Difference between revisions of "Category:101 Standard Forms"

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m (→‎AASHTOWare Project Quick Reference Guides (QRGs): Per CM, new QRG, AWP MA Sampling and Testing Status Report, link)
m (→‎Maintenance: Per MT, replaced Deer Death Form with FRCP (Facility Runoff Control Plans) form)
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|-
 
|-
|EPG articles are <u>not</u> referenced as "sections" but as EPG XXX.X to avoid confusion with MoDOT specs (which are contractually binding).
+
|EPG articles are <u>not</u> referenced as "sections" but as EPG XXX.X (example: EPG 401.3) to avoid confusion with MoDOT specs (which are contractually binding).
 
|}
 
|}
 
==  ==
 
==  ==
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[[image:101 Bridge.jpg|right|150px]]
 
[[image:101 Bridge.jpg|right|150px]]
  
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/131.1_Design_Exception.docx Design Exception Information]
+
*[[media:131.1 Design Exception 2020.docx|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%20Except%20to%20District.dot Design Except to District]
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*[http://epg.modot.mo.gov/forms/CM/KC_Asphalt_Roadway_Report.xlsx Asphalt Roadway Report]
 
*[http://epg.modot.mo.gov/forms/CM/KC_Asphalt_Roadway_Report.xlsx Asphalt Roadway Report]
  
*[http://epg.modot.mo.gov/forms/CM/KC_Asphalt_Roadway_Report_Square_Yards.xls Asphalt Roadway Report Square Yards]
+
*[http://epg.modot.mo.gov/forms/CM/KC_Asphalt_Roadway_Report_Square_Yards.xlsx Asphalt Roadway Report Square Yards]
  
 
*[http://epg.modot.mo.gov/forms/CM/Bridge_Bearings.xlsx Bridge Bearings]
 
*[http://epg.modot.mo.gov/forms/CM/Bridge_Bearings.xlsx Bridge Bearings]
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*[http://epg.modot.mo.gov/forms/CM/Dimensions%20To%20Tons%20Converter.xlsx Dimensions To Tons Converter]
 
*[http://epg.modot.mo.gov/forms/CM/Dimensions%20To%20Tons%20Converter.xlsx Dimensions To Tons Converter]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/Documentation_Record.pdf Documentation Record]
  
 
*[http://epg.modot.mo.gov/forms/CM/EEO_Checklist.pdf EEO Checklist]
 
*[http://epg.modot.mo.gov/forms/CM/EEO_Checklist.pdf EEO Checklist]
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*[http://epg.modot.mo.gov/forms/CM/IRI_Inertial_Profiler_Report_with_Bonus.xlsm IRI Inertial Profiler Report with Bonus]
 
*[http://epg.modot.mo.gov/forms/CM/IRI_Inertial_Profiler_Report_with_Bonus.xlsm IRI Inertial Profiler Report with Bonus]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_Asphalt_Pavement_Repair.xlsm JOC 2019 Asphalt Pavement Repair]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/JOC_2020_Asphalt_Pavement_Repair.xlsm JOC 2020 Asphalt Pavement Repair]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_2020_Bridge_Repair_Spreadsheet.xlsm JOC 2019, 2020 Bridge Repair Spreadsheet]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_2020_Concrete_Pavement_Repair.XLSM JOC 2019, 2020 Concrete Pavement Repair]
  
 
*[http://epg.modot.mo.gov/forms/CM/JOC_2018_Rail_Cable_Fence_Spreadsheet.xlsx JOC 2018 Rail Cable Fence Spreadsheet]
 
*[http://epg.modot.mo.gov/forms/CM/JOC_2018_Rail_Cable_Fence_Spreadsheet.xlsx JOC 2018 Rail Cable Fence Spreadsheet]
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*[http://epg.modot.mo.gov/forms/CM/JOC_2019_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2019 Rail Cable Fence Spreadsheet]
 
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2019 Rail Cable Fence Spreadsheet]
  
*[http://epg.modot.mo.gov/forms/CM/JOC_Asphalt_Pavement_Repair.xlsm JOC Asphalt Pavement Repair]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_2020_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2020 Rail Cable Fence Spreadsheet]
 
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Bridge_Repair_Spreadsheet.xlsm JOC Bridge Repair Spreadsheet]
 
 
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Concrete_Pavement_Repair.xlsm JOC Concrete Pavement Repair]
 
  
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Lighting_Repair.xlsx JOC Lighting Repair]
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Lighting_Repair.xlsx JOC Lighting Repair]
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*[http://epg.modot.mo.gov/forms/CM/JOC_Signal_and_Lighting_Repair.xlsm JOC Signal and Lighting Repair]
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Signal_and_Lighting_Repair.xlsm JOC Signal and Lighting Repair]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/KC_Milestone_Memo.pdf Milestone Memo]
  
 
*[http://epg.modot.mo.gov/forms/CM/Milestone_Worksheet.pdf Milestone Worksheet]
 
*[http://epg.modot.mo.gov/forms/CM/Milestone_Worksheet.pdf Milestone Worksheet]
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:* [http://epg.modot.mo.gov/forms/CM/AWP_CM_Filters.doc AWP CM Filters]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CM_Filters.doc AWP CM Filters]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CM_Test_Equipment.doc AWP CM Test Equipment]
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_1ChangeOrderOverview.doc AWP CO 1 Change Order Overview]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_1ChangeOrderOverview.doc AWP CO 1 Change Order Overview]
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:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Estimate.doc AWP CO Estimate]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Estimate.doc AWP CO Estimate]
 
+
<div id="AWP CO Item Adjustments"></div>
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Item_Adjustments.doc AWP CO Item Adjustments]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Item_Adjustments.doc AWP CO Item Adjustments]
 
<div id="CO Milestones"></div>
 
<div id="CO Milestones"></div>
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:* [http://epg.modot.mo.gov/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]
 
:* [http://epg.modot.mo.gov/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]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Retroactively_Update_Materials_Conversion_Factor.docx AWP MA Retroactively Updating Materials Conversion Factor]
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_General.docx AWP MA Sample Record, General]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_General.docx AWP MA Sample Record, General]
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:* [http://epg.modot.mo.gov/forms/CM/Key_Dates.docx Key Dates]
 
:* [http://epg.modot.mo.gov/forms/CM/Key_Dates.docx Key Dates]
<div id="Line Item Adjustments"></div>
+
 
 
:* [http://epg.modot.mo.gov/forms/CM/Line_Item_Adjustments.docx Line Item Adjustments]  
 
:* [http://epg.modot.mo.gov/forms/CM/Line_Item_Adjustments.docx Line Item Adjustments]  
 
<div id="Liquidated Damage Adjustments"></div>
 
<div id="Liquidated Damage Adjustments"></div>
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====Storm Water Database Quick Reference Guides (QRGs)====
 
====Storm Water Database Quick Reference Guides (QRGs)====
 +
 +
:* [[media:101 How to Fill Out Land Disturbance Inspection Record.pdf|How to Fill Out Land Disturbance Inspection Record]]
  
 
:* [[media:101 Land Disturbance Deficiencies QRG 2019.pdf|Land Disturbance Deficiencies]]
 
:* [[media:101 Land Disturbance Deficiencies QRG 2019.pdf|Land Disturbance Deficiencies]]
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:* [[media:101 Land Disturbance Storm Water Database Closeout Procedure QRG 2019.pdf|Land Disturbance Storm Water Database Closeout Procedure]]
 
:* [[media:101 Land Disturbance Storm Water Database Closeout Procedure QRG 2019.pdf|Land Disturbance Storm Water Database Closeout Procedure]]
  
:* [[media:101 Land Disturbance Storm Water Database Initial Setup for Construction Projects.pdf|Land Disturbance Storm Water Database Initial Setup for Construction Projects]]
+
:* [[media:101 Land Disturbance Storm Water Database Initial Setup for Construction Projects 2019.pdf|Land Disturbance Storm Water Database Initial Setup for Construction Projects]]
  
:* [[media:101 Land Disturbance Storm Water Database Initial Setup for Maintenance Projects QRG.pdf|Land Disturbance Storm Water Database Initial Setup for Maintenance Projects]]
+
:* [[media:101 Land Disturbance Storm Water Database Initial Setup for Maintenance Projects QRG 2019.pdf|Land Disturbance Storm Water Database Initial Setup for Maintenance Projects]]
  
 
:* [[media:101 Land Disturbance Storm Water Database 7 Day Reviews QRG.pdf|Land Disturbance Storm Water Database 7-Day Reviews]]
 
:* [[media:101 Land Disturbance Storm Water Database 7 Day Reviews QRG.pdf|Land Disturbance Storm Water Database 7-Day Reviews]]
  
:* [[media:101 Storm Water Land Disturbance Erosion Reporting QRG 2019.pdf|Storm Water Land Disturbance Erosion Reporting]]
+
:* [[media:101 Storm Water Land Disturbance Erosion Reporting QRG Dec 2019.pdf|Storm Water Land Disturbance Erosion Reporting]]
  
 
==Design==
 
==Design==
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*[[media:747 Bridge Survey Checklist.xlsx|Bridge Survey Checklist]]
 
*[[media:747 Bridge Survey Checklist.xlsx|Bridge Survey Checklist]]
  
*[[media:747 Bridge Survey Location Request 2019.docx|Bridge Survey Location Request]]
+
*[[media:747 Bridge Survey Location Request Dec 2019.docx|Bridge Survey Location Request]]
  
 
*[[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]]
 
*[[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]]
  
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Copy%20of%20751.1.3.5_Structural_Rehabilitation_Checklist.xlsm Structural Rehabilitation Checklist (Excel)]
+
*[http://sp/sites/br/development/Shared%20Task%20Library/751.1.3.2_Structural_Rehabilitation_Checklist.xlsm Structural Rehabilitation Checklist (Excel]
  
 
*[[media:131.1 Vertical Clearance Coord Form Jul 2018.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]]
 
*[[media:131.1 Vertical Clearance Coord Form Jul 2018.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]]
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*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/D-28.doc D-28 Sign Design Order Form]
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/D-28.doc D-28 Sign Design Order Form]
  
*[[media:131.1 Design Exception.docx|Design Exception Information]]
+
*[[media:131.1 Design Exception 2020.docx|Design Exception Information]]
  
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Equipment%20and%20Materials%20List.dot Equipment and Materials List]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Equipment%20and%20Materials%20List.dot Equipment and Materials List]
  
*[[media:Form 806.8.2 2019.pdf|Form 806.8.2, Project-Specific SWPPP Information]]
+
*[[media:Form 806.8.2 dec 2019.pdf|Form 806.8.2, Project-Specific SWPPP Information]]
  
 
*[[media:Form D21 2018.pdf|Highway Lighting Warrants D21]]
 
*[[media:Form D21 2018.pdf|Highway Lighting Warrants D21]]
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===Survey===
 
===Survey===
*[[media:747 Bridge Survey Location Request 2019.docx|Bridge Survey Location Request]]
+
*[[media:747 Bridge Survey Location Request Dec 2019.docx|Bridge Survey Location Request]]
  
 
*[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%20-%20Letter%20to%20Property%20Owner.dot Center Line Staking - Letter to Property Owner]
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==External Civil Rights==
 
==External Civil Rights==
*[[media:101 Contractor's Monthly New Employee Report.pdf|Contractor's Monthly New Employee Report]]
 
  
*[[media:101 Sample Company Workforce Diversity Job Special Provision Action Plan.docx|Sample Company Workforce/Diversity Job Special Provision Action Plan]]
+
===DBE===
 +
:*[http://epg.modot.mo.gov/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form]
 +
 
 +
:*[https://www.modot.org/media/245 DBE Contractor/Subcontractor Project Trucker and Equipment List]
 +
 
 +
:*[http://epg.modot.org/files/5/57/101_DBE_Identification_Submittal_Form.pdf DBE Identification Submittal Form]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/DBE_Substitution_Form.pdf DBE Substitution Form]
 +
 
 +
===OJT===
 +
:*[https://www.modot.org/media/14124 OJT-1, Trainee Notification]
 +
 
 +
:*[https://www.modot.org/media/331 OJT-2, Contractor Monthly Trainee Report]
 +
 
 +
:*[https://www.modot.org/media/14125 OJT-3, Trainee Completion Report]
 +
 
 +
:*[https://www.modot.org/media/14126 OJT-4, Trainee Contact]
 +
 
 +
:*[https://www.modot.org/media/332 OJT-5, Trainee Discrimination Complaint]
 +
 
 +
:*[https://www.modot.org/media/12141 OJT-6, Training Summary]
 +
 
 +
===Workforce Diversity JSP===
 +
:*[[media:101 Contractor's Monthly New Employee Report.pdf|Contractor's Monthly New Employee Report]]
 +
 
 +
:*[https://www.modot.org/media/12336 MoDOT Cumulative Workforce Hours Report (Workforce Monthly Report)]
 +
 
 +
:*[https://www.modot.org/sites/default/files/documents/WF-1_New_Hire_Notification.pdf New Hire Notification]
  
* [http://epg.modot.mo.gov/forms/CM/DBE_Substitution_Form.pdf DBE Substitution Form]
+
:*[[media:101 Sample Company Workforce Diversