractor Performance Evaluation Signature Page]
* [https://epg.modot.org/forms/CM/C9_Daily_Utility_Report.pdf Daily Utility Report (C-9)]
* [https://epg.modot.org/forms/CM/Dimensions%20To%20Tons%20Converter.xlsx Dimensions To Tons Converter]
* [https://epg.modot.org/forms/CM/Documentation_Record.pdf Documentation Record]
* [https://epg.modot.org/forms/CM/EEO_Checklist.pdf EEO Checklist]
* [https://epg.modot.org/forms/CM/Fence_Removal_Notice.pdf Fence Removal Notice]
* [https://epg.modot.org/forms/CM/Force_Account_Spreadsheet.xlsx Force Account Spreadsheet]
* [https://epg.modot.org/forms/CM/Equipment%20Watch%20QRG.docx Force Account Rental Rate - Quick Reference Guide]
* [https://epg.modot.org/forms/CM/Form%20M-45%20Bitumin%20Distributor%20Calibration.doc Form M-45 Bitumin Distributor Calibration]
* [https://epg.modot.org/forms/CM/Inspectors_Pay_Qty_Report_IPQR.pdf Inspectors Pay Qty Report (IPQR)]
* [https://epg.modot.org/forms/CM/IRI_Inertial_Profiler_Report_with_Bonus.xlsm IRI Inertial Profiler Report with Bonus]
* [https://epg.modot.org/forms/CM/Job_Site_Bulletin_Board_Checklist_fillable.pdf Job Site Bulletin Board Checklist]
* [https://epg.modot.org/forms/CM/KC_Milestone_Memo.pdf Milestone Memo]
* [https://epg.modot.org/forms/CM/Milestone_Worksheet.pdf Milestone Worksheet]
* [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/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/Nuclear_Density_C709ND.pdf Nuclear Density (C-709ND)]
* [https://epg.modot.org/forms/CM/Nuclear_Density_of_Plastic_Portland_Cement_Concrete_C_710ND.pdf Nuclear Density of Plastic Portland Cement Concrete (C-710ND)]
* [https://epg.modot.org/forms/CM/Order_Record.pdf Order Record (C-259)]
* [https://epg.modot.org/forms/CM/Outlier%20Analysis.xls Outlier Analysis]
* [https://epg.modot.org/forms/CM/Pavement_Type_Selection_Submittal.pdf Pavement Type Selection Submittal Information (PTS Submittal Form)]
* [https://epg.modot.org/forms/CM/Payroll_Log.xltx Payroll Log Form]
* [https://epg.modot.org/forms/general_files/BR/Pile_Driving_Set_Calculator.xlsx Pile Driving Set Calculator]
* [https://epg.modot.org/forms/CM/Pile_Driving_Data.pdf Pile Driving Data]
* [https://epg.modot.org/forms/CM/Pile_Driving_Data_PDA.pdf Pile Driving Data PDA]
* [https://epg.modot.org/forms/CM/PODI_Bridge_Deck_Pour_Checklist.pdf PODI Bridge Deck Pour Checklist]
* [https://epg.modot.org/forms/CM/Pore_Pressure_Report_Type_A.pdf Pore Pressure Report - Type A]
* [https://epg.modot.org/forms/CM/Pore_Pressure_Report_Type_B.pdf Pore Pressure Report - Type B]
* [https://epg.modot.org/forms/CM/PreCon_Letter_Federal.pdf PreCon Letter - Federal]
* [https://epg.modot.org/forms/CM/PreCon_Letter_State.pdf PreCon Letter - State]
* [https://epg.modot.org/forms/CM/Prestress_Deficiency_Report.pdf Prestress Deficiency Report (1029-01)]
* [https://epg.modot.org/forms/CM/Price_Verification.xlsx Price Verification]
* [https://epg.modot.org/forms/CM/Railroad_Crossing_Inspection.pdf Railroad Crossing Inspection]
* [https://epg.modot.org/forms/CM/RE_Letterhead.pdf RE Letterhead]
* [https://epg.modot.org/forms/CM/RE_Letterhead.docx RE Letterhead – Word Format]
* [https://epg.modot.org/forms/CM/Retroreflectivity_Payment_Adjustment.xlsm Retroreflectivity Payment Adjustment]
* [https://epg.modot.org/forms/CM/Retroreflectometer_Request.xlsm Retroreflectometer Request]
* [https://epg.modot.org/forms/CM/RoCap_Test_Form_Long_Bolts.pdf RoCap Test Form - Long Bolts]
* [https://epg.modot.org/forms/CM/RoCap_Test_Form_Short_Bolts.pdf RoCap Test Form - Short Bolts]
* [https://epg.modot.org/forms/CM/Semi_Annual_Labor_Compliance_Report.dotx Semi-annual Labor Compliance Report]
* [https://www.modot.org/contractor-pay Contractor Payment Schedule]
* [https://epg.modot.org/forms/CM/Standard%20Compaction%20Test%20Blank.xls Standard Compaction Test Blank]
* [https://epg.modot.org/forms/CM/Survey%20Calculator.xlsx Survey Calculator]
* [https://epg.modot.org/forms/CM/Tank%20Capacity%202.0.xls Tank Capacity]
* [https://epg.modot.org/forms/CM/Tension_Log_Form.xlsx Tension Log Form]
* [https://epg.modot.org/forms/CM/CR1_Wage_Rate_Interview.pdf Wage Interview (Form CR-1)]
* [https://epg.modot.org/forms/general_files/TS/Work_Zone_Inspection_Checklist.pdf Work Zone Inspection Form]
</div>
</div>


===Forms for Contractor Use  ===
<div class="mw-customtoggle-CM2" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Job Order Forms</div>
====Construction and Contractor Related====
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM2">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/JOC_2025_Asphalt_Pavement_Repair.xlsm JOC 2025 Asphalt Pavement Repair]
* [https://epg.modot.org/forms/CM/JOC_2026_Asphalt_Pavement_Repair.xlsm JOC 2026 Asphalt Pavement Repair]
* [https://epg.modot.org/forms/CM/JOC_2025_Bridge_Repair_Spreadsheet.xlsm JOC 2025 Bridge Repair Spreadsheet]
* [https://epg.modot.org/forms/CM/JOC_2026_Bridge_Repair_Spreadsheet.xlsm JOC 2026 Bridge Repair Spreadsheet]
* [https://epg.modot.org/forms/CM/JOC_2025_Concrete_Pavement_Repair.xlsm JOC 2025 Concrete Pavement Repair]
* [https://epg.modot.org/forms/CM/JOC_2026_Concrete_Pavement_Repair.xlsm JOC 2026 Concrete Pavement Repair]
* [https://epg.modot.org/forms/CM/JOC_2025_Fence_Repair_Spreadsheet.xlsm JOC 2025 Fence Repair Spreadsheet]
* [https://epg.modot.org/forms/CM/JOC_2026_Fence_Repair_Spreadsheet.xlsm JOC 2026 Fence Repair Spreadsheet]
* [https://epg.modot.org/forms/CM/JOC_2025_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2025 Rail Cable Fence Spreadsheet]
* [https://epg.modot.org/forms/CM/JOC_2026_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2026 Rail Cable Fence Spreadsheet]
</div>
</div>


:*[http://www.modot.org/business/materials/2008%20CPQ.doc 2008 Contractor Performance Evaluation]
<div class="mw-customtoggle-CM3" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] AC Index Price and Fuel Adjustment Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM3">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Hot_Mix_Asphalt_SY.xlsx AC Index Price Adjustment – Hot mix asphalt (per SY)]
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Hot_Mix_Asphalt_Ton.xlsx AC Index Price Adjustment – Hot mix asphalt (per Ton)]
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Seal_Coat.xlsx AC Index Price Adjustment – Sealcoat]
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_UBAWS_Hot_Mix_and_Membrane.xlsx AC Index Price Adjustment – UBAWS Hot Mix and Membrane]
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Undersealing.xlsx AC Index Price Adjustment – Undersealing]
* [https://epg.modot.org/forms/CM/Fuel_Adjustment_Calculation.xlsx Fuel Adjustment Calculation]
</div>
</div>


:*[http://www.modot.org/business/materials/Blank%202AA%20Sheet.pdf 2AA Sheet – Blank]
<div class="mw-customtoggle-CM4" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Asphalt Inspection Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM4">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/Asphalt_Core_Spreadsheet.xlsx Asphalt Core Spreadsheet]
* [https://epg.modot.org/forms/CM/Asphalt_Mix_Design.xlsm Asphalt Mix Design]
* [https://epg.modot.org/forms/CM/Asphalt_Random_Locations.xlsm Asphalt Random Locations]
* [https://epg.modot.org/forms/CM/Asphalt_Roadway_Report.xlsm Asphalt Roadway Report]
</div>
</div>


:*[http://www.modot.org/business/materials/example%202AA%20sheet.pdf 2AA Sheet – Example]
<div class="mw-customtoggle-CM5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Concrete Inspection Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM5">
<div class="mw-collapsible-content" style="margin-bottom:15px;">


:*[http://www.modot.org/business/contractor_resources/documents/AffidavitforCompliancewithPrevailingWageLaw.pdf  Affidavit for Compliance with Prevailing Wage Law]
<div class="mw-customtoggle-CM5a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Ready Mix Forms</div>
<div class="mw-collapsible" id="mw-customcollapsible-CM5a" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/RM_Aggregate_Scale_Calibration_200.dotx RM Aggregate Scale Calibration - 200]
* [https://epg.modot.org/forms/CM/RM_Aggregate_Scale_Calibration_300.dotx RM Aggregate Scale Calibration - 300]
* [https://epg.modot.org/forms/CM/RM_Aggregate_Scale_Calibration_350.dotx RM Aggregate Scale Calibration - 350]
* [https://epg.modot.org/forms/CM/RM_Air_Dispenser_Calibration.dotx RM Air Dispenser Calibration]
* [https://epg.modot.org/forms/CM/RM_Cement_Scale_Calibration_150.dotx RM Cement Scale Calibration - 150]
* [https://epg.modot.org/forms/CM/RM_Cement_Scale_Calibration_175.dotx RM Cement Scale Calibration - 175]
* [https://epg.modot.org/forms/CM/RM_Cement_Scale_Calibration_200.dotx RM Cement Scale Calibration - 200]
* [https://epg.modot.org/forms/CM/RM_Concrete_Systems_Form.dotx RM Concrete Systems Form]
* [https://epg.modot.org/forms/CM/RM_Equipment_Calibrated_and_Verified_Form.dotx RM Equipment Calibrated and Verified Form]
* [https://epg.modot.org/forms/CM/RM_Truck_Mixer_Information_Form.dotx RM Truck Mixer Information Form]
* [https://epg.modot.org/forms/CM/RM_Water_Calibration.dotx RM Water Calibration]
</div>
</div>


:*[http://www.modot.org/business/materials/Trainee%20Notification.pdf CAT Trainee Notification]
----
* [https://epg.modot.org/forms/CM/Concrete%20Daily%20Inspection%20Report%20C-681.xls Concrete Daily Inspection Report, C-681]
* [https://epg.modot.org/forms/CM//AWP_CIW_Mainline_Paving.xlsm Concrete Inspection Worksheet – Mainline QC/QA Paving]
* [https://epg.modot.org/forms/CM/Concrete_Roadway_Report.pdf Concrete Roadway Report]
</div>
</div>


:*[http://www.modot.org/business/materials/Project%20Conflict%20Resolution%20Flowchart.pdf Conflict Resolution Flowchart]
===Forms for Contractor Use ===
<!-- NOTE: FORMS FOR CONTRACTOR USE SHOULD MATCH WHAT IS OUT ON https://www.modot.org/forms-contractor-use -->
<div class="mw-customtoggle-CM7" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Construction and Contract Administration Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM7">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/Blank_2AA_Sheet.pdf 2AA Sheet-Blank]
* [https://epg.modot.org/forms/CM/Example_2AA_Sheet.pdf 2AA Sheet-Example]
* [https://epg.modot.org/forms/CM/ADA_Checklist.pdf ADA Checklist - PDF]
* [https://epg.modot.org/forms/CM/ADA_Checklist.docx ADA Checklist - Word Document]
* [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/CUF_Determination_Form.pdf CUF Determination Form]
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Contractor_Informational_Packet.pdf Lead Abatement MoDOT Contractor Informational]
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_FA_Project_Notification.pdf Lead Abatement MoDOT FA Project Notification Must be Filled out by RE]
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Notification.pdf Lead Abatement MoDOT Project 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/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/CM/Prequalification_Contractor_Questionnaire.pdf Prequalification Questionnaire]
* [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/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_Delivery_Certification.pdf Sign Delivery Certification (PDF)]
* [https://epg.modot.org/forms/CM/Subcontractor_Certification_Regarding_Affirmative_Action.pdf Subcontractor Certification Regarding Affirmative Action]
* [https://epg.modot.org/forms/CM/Tension_Log_Form.xlsx Tension Log Form]
* [https://epg.modot.org/forms/CM/Value_Engineering_Proposal_C_104.pdf Value Engineering Change Proposal (C-104)]
* [https://epg.modot.org/forms/CM/Wage_Flow_Chart_for_Federal_Jobs.pdf Wage Flowchart for Federal Jobs-Precon]
* [https://epg.modot.org/forms/CM/Wage_Flow_Chart_for_State_Jobs.pdf Wage Flowchart for State Jobs-Precon]
* [https://epg.modot.org/forms/CM/Waste_Disposal_Agreement.pdf Waste Disposal Agreement]
</div>
</div>


:*[http://epg.modot.mo.gov/forms/CO/Contractor%20Affidavit%20(C-242).dot Contractor's Affidavit Regarding Settlement of Claims  (C-242), 2008 version]
<div class="mw-customtoggle-CM8" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Materials Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM8">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/Asphalt_Mix_Design.xlsm Asphalt Mix Design Submittal]
* [https://epg.modot.org/forms/CM/CERTIFICATE_OF_MATERIALS_ORIGIN.pdf Buy America Materials of Origin]
* [https://epg.modot.org/forms/CM/CERTIFICATE_OF_MATERIALS_ORIGIN_NONIRON_STEEL.pdf Buy America Materials of Origin Non-Iron/Steel (PDF)]
* [https://epg.modot.org/forms/CM/Concrete%20Mix%20Design%20Submittal%20Form.xls Concrete Mix Design Submittal Form]
* [https://epg.modot.org/forms/CM/Missouri%20CoreLok%20Aggregate%20Workbook.xls Corelok Aggregate Workbook]
* [https://epg.modot.org/forms/CM/Durable%20Aggregate%20Calculation.xls Durable Aggregate Calculation]
* [https://epg.modot.org/forms/CM/Illinois_Flexibility_Index_Test.pdf Illinois Flexibility Index Test]
* [https://epg.modot.org/forms/CM/NewProductEvaluationForm.pdf New Product Evaluation Form]
* [https://epg.modot.org/forms/CM/GS013F4.pdf PAL Program Inclusion Certifications and Guarantee Statement]
* [https://epg.modot.org/forms/CM/GS013F2.pdf PAL Fabricators Receival Form]
* [https://epg.modot.org/forms/CM/GS013F3.pdf PAL Shippers Transmittal Form]
* [https://epg.modot.org/forms/CM/PipeShippingReportForm2.pdf CMP, RCP, Pipe Shipping Submittal Form: Precast Drainage Unit and Precast Box Culvert Shipping Report Form]
* [https://epg.modot.org/forms/CM/PipeShippingReportForm_Thermoplastic.pdf Pipe Shipping Submittal Form: Thermoplastic]
* [https://epg.modot.org/forms/CM/Producer_Supplier_List.pdf Producer Supplier Listing Form]
* [https://epg.modot.org/forms/CM/RecycleBinderContribution.xls Recycle Binder Contribution v2.12]
* [https://epg.modot.org/forms/CM/RecycleBinderContribution_401.xls Recycle Binder Contribution v2.20]
* [https://epg.modot.org/forms/CM/Section1040,1043,1044_Inclusion_Certification.pdf Section 1040, 1043 and 1044 Inclusion Certification Statement]
* [https://epg.modot.org/forms/CM/Section1040,1043,1044_Shipping_Report_Form_Fillable.pdf Section 1040, 1043 and 1044 Shipping Report Form]
* [https://epg.modot.org/forms/CM/Request_to_Transfer_Inspected_Matl.pdf Transfer Request of Inspected Material]
</div>
</div>


:*[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]
<div class="mw-customtoggle-CM9" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Civil Rights Related Forms and Posters</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9">
<div class="mw-collapsible-content" style="margin-bottom:15px;">


:*[http://www.modot.org/business/contractor_resources/documents/Contractor_Questionnaire.pdf Contractor Questionnaire]
<div class="mw-customtoggle-CM9a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] DBE Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9a" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/DBE_and_non_DBE_Subcontractor_Reporting_Form.pdf DBE and non DBE Subcontractor Reporting Form]</br>
* [https://epg.modot.org/forms/CM/DBE_Change_Form.pdf DBE Change Form]</br>
* [https://epg.modot.org/forms/CM/DBE_Contractor_Project_Trucker_Equipment_List_Form.pdf DBE Contractor/Subcontractor Project Trucker and Equipment List]</br>
* [https://epg.modot.org/forms/CM/DBE_Contractor_Subcontractor_Project_Trucker_Form_Instructions.pdf DBE Contractor/Subcontractor Project Trucker and Equipment List - Instructions]</br>
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_MoDOT_Excel.xlsm DBE Identification Submittal Form (Excel)]</br>
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_LPA_Excel.xlsm DBE Identification Submittal Form LPA (Excel)]</br>
* [https://epg.modot.org/forms/CM/DBE_Final_Payment_Form.xlsm DBE Final Payment Form]</br>
* [https://epg.modot.org/forms/CM/DBE_Termination_Form.pdf DBE Termination Form]
</div>
</div>


:*[http://www.modot.org/business/materials/contractor%27s%20Monthly%20Trainee%20Report.pdf Contractor's Monthly Trainee Report]
<div class="mw-customtoggle-CM9b" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] On the Job Training Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9b" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/OJT_1_Trainee_Notification.pdf OJT 1, Training Notification]</br>
* [https://epg.modot.org/forms/CM/OJT_2_Contractor_Monthly_Trainee_Report.pdf OJT 2, Contractor Monthly Trainee Report]</br>
* [https://epg.modot.org/forms/CM/OJT_3_Training_Completion.pdf OJT 3, Training Completion Report]</br>
* [https://epg.modot.org/forms/CM/OJT_4_Trainee_Contact.pdf OJT 4, Trainee Contact]</br>
* [https://epg.modot.org/forms/CM/OJT_5_Discrimination_Complaint.pdf OJT 5, Discrimination Complaint]</br>
* [https://epg.modot.org/forms/CM/OJT_6_Final_Trainee_Summary.pdf OJT 6, Training Summary]
</div>
</div>


:*[http://www.modot.org/pdf/business/DBE.pdf DBE Program Submittal]
<div class="mw-customtoggle-CM9c" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Workforce Diversity Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9c" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/WF_2%20_Contractor_Monthly_New_Hire_report.pdf Contractor Monthly New Hire Report]</br>
* [https://epg.modot.org/forms/CM/MoDOT_Workforce_Pre_Construction_Diversity_Plan_Report.xlsx Initial Workforce Diversity Plan]</br>
* [https://epg.modot.org/forms/CM/MODOT_Workforce_JSP_Cummulative_Workforce_Hours_Report.xlsx Monthly Workforce Reporting Report]</br>
* [https://epg.modot.org/forms/CM/WF_1_New_Hire_Notification.pdf New Hire Notification]</br>
* [https://epg.modot.org/forms/CR/WF_3_Sample_Workforce_Action_Plan.pdf Sample Workforce Action Plan]
</div>
</div>


:*[http://www.modot.org/business/materials/Trainee%20Example%20Letter.pdf Example Letter to Trainee to be used by Contractor]
<div class="mw-customtoggle-CM9d" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Federal Aid Job Site Posters</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9d" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
:Please refer to [[110.2_Federal-Aid_Projects_(Guidance_for_Sec_110.2)|EPG 110.2 Federal-Aid Projects, Required Notices and Posters]].
</div>
</div>


:*[http://www.modot.org/business/contractor_resources/documents/PCQForm.pdf Prequalification Contractor Questionnaire]
<div class="mw-customtoggle-CM9e" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] State Aid Job Site Posters</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9e" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
:Please refer to [[110.2_Federal-Aid_Projects_(Guidance_for_Sec_110.2)|EPG 110.2 Federal-Aid Projects, Required Notices and Posters]].
</div>
</div>


:*[http://www.modot.org/business/materials/Request%20to%20Subcontract%20Work%20(C-220).pdf Request to Subcontract Work  (C-220)]
</div>
</div>


:*[http://www.modot.mo.gov/business/materials/Value%20Engineering%20Proposal%20(C-104).doc Value Engineering Change Proposal (C-104)]
<div class="mw-customtoggle-CM10" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Permit Forms for Working on Right of Way</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM10">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://www6.modot.mo.gov/ElectronicPermitting/ElectronicPermitting.html Permit for Work on Right of Way]
* [https://www.modot.org/notice-intent MoDOT Notice of Intent to Perform Work]
</div>
</div>


:*[http://www.modot.org/business/materials/PreCon%20Flow%20Chart%20-%20Federal.pdf Wage Flowchart for Federal Jobs – Precon]
===Quick Reference Guides (QRGs)===
<div class="mw-customtoggle-CM11" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] AASHTOWare Project</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM11">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* '''[https://epg.modot.org/forms/CM/AWP_QRG_Revision_Dates.xlsx AWP QRG Revision Dates]'''
* [https://epg.modot.org/forms/CM/AWP_CM_AASHTOWARE_Project_Terminology.docx AWP CM AASHTOWARE Project Terminology]
* [https://epg.modot.org/forms/CM/AWP_CM_Certified_Testers.doc AWP CM Certified Testers]
* [https://epg.modot.org/forms/CM/AWP_CM_Filters.doc AWP CM Filters]
* [https://epg.modot.org/forms/CM/AWP_CM_Filters_for_Sample_Records_or_Acceptance_Actions.doc AWP CM Filters for Sample Records or Acceptance]
* [https://epg.modot.org/forms/CM/AWP_CM_Test_Equipment.doc AWP CM Test Equipment]
* [https://epg.modot.org/forms/CM/AWP_CO_1ChangeOrderOverview.doc AWP CO 1 Change Order Overview]
* [https://epg.modot.org/forms/CM/AWP_CO_2ChangeOrderAddingNewItemorOverrunUnderrunExisting.doc AWP CO 2 Change Order Adding New Item or Overrun/Underrun of Existing Items]
* [https://epg.modot.org/forms/CM/AWP_CO_3ChangeOrderTimeExtension.doc AWP CO 3 Change Order Time Extension]
* [https://epg.modot.org/forms/CM/AWP_CO_4ChangeOrderValueEngineering.doc AWP CO 4 Change Order Value Engineering]
* [https://epg.modot.org/forms/CM/AWP_CO_5ChangeOrderNoCostContractModification.doc AWP CO 5 Change Order, No Cost Contract Modification]
* [https://epg.modot.org/forms/CM/AWP_CO_7ChangeOrderApproval.doc AWP CO 7 Change Order Approval]
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Codes.doc AWP CO Change Order Codes]
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Reports.doc AWP CO Change Order Reports]
* [https://epg.modot.org/forms/CM/AWP_CO_CUF_Entry.doc AWP CO Commercially Useful Function (CUF) Review Date Entry]
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf AWP CO Commercially Useful Function (CUF) Determination Form)]
* [https://epg.modot.org/forms/CM/AWP_CO_Construction_Stockpiles.doc AWP CO Construction Stockpiles]
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Payment_Estimate_Exception_Override.doc AWP CO Contract Payment Estimate Exception Override]
* [https://epg.modot.org/forms/CM/AWP_CO_ContractVendorAssets.doc AWP CO Contract Vendor Assets]
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Adjustments.doc AWP CO Contract Adjustments]
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Times.doc AWP CO Contract Times]
* [https://epg.modot.org/forms/CM/AWP_CO_DailyDiary.doc AWP CO Daily Diary]
* [https://epg.modot.org/forms/CM/AWP_CO_DailyDiaryAdjustments.doc AWP CO Daily Diary Adjustments]
* [https://epg.modot.org/forms/CM/AWP_CO_DailyWorkReport.doc AWP CO Daily Work Report]
* [https://epg.modot.org/forms/CM/AWP_CO_DailyWorkReport_Deleting_Postings_and_Acceptance_Records.doc AWP CO Daily Work Report, Deleting DWR Postings and Acceptance Records]
* [https://epg.modot.org/forms/CM/AWP_CO_Disposition_Remarks_PAL_Material.doc AWP CO Disposition Remarks for PAL Material]
* [https://epg.modot.org/forms/CM/AWP_CO_Documentation_Records.docx AWP CO Documentation Records]
* [https://epg.modot.org/forms/CM/AWP_CO_EmergencyContacts.doc AWP CO Emergency Contacts]
* [https://epg.modot.org/forms/CM/AWP_CO_Estimate.doc AWP CO Estimate]
* [https://epg.modot.org/forms/CM/AWP_CO_Estimate_Final.doc AWP CO Estimate Final]
* [https://epg.modot.org/forms/CM/AWP_CO_Item_Adjustments.doc AWP CO Item Adjustments]
* [https://epg.modot.org/forms/CM/AWP_CO_Milestones.doc AWP CO Milestones]
* [https://epg.modot.org/forms/CM/AWP_CO_Signal_Maintenance.doc AWP CO Signal Maintenance]
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Reason_Codes_for_SL_Time_Extension_Change_Orders.doc AWP CO SL District Reason Codes for Time Extension Change Orders]
* [https://epg.modot.org/forms/CM/AWP_CO_Subcontract.doc AWP CO Subcontract]
* [https://epg.modot.org/forms/CM/AWP_QA_Asphalt.xlsmAWP_Guide_For_Creating_QA_%20Sample_Records_Using%20E2O%20Spreadsheets.doc AWP Guide for Creating QA Sample Records Using E20 Spreadsheets (Internal Use Only)]
* [https://epg.modot.org/forms/CM/AWP_MA_Adding_Contract_Lines_For_Acceptance_Actions.doc AWP MA Adding Contract Lines For Acceptance Actions]
* [https://epg.modot.org/forms/CM/AWP_MA_Adding_Concrete_Mix_Design.doc AWP MA Adding New Concrete Mix Design]
* [https://epg.modot.org/forms/CM/AWP_MA_Associating_Material_To_Source.docx AWP MA Associating Material to Source]
* [https://epg.modot.org/forms/CM/AWP_MA_Checking_For_UnAuthorized_Sample_Records.doc AWP MA Checking For Unauthorized Sample Records]
* [https://epg.modot.org/forms/CM/AWP_MA_DEC_Sample_Record.docx AWP MA DEC Sample Record]
* [https://epg.modot.org/forms/CM/AWP_MA_DeletingMaterialsFromAcceptanceActions.doc AWP MA Deleting materials From Acceptance]
* [https://epg.modot.org/forms/CM/AWP_MA_EditingContractAcceptanceActionsAndActionRelationships.doc AWP MA Editing Contract Acceptance Actions and Action Relationships]
* [https://epg.modot.org/forms/CM/AWP_MA_Generating_Contract_SampleChecklist.doc AWP MA Generating Contract Sample Checklist]
* [https://epg.modot.org/forms/CM/AWP_MA_IAS_Lab_Audit.doc AWP MA I.A.S. Lab Audit]
* [https://epg.modot.org/forms/CM/AWP_MA_PAL_Plant_Inspection_Record.doc AWP MA PAL Plant Inspection Record]
* [https://epg.modot.org/forms/CM/AWP_MA_ReGenerating_Contract_Lines_For_Original_Materials_And_Acceptance_Actions.doc AWP MA Regenerating Contract Lines for Original Materials and Acceptance Actions]
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_Acceptance_By_Certification.docx AWP MA Sample Record Acceptance By Certification]
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_Changing_Material_Code_Source_or_SampleType.docx AWP MA Sample Record Changing Material Code Source or Sample Type]
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_General.docx AWP MA Sample Record, General]
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_General_IAS_Audit_Record.docx AWP MA Sample Record, General IAS Audit Record]
* [https://epg.modot.org/forms/CM/AWP_MA_Sampling_and_Testing_Status_Report.docx AWP MA Sampling and Testing Status Report]
* [https://epg.modot.org/forms/CM/AWP_MA_UsingFindSample.docx AWP MA Using the Find Sample Function]
* [https://epg.modot.org/forms/CM/AWP_QA_Asphalt.xlsm AWP_QA_Asphalt.xlsm AWP QA Asphalt]
</div>
</div>


:*[http://www.modot.org/business/materials/PreCon%20Flow%20Chart%20-%20State.pdf Wage Flowchart for State Jobs – Precon]
<div class="mw-customtoggle-CM12" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Digital Signatures</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM12">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/Digital_Signatures_using_Adobe_DC_Reader_Pro.docx Digital Signatures using Adobe DC Reader/Pro]
* [https://epg.modot.org/forms/CM/Digital_Signatures_using_Bluebeam_Revu.pdf Digital Signatures using Bluebeam Revu]
</div>
</div>


:*[http://www.modot.org/business/materials/welder%20qualification%20form.pdf Welder Qualification Form]
<div class="mw-customtoggle-CM13" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Storm Water Database</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM13">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/CM/101_How_to_Fill_Out_Land_Disturbance_Inspection_Record.pdf How to Fill Out Land Disturbance Inspection Record]
* [https://epg.modot.org/forms/general_files/CM/101_Land_Disturbance_Deficiencies_QRG_2019.pdf Land Disturbance Deficiencies]
* [https://epg.modot.org/forms/general_files/CM/101_Land_Disturbance_Storm_Water_Database_Closeout_Procedure_QRG_2020.pdf Land Disturbance Storm Water Database Closeout Procedure]
* [https://epg.modot.org/forms/general_files/CM/101_Land_Disturbance_Storm_Water_Database_Initial_Setup_for_Construction_Projects_2020.pdf Land Disturbance Storm Water Database Initial Setup for Construction Projects]
* [https://epg.modot.org/forms/general_files/CM/101_Land_Disturbance_Storm_Water_Database_Initial_Setup_for_Maintenance_Projects_QRG_2020.pdf Land Disturbance Storm Water Database Initial Setup for Maintenance Projects]
* [https://epg.modot.org/forms/general_files/CM/101_Land_Disturbance_Storm_Water_Database_7_Day_Reviews_QRG.pdf Land Disturbance Storm Water Database 7-Day Reviews]
* [https://epg.modot.org/forms/general_files/CM/101_Storm_Water_Land_Disturbance_Erosion_Reporting_QRG_Dec_2020.pdf Storm Water Land Disturbance Erosion Reporting]
</div>
</div>


:*[http://www.modot.org/business/materials/Waste%20Disposal%20Agreement.pdf Waste Disposal Agreement]
</div>
 
====Materials  Related====
:*[http://www.modot.org/business/materials/Aggregate%20Quality%20Control%20Plan.pdf Aggregate Quality Control Plan]
 
:*[http://www.modot.org/business/materials/asphpayfactor.xls Asphalt Inspectors Worksheets: QA Pay Factor v5.01]
 
:*[http://www.modot.mo.gov/business/materials/AsphPlantInsp.xls Asphalt Inspectors Worksheets:    Plant Inspection v4.10]
 
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS017F2.pdf CMP, RCP, Precast Drainage Units and Precast Box Culvert Shipping Report Form]
 
:*[http://www.modot.mo.gov/business/materials/Concrete%20Mix%20Design%20Submittal%20Form.xls Concrete Mix Design Submittal Form]
 
:*[http://www.modot.mo.gov/business/materials/Missouri%20CoreLok%20Aggregate%20Workbook.xls CoreLok Aggregate Workbook]
 
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS013F2.pdf  Fabricator’s PAL Receival Form]
 
:*[http://www.modot.mo.gov/business/materials/New%20Product%20Evaluation%20Form.pdf New Product Evaluation Form]
 
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS013F4.pdf PAL Program Inclusion Certifications and Guarantee Statement]
 
:*[http://www.modot.mo.gov/business/materials/Producer-Supplier%20List.pdf Producer/Supplier List]
 
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS017F1.pdf PVC & HDPE Pipe Shipping Report Form]
 
:*[http://www.modot.mo.gov/business/documents/MaterialTransferRequest_0304.pdf Request for Transfer of Inspected Materials]
 
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS013F3.pdf Shipper’s PAL Transmittal Form]
 
====Posters, Federal Aid====
 
:*[http://www.modot.org/business/materials/discrimination%20in%20employment.pdf Discrimination in Employment (MCHR-9)]
 
:*[http://www.modot.org/business/materials/EEO%20Policy%20Example%20Letter.pdf EEO Policy Letter Example Letter]
 
:*[http://www.modot.org/business/materials/Equal%20Employment%20Opportunity.pdf Equal Employment Opportunity] (also available [http://www.modot.org/business/materials/Equal%20Oppurtunity%20is%20the%20Law%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%20Site%20Bulletin%20Board%20Checklist.pdf Jobsite Bulletin Board Checklist]
 
:*[http://www.modot.org/business/materials/Letter%20Appt%20EEO%20Officer.pdf Letter Appt EEO Officer]
 
:*[http://www.modot.org/business/materials/Minimum%20Wage%201088%20English.pdf Minimum Wage 1088]  (also available [http://www.modot.org/business/materials/Minimum%20Wage%201088%20Spanish.pdf en español])
 
:*[http://www.modot.org/business/materials/Notice%20FHWA%201022.pdf Notice FHWA 1022]
 
:*[http://www.modot.org/business/materials/Notice%20Polygraph%20English%20WH%201462.pdf Notice Polygraph WH 1462]  (also available [http://www.modot.org/business/materials/Notice%20Polygraph%20Spanish%20WH%201462.pdf en español])
 
:*[http://www.modot.org/business/materials/Notice%20to%20Employees%20Davis%20Bacon%201321.pdf Notice to Employees Davis Bacon 1321]
 
:*[http://www.modot.org/business/materials/Notice%20to%20Workers%20Disability%20WH%201284.pdf Notice to Workers with Disability WH 1284]
 
:*[http://www.modot.org/business/materials/stormwater%20sign.doc Stormwater Permit Sign]
 
:*[http://www.modot.org/business/materials/Your%20Rights%20FMLA%20WH%201420.pdf Your Rights FMLA WH 1420]
 
====Posters, State Aid====
:*[http://www.modot.org/business/contractor_resources/documents/DiscrmininationinPublicAccomdationMCHR-07-ai.pdf Discrimination in Public Accommodations MCHR-07]
 
:*[http://www.modot.org/business/materials/stormwater%20sign.doc Stormwater Permit Sign]
 
:*[http://www.modot.org/business/contractor_resources/documents/UnemploymentBenefitsLaws.pdf Unemployment Benefits Laws]
 
:*[http://www.modot.org/business/contractor_resources/documents/WorkersCompensationWC106English.pdf Workers Compensation WC 106]  (also available [http://www.modot.org/business/contractor_resources/documents/WorkersCompensationWC106Spanish.pdf en español])
 
====Utility or Right of Way  Related====
 
:*[http://www.modot.mo.gov/asp/intentToWork.shtml Notice of Intent to Perform Work Process]
 
:*[http://www.modot.mo.gov/business/contractor_resources/documents/permit_external.pdf Permit for Work on Right of Way]


==Design==
==Design==
===Bridge===
*[http://epg.modot.mo.gov/forms/DE-Bridge/404%20Permits.dot 404 Permits]
*[http://epg.modot.mo.gov/forms/DE-Bridge/BridgeSurvey%20Report%20Form%20-%20English.dot Bridge Survey Report Form]
*[http://epg.modot.mo.gov/forms/DE-Bridge/Structural%20Rehabilitation%20Checklist.xlt Structural Rehabilitation Checklist (Excel)]
===Checklist===
*[http://epg.modot.mo.gov/forms/DE-Checklist/Design%20Progress%20Check%20List.dot Design Progress Check List]
*[http://epg.modot.mo.gov/forms/DE-Checklist/District%20Final%20Design%20Checklist%20-%20D12.dot District Final Design Checklist - D12]
*[http://epg.modot.mo.gov/forms/DE-Checklist/Preliminary%20Plans%20Check%20List.dot Preliminary Plans Check List]
*[http://epg.modot.mo.gov/forms/DE-Checklist/Right%20of%20Way%20Check%20List.dot Right of Way Check List]
===Computer===
*[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://epg.modot.mo.gov/forms/DE-Computer/MicroStation%20Computer%20Drawings%20Log%20Sheet%20-%20D96.dot MicroStation Computer Drawings Log Sheet - D96]
===Contracts===
*[http://epg.modot.mo.gov/forms/DE-Contracts/Award.dot Award]
*[http://www.modot.org/business/standards_and_specs/documents/ComputerDeliverableContractPlans.pdf Computer Deliverable Contract Plans 2005]


*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Consultant Services Contract - State Funded (MoDOT Users)]
<div style="margin-left: 30px;">


*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot De1]
<div class="mw-customtoggle-DE1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE1">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/BR/101_404_Permit.dotx 404 Permits]
* [https://epg.modot.org/forms/general_files/BR/747_Bridge_Survey_Checklist.xlsx Bridge Survey Checklist]
* [https://epg.modot.org/forms/general_files/BR/747_Bridge_Survey_Location_Request_Dec_2019.docx Bridge Survey Location Request]
* [https://epg.modot.org/forms/general_files/BR/747_Bridge_Survey_Report.docx Bridge Survey Report Form]
* [https://epg.modot.org/forms/general_files/BR/751.1.3.2_Structural_Rehabilitation_Checklist.xlsm Structural Rehabilitation Checklist (Excel)]
* [https://epg.modot.org/forms/general_files/BR/131.1_Vertical_Clearance_Coord_Form.pdf Vertical Clearance Design Exception Coordination with SDDCTEA]
</div>
</div>


*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot DE11]
<div class="mw-customtoggle-DE2" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Checklist</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE2">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/DE/124.2.4_Design_Progress_Check_list.docx Design Progress Check List]
* [https://epg.modot.org/forms/general_files/DE/D-12-form.pdf District Final Design Checklist - D-12]
* [https://epg.modot.org/forms/general_files/DE/124.2.4_Check_List_for_Preliminary_Plans.docx Preliminary Plans Check List]
* [https://epg.modot.org/forms/general_files/DE/Project_Review_Checklist.pdf Project Review Checklist]
* [https://epg.modot.org/forms/RW/Chapter%2013_Designing%20Right%20of%20Way%20Plans/Right%20Way%20Plans%20Checklist%20Form%20236.13.7.docx Right of Way Plan Review Check List]
</div>
</div>


*[http://epg.modot.mo.gov/forms/DE-Contracts/Sample%20Scope%20of%20Services%20-%20Location%20and%20Environment.dot Sample Scope of Services - Location and Environment]
<div class="mw-customtoggle-DE3" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Contracts</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE3">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/DE/District_Award.dotx District Award]
* [[237.14_Electronic_Design_Data_Delivery_(BIM_Deliverables)#237.14.4_Specifications_of_CADD_Deliverable_Contract_Plans_for_Consultants|Computer Deliverable Contract Plans]]
* [https://epg.modot.org/forms/general_files/DE/DE11_Municipal_Agreement.doc DE11]
* [https://epg.modot.org/forms/general_files/DE/Sample_Scope_of_Services_-_Location_and_Environment.dotx Sample Scope of Services - Location and Environment]
* [https://epg.modot.org/forms/general_files/DE/Sample_Scope_of_Services_Design.dotx Sample Scope of Services Design]
</div>
</div>


*[http://epg.modot.mo.gov/forms/DE-Contracts/Sample%20Scope%20of%20Services%20Design.dot Sample Scope of Services Design]
<div class="mw-customtoggle-DE4" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Design</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE4">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/3R_CONCEPTUAL_STUDY_REPORT.docx 3R Conceptual Study Report]
* [https://epg.modot.org/forms/CM/4R_CONCEPTUAL_STUDY_REPORT.docx 4R Pavement Rehabilitation Analysis Data and Conceptual Study Report]
* [https://epg.modot.org/forms/general_files/DE/Commission_Backup_Form_Blank.dotx Commission Backup Form Blank]
* [https://epg.modot.org/forms/general_files/DE/Commission_Backup_Form_Instructions.dotx Commission Backup Form Instructions]
* [https://epg.modot.org/forms/general_files/DE/Conceptual_Study_Report.dotx Conceptual Study Report]
* [https://epg.modot.org/forms/general_files/DE/Consultant_Rating_Form_134.2.2.5.1.doc Consultant Rating Form]
* [https://epg.modot.org/forms/general_files/DE/RW-LPA/D-28.doc D-28 Sign Design Order Form]
* [https://epg.modot.org/forms/general_files/BR/131.1_Design_Exception.docx Design Exception Information]
* [https://epg.modot.org/forms/general_files/DE/Equipment_and_Materials_List.dotx Equipment and Materials List]
* [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/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://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 style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"><span style="margin-left:36px;">[[:Category:134 Engineering Professional Services#134.1.3 Consultant Qualification|Engineering Professional Services]]</span></div>


===Design Forms===
<div class="mw-customtoggle-DE5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Environmental and Cultural</div>
*[http://epg.modot.mo.gov/forms/DE-DEForms/3R%20CONCEPTUAL%20STUDY%20REPORT.dot 3R Conceptual Study Report]
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE5">
<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/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://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>


*[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]
<div class="mw-customtoggle-DE6" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Materials</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE6">
<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>


*[http://epg.modot.mo.gov/forms/DE-DEForms/Aerial%20Mosiac%20Submittal%20for%20Recon%20Study.dot Aerial Mosiac Submittal for Recon Study]
<div class="mw-customtoggle-DE7" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Planning</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE7">
<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/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>


*[http://epg.modot.mo.gov/forms/DE-DEForms/Commission%20Backup%20Form%20Blank.dot Commission Backup Form Blank]
<div class="mw-customtoggle-DE8" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Public Involvement</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE8">
<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%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_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/SampleRequestforApprovelofLocationorDesigntotheCommission.docx Sample Request for Approval of Location to the Commission]
* [https://epg.modot.org/forms/DE/Public%20Involvement/SampleTranscript.pdf Sample Transcript]
</div>
</div>


*[http://epg.modot.mo.gov/forms/DE-DEForms/Commission%20Backup%20Form%20Instructions.dot Commission Backup Form Instructions]
<div style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"><span style="margin-left:36px;">[[:Category:236 Right of Way|Right of Way]]</span></div>


*[http://epg.modot.mo.gov/forms/DE-DEForms/Conceptual%20Study%20Report.dot Conceptual Study Report]
<div class="mw-customtoggle-DE9" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Scoping</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE9">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/DE/104.6_Bridge_Scoping_Checklist.docx Bridge Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Construction_and_Materials_Checklist.doc Construction and Materials Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Design_Checklist.doc Design Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Design_Liaison_Checklist.doc Design Liaison Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_FHWA_Checklist.doc FHWA Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Maintenance_Checklist.doc Maintenance Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Planning_Checklist.doc Planning Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Project_Scoping_Checklist.doc Project Scoping Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Public_Information_and_Outreach_Checklist.doc Public Information and Outreach Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Railroad_Checklist.doc Railroad Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Right_of_Way_Checklist.doc Right of Way Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Traffic_Checklist.docx Traffic Checklist]
* [https://epg.modot.org/forms/general_files/DE/104.6_Utilities_Checklist.doc Utilities Checklist]
</div>
</div>


*[http://epg.modot.org/forms/DE-DEForms/Consultant%20Rating%20Form.dot Consultant Rating Form]
<div class="mw-customtoggle-DE10" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Survey</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE10">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/BR/747_Bridge_Survey_Location_Request_Dec_2019.docx Bridge Survey Location Request]
* [https://epg.modot.org/forms/general_files/DE/CADD/SurveyPlatCheckList_DE.docx Plat Review Checklist Form]
* [https://epg.modot.org/forms/general_files/DE/CADD/Professional_Land_Surveyor.doc Professional Land Surveyor Description Review Form]
* [https://epg.modot.org/forms/general_files/DE/RW/Sample_Letter_Notifying_Property_Owner_of_Survey.doc Sample Letter Notifying Property Owner of Survey]
</div>
</div>


*[http://epg.modot.mo.gov/forms/DE-DEForms/Cultural%20Resource%20Assessment%20Letter.dot Cultural Resource Assessment Letter]
</div>


*[http://epg.modot.mo.gov/forms/DE-DEForms/D-28%20Sign%20Design%20Order%20Form.dot D-28 Sign Design Order Form]
==Financial Services==


*[http://epg.modot.mo.gov/forms/DE-DEForms/DESIGN%20EXCEPTION%20INFORMATION.dot Design Exception Information]
<div style="margin-left: 30px;">


*[http://epg.modot.mo.gov/forms/DE-DEForms/Equipment%20and%20Materials%20List.dot Equipment and Materials List]
<div class="mw-customtoggle-FS1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Financial Services Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-FS1">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/DE/Agreements_Checklist.doc Agreements Checklist]
</div>
</div>


*[http://epg.modot.mo.gov/forms/DE-DEForms/Highway%20Lighting%20Warrants%20D21.dot Highway Lighting Warrants D21]
</div>


*[http://epg.modot.mo.gov/forms/DE-DEForms/Inquiry%20Report.dot Inquiry Report]
==Highway Safety & Traffic==


*[http://epg.modot.mo.gov/forms/DE-DEForms/Job%20Special%20Provisions%20Stylesheet.dot Job Special Provisions Stylesheet]
<div style="margin-left: 30px;">


*[http://epg.modot.mo.gov/forms/DE-DEForms/Location%20Study%20Report.dot Location Study Report]
<div class="mw-customtoggle-HS1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Highway Safety & Traffic Forms</div>
 
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-HS1">
*[http://epg.modot.mo.gov/forms/DE-DEForms/Pavement%20Distress%20Log%20Form%20-%20Asphalt%20-%2011x17.dot Pavement Distress Log Form - Asphalt - 11x17]
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 
* [https://epg.modot.org/forms/general_files/TS/902.5.8.3.1_checklist.xlsx Statewide Signal/Lighting/Flasher Preventive Maintenance Checklist]]
*[http://epg.modot.mo.gov/forms/DE-DEForms/Pavement%20Distress%20Log%20Form%20-%20Concrete%2011x17.dot Pavement Distress Log Form - Concrete 11x17]
</div>
 
</div>
*[http://epg.modot.mo.gov/forms/DE-DEForms/Pavement%20Repair%20Log.dot Pavement Repair Log]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Preliminary%20Plans%20Proposal%20Review.dot Preliminary Plans Proposal Review]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Preliminary%20Signal%20Plan%20Submittal.dot Preliminary Signal Plan Submittal]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/PROJECT%20ASSIGNMENTS%20AND%20COMPLETION%20DATES.dot Project Assignments and Completion Dates]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/PROJECT%20CORE%20TEAM%20CERTIFICATION_D13.dot Project Core Team Certification D13]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Project%20Data%20for%20BAMS.dot Project Data for BAMS]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Project%20Initialization%20Estimate%20Form.dot Project Initialization Estimate Form]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Submittal%20to%20Professional%20Services%20Committee.dot Submittal to Professional Services Committee]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Suggested%20Revision%20to%20a%20CADD%20Standard.dot Suggested Revision to a CADD Standard]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Test-Cultural%20Resource%20Assessment%20Letter.dot Test-Cultural Resource Assessment Letter]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Traffic%20Signal%20Warrants,%20Form%20D22.dot Traffic Signal Warrants, Form D22]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Utility%20Print%20Submittal%20Letter.dot Utility Print Submittal Letter]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Utility%20Print%20Submittal%20letter_Revised%20Plans.dot Utility Print Submittal letter_Revised Plans]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/WORK%20DAY%20STUDY%20-%20124.dot Work Day Study - 124]
 
===Engineering Professional Services===
*[http://epg.modot.mo.gov/forms/DE-Engineering%20Professional%20Services/PSC%20Approval%20Letter%20Request%20to%20Execute%20Contract%20DBE.dot PSC Approval Letter Request to Execute Contract DBE]
 
*[http://epg.modot.mo.gov/forms/DE-Engineering%20Professional%20Services/PSC%20Approval%20Letter%20Request%20to%20Execute%20Supplemental%20Contract%20DBE.dot PSC Approval Letter Request to Execute Supplemental Contract DBE]
 
===Environmental and Cultural===
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Categorial%20Exclusion%20Form.dot Categorical Exclusion Form]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Categorial%20Exclusion%20For%20Hardships%20Determined.dot Categorical Exclusion Determination for Hardships]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Categorial%20Exclusion%20Form.dot Cultural Resource Assessment Letter]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Cultural%20Resource%20Structure%20Log.dot Cultural Resource Structure Log]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/DNR%20Land%20Survey%20Request.dot DNR Land Survey Request]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Farmland%20Conversion%20IMpact%20Rating%20(Site).dot Farmland Conversion Impact Rating (Corridor)]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Farmland%20Conversion%20Impact%20Rating%20(Corridor).dot Farmland Conversion Impact Rating (Site)]
 
*[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://epg.modot.mo.gov/forms/DE-Env&Cultural/Initial%20Site%20Assessment%20Form.dot Initial Site Assessment Form]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Request%20for%20Environmental%20Studies.dot Request for Environmental Studies]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/RES%20Instruction%20sheet.doc RES Instruction sheet]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/STRUCT.dot STRUCT]
 
===Hearings===
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Generic Meeting Sign-Up Sheet]
 
*[http://epg.modot.mo.gov/forms/DE-Hearings/Notice%20of%20Formal%20Public%20Hearing.dot Notice of Formal Public Hearing]
 
*[http://epg.modot.mo.gov/forms/DE-Hearings/Open-House%20Public%20Hearing.dot Open-House Public Hearing]
 
*[http://epg.modot.mo.gov/forms/DE-Hearings/Public%20Hearing%20Statement%20Form.dot Public Hearing Statement Form]
 
 
===Materials===
*[http://epg.modot.mo.gov/forms/DE-Materials/Hazardous%20Waste%20Removal%20Bid%20Information.dot Hazardous Waste Removal Bid Information]
 
*[http://epg.modot.mo.gov/forms/DE-Materials/Itemized%20Proposal%20-%20Demolition,%20Asbestos,%20UST%20Removal.dot Itemized Proposal - Demolition, Asbestos, UST Removal]
 
*[http://epg.modot.mo.gov/forms/DE-Materials/Materials%20Suppliers,%20Source%20and%20Location.dot Materials Suppliers, Source and Location]
 
*[http://epg.modot.mo.gov/forms/DE-Materials/Request%20for%20Asphalt%20Cement%20%25%20Grade.dot Request for Asphalt Cement % Grade]
 
*[http://epg.modot.mo.gov/forms/DE-Materials/Soil%20Info%20Request.dot Soil Info Request]
 
*[http://epg.modot.mo.gov/forms/DE-Materials/Soil%20Survey%20Request.dot Soil Survey Request]
 
 
===Photo===
*[http://epg.modot.mo.gov/forms/DE-Photo/Aerial%20Photography%20Requisition.dot Aerial Photography Requisition]
 
*[http://epg.modot.mo.gov/forms/DE-Photo/Microfilm-Print%20Billing%20Form.dot Microfilm-Print Billing Form]
 
*[http://epg.modot.mo.gov/forms/DE-Photo/Prints%20of%20Previous%20Photography%20Requistion.dot Prints of Previous Photography Requistion]
 
*[http://epg.modot.mo.gov/forms/DE-Photo/Request%20for%20Color%20Copies.dot Request for addition to flight program]
 
*[http://epg.modot.mo.gov/forms/DE-Photo/Request%20for%20addition%20to%20flight%20program.dot Request for Color Copies]
 
 
===Planning===
*[http://epg.modot.mo.gov/forms/DE-Planning/ARAN%20Report%20Request.dot ARAN Report Request]
 
*[http://epg.modot.mo.gov/forms/DE-Planning/Conceptual%20Study%20Traffic%20Count%20Request.dot Conceptual Study Traffic Count Request]
 
*[http://epg.modot.mo.gov/forms/DE-Planning/Fis%20Formc.dot Fis Formc]
 
*[http://epg.modot.mo.gov/forms/DE-Planning/Turning%20Movement%20Traffic%20Count%20Request.dot Turning Movement Traffic Count Request]
 
 
===Right of Way===
*[http://epg.modot.org/forms/DE-ROW/Certification%20of%20Right%20of%20Way%20Plans%20for%20Condemnation%20Letter.dot Certification of Right of Way Plans for Condemnation Letter]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/Forthcoming%20RW%20Plan%20changes.dot Forthcoming RW Plan Changes]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/Preliminary%20Right%20of%20Way%20Estimate.dot Preliminary Right of Way Estimate]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/Right%20of%20Way%20Approval%20(Amended_Plans)%20Condemnation%20Required.dot Right of Way Approval (Amended Plans) Condemnation Required]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/Right%20of%20Way%20Plans%20Reviewed.dot Right of Way Plans Reviewed]
 
*[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://epg.modot.mo.gov/forms/DE-ROW/RW%20Change%20Information%20for%20Microfilming.dot RW Change Information for Microfilming]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Plans%20-%20Commission%20Certification%20(Amended).dot RW Plans - Commission Certification (Amended)]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Plans%20-%20Commission%20Certification.dot RW Plans - Commission Certification]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Plans%20Approval%20-%20Letter%20of%20Certification.dot RW Plans Approval - Letter of Certification]
 
===Scoping===
*[http://epg.modot.mo.gov/forms/DE-Scoping/Bridge%20Checklist.dot Bridge Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Construction%20and%20Materials%20Checklist.dot Construction and Materials Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Design%20Checklist.dot Design Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Draft%20Project%20Scoping%20Memorandum.dot Draft Project Scoping Memorandum]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Environmental%20Checklist.dot Environmental Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/FHWA%20Checklist.dot FHWA Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Maintenance%20Checklist.dot Maintenance Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Major%20Project%20Scope%20or%20Estimate%20Change.dot Major Project Scope or Estimate Change]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Non-Major%20Project%20Scope%20or%20Estimate%20Change.dot Non-Major Project Scope or Estimate Change]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Planning%20Checklist.dot Planning Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Development%20Liaison%20Checklist.dot Project Development Liaison Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Estimate%20Quality%20Assurance%20Report.dot Project Estimate Quality Assurance Report]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Scoping%20Checklist.dot Project Scoping Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Scoping%20Memorandum.dot Project Scoping Memorandum]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Public%20Information%20and%20Outreach%20Checklist.dot Public Information and Outreach Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Railroad%20Checklist.dot Railroad Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Right%20of%20Way%20Checklist.dot Right of Way Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Traffic%20Checklist.dot Traffic Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Utilities%20Checklist.dot Utilities Checklist]
 
 
===Survey===
*[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://epg.modot.mo.gov/forms/DE-Survey/Center%20Line%20Staking.dot Center Line Staking]
 
*[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://epg.modot.mo.gov/forms/DE-Survey/Permanent%20RW%20Marker%20Settings.dot Permanent RW Marker Settings]
 
*[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://epg.modot.mo.gov/forms/DE-Survey/Preliminary%20Surveying%20-%20letter%20to%20property%20owner.dot Preliminary Surveying - letter to property owner]
 
*[http://epg.modot.mo.gov/forms/DE-Survey/Preliminary%20Surveying.dot Preliminary Surveying]
 
*[http://epg.modot.mo.gov/forms/DE-Survey/RW%20Marker%20Setting.dot RW Marker Setting]
 
*[http://epg.modot.mo.gov/forms/DE-Survey/Survey%20Request%20Form.dot Survey Request Form]


</div>


==Maintenance==
==Maintenance==


===Bridge Maintenance===
<div style="margin-left: 30px;">
*[[media:101 Maintenance - blankinspreport.pdf|Blank Inspection Report]]
*[[media:101 Maintenance - maintmatlusage.xls|Maintenance Material Usage (Excel)]]
*[[media:101 Maintenance - paintdatareportformblank.xls|Paint Data Report (Excel)]]
*[[media:101 Maintenance - Maintenance Recommendation Report.pdf|Maintenance Recommendation Report]]
*[[media:101 Maintenance - bridgemaintenancerepairreport.xls|Bridge Maintenance Repair Report (Excel)]]
*[[media:101 Maintenance - Photo Log.xls|Photo Log Sheet (Excel)]]
*[[media:101 Maintenance - Follow-up Action Required-Written form.doc|FAR (Follow-Up Action Required)]]
*[[media:101 Maintenance - CIF - Written form.dot|CIF (Critical Inspection Finding)]]


===Snow & Ice Control===
<div class="mw-customtoggle-MT1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge Maintenance</div>
*[[media:101 Maintenance - Snow and Ice Control Equipment Inventory.xls|Snow and Ice Control Equipment Inventory (Excel)]]
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT1">
*[[media:101 Maintenance - Chemical Requirements.xls|Chemical Requirements (Excel)]]
<div class="mw-collapsible-content" style="margin-bottom:15px;">
*[[media:101 Maintenance - Salt Storage.xls|Salt Storage (Excel)]]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_blankinspreport.pdf Blank Inspection Report]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_bridgemaintenancerepairreport.xls Bridge Maintenance Repair Report (Excel)]
* [https://epg.modot.org/forms/general_files/BR/774_Cathodic_System_Evaluation.dotx Cathodic System Evaluation]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_CIF_-_Written_form.dot CIF (Critical Inspection Finding)]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_Follow-up_Action_Required-Written_form.doc FAR (Follow-Up Action Required)]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_maintmatlusage.xls Maintenance Material Usage (Excel)]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_Maintenance_Recommendation_Report.pdf Maintenance Recommendation Report]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_paintdatareportformblank.xls Paint Data Report (Excel)]]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_Photo_Log.xls Photo Log Sheet (Excel)]]
</div>
</div>
<!-- chip seal forms no longer available
<div class="mw-customtoggle-MT2" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Chip Seal Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT2">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [http://wwwi/maintenance/Forms/App%20Adjust%20Form.pdf Application Adjustment Factor Form]
* [http://wwwi/maintenance/Forms/Traffic%20Eval%20Factor.pdf Traffic Evaluation Factor (TEF) for Asphalt Application Adjustment]
</div>
</div>
-->


===Rest Areas===
<div class="mw-customtoggle-MT3" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Commuter Lots</div>
*[[media:101 Maintenance - Rest Area Truck Parking.xls|Rest Area Truck Parking (Excel)]]
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT3">
*[[media:101 Maintenance - REST AREA inspection_2005.doc|Rest Area Inspection]]
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_Commuter_Lot_Inspection_Form.xls Commuter Lot Inspection (Excel)]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_Commuter_Lot_Survey.pdf Commuter Lot Survey]
</div>
</div>


===Commuter Lots===
<div class="mw-customtoggle-MT4" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Disasters</div>
*[[media:101 Maintenance - Commuter Lot Inspection Form.xls|Commuter Lot Inspection (Excel)]]
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT4">
*[[media:101 Maintenance - Commuter Lot Survey.pdf|Commuter Lot Survey]]
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_DDIR.xls Detailed Damage Inspection Report (Excel)]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_Non_Federal_Aid_Route_DDIR.xls FEMA Detailed Damage Inspection Report (Excel)]
</div>
</div>


===Disasters===
<div class="mw-customtoggle-MT5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Miscellaneous Forms</div>
*[[media:101 Maintenance - DDIR.xls|Detailed Damage Inspection Report (Excel)]]
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT5">
*[[media:101 Maintenance - Non Federal Aid Route DDIR.xls|FEMA Detailed Damage Inspection Report (Excel)]]
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/MT/127.29.9_FRCP.pdf Facility Runoff Control Plans (FRCP)]
* [https://epg.modot.org/forms/general_files/TS/Work_Zone_Inspection_Checklist.pdf Work Zone Inspection Form]
</div>
</div>


===Performance Indicators===
<div class="mw-customtoggle-MT6" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Rest Areas</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT6">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_Rest_Area_Truck_Parking.xls Rest Area Truck Parking (Excel)]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_REST_AREA_inspection_2005.doc Rest Area Inspection]
</div>
</div>


===Pavement Management===
<div class="mw-customtoggle-MT7" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Snow and Ice Control</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT7">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_Snow_and_Ice_Control_Equipment_Inventory.xls Snow and Ice Control Equipment Inventory (Excel)]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_Chemical_Requirements.xls Chemical Requirements (Excel)]
* [https://epg.modot.org/forms/general_files/MT/101_Maintenance_-_Salt_Storage.xls Salt Storage (Excel)]
</div>
</div>


</div>


==Motor Carrier Services==
==Motor Carrier Services==
*[http://epg.modot.mo.gov/forms/MCS/Accounting%20Payment%20Error%20Notice.dot Accounting Payment Error Notice]
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Altered%20Temporary.dot IRP Altered Temporary]
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Outstanding%20Temporaries.dot IRP Outstanding Temporaries]
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Surrendering%20Plates.dot IRP Surrendering Plates]
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Suspension.dot IRP Suspension]
*[http://epg.modot.mo.gov/forms/MCS/IRP-IFTA%20Reject%20Letters.dot IRP-IFTA Reject Letters]
*[http://epg.modot.mo.gov/forms/MCS/MCS%20MoDOT%20Letterhead.dot MCS MoDOT Letterhead]
==Planning==
*[http://epg.modot.mo.gov/forms/MCS/MCS%20MoDOT%20Letterhead.dot MTFC Letterhead]
==Right of Way==
*[http://epg.modot.mo.gov/forms/RW/RW%20Mortgage%20Analyzer.xlt RW Mortgage Analyzer (Excel)]
===General Information===
===Right of Way Organization and Personnel===
===Administration===
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Acquisition%20Complete%20Cost%20Estimate%20Worksheet_Form%203-3_3B.dot Acquisition Complete Cost Estimate Worksheet_(Form 3-3_3B)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Categorical%20Exclusion%20Review_Form%203-1_2.dot Categorical Exclusion Review_(Form 3-1_2)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Request%20for%20Acquisition%20Authority_Form%203-6_10A.dot Request for Acquisition Authority_(Form 3-6_10A)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Form%203-4_1A%20.dot Request for Federal Funding_Limited Acquisition Authority_(Form 3-4_1A)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Form%203-4_1B.dot Request for Limited Acquisition Authority_(Form 3-4_1B)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Form%203-4_2A.dot Request for Federal Funding_(Form 3-4_2A)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Right%20of%20Way%20Cost%20Estimate%20Worksheet_Form%203-3_3A.dot Right of Way Cost Estimate Worksheet_(Form 3-3_3A)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Right%20of%20Way%20Cost%20Estimate_Form%203-3_3C.dot Right of Way Cost Estimate_(Form 3-3_3C)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Supplemental%20Page_Form%203-3_3A.dot Supplemental Page_(Form 3-3_3A)]
===Description Writing and Titles===
*[http://epg.modot.mo.gov/forms/RW/Chapter%204_Description%20Writing%20&%20Titles/Affidavit%20of%20Scriveners%20Error%20Form%204_6_4a.dot Affidavit of Scrivener's Error (Form 4-6.4a)]
===Property Management===
*[http://epg.modot.mo.gov/forms/RW/Chapter%205_Property%20Management/Property%20Inventory%20Record.dot Property Inventory Record]
*[http://epg.modot.mo.gov/forms/RW/Chapter%205_Property%20Management/Property%20Inventory%20Record%20Instructions.dot Property Inventory Record Instructions]
===Appraisal and Appraisal Review===
===Negotiation===
===Relocation Assistance Program===
===Asbestos Abatement-Removal of Building Improvement===
===Right Of Way Condemnation===
===Mediation===
===Quality Assurance Reviews===
===Designing Right of Way Plans===
===Change in Route Status Report===
===Requests from Cities for Annexations===
===Outdoor Advertising===
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/ADMREVREQUEST.dot Administrative Review Request]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/ADV%20PROFILE%20REPORT1.DOT ADV Profile Report]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/vegpmtapp.dot Application for Outdoor Advertising Vegetation Permit]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/ILLEGAL%20COURTESY%20LTR2.DOT Courtesy Letter ("cannot be permitted")]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/ILLEGAL%20COURTESY%20LTR1.DOT Courtesy Letter ("possibly permitted")]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/NOTEOFWITHDRAW.dot Notice of Withdrawal (OAN-15)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/noticepropowner.dot Notice to Property Owner]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/NOTETOREMOVE3.dot Notice to Remove (NTR)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/NOTICESIGNOWNR.dot Notice to Sign Owner]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/NOTETOTERMNATE.dot Notice to Terminate (NTT)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/NOTETOVOID.dot Notice to Void (Release of Permit)]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/ODAPERMIT.dot Outdoor Advertising Permit]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/permitapp.dot Outdoor Advertising Permit Application]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/BIENNIALPERMITCOVER.dot Outdoor Advertising Permit Cover Letter]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/permittrnsfr.dot Permit Transfer Application]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/Unzoned%20Qualifying%20Business%20Checklist.dot Qualifying Business Checklist]
*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/RELEASELETTER.dot Release Letter]


*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/REJECTAPPCOVER.dot Rejection Letter for Outdoor Advertising Permit Application]
<div style="margin-left: 30px;">


*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/scanning%20procedure.doc Scanning Procedures]
<div class="mw-customtoggle-MC1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Motor Carrier Services</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MC1">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://www.modot.org/HazWaste Hazardous Waste Transport Forms]
* [https://www.modot.org/HHGoods Household Goods Transport Forms, Tariff Information, ''Moving in Missouri'' brochure]
* [https://www.modot.org/IFTA International Fuel Tax Agreement Forms]
* [https://www.modot.org/IRP International Registration Plan Forms]
* [https://www.modot.org/MOPA Missouri Operating Authority Forms]
* [https://www.modot.org/OSOW Oversize Overweight Permitting Forms]
* [https://www.modot.org/SC Missouri Intrastate Skill Performance Evaluation for Medical Exemption Forms]
* [https://www.modot.org/WasteTire  Waste Tire Transporter Forms]
</div>
</div>


*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/Vegetation_Cost_Letter.dot Vegetation Cost Letter]
</div>


*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/REJECTVEG.dot Vegetation Rejection letter]
[[image:101 bottom.jpg|center|1025px]]


*[http://epg.modot.mo.gov/forms/RW/Chapter%2016_Outdoor%20Advertising/VoidCover.dot Void Cover Letter]


===Junkyards===
[[Category:100 GENERAL]]
===Local Public Agency Land Acquisition===

Latest revision as of 14:49, 20 January 2026

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
[+/-] Project Closeout and As-Built Plans
[+/-] 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

[+/-] Motor Carrier Services

Retrieved from "https://epg.modot.org/index.php?title=Category:101_Standard_Forms&oldid=58160"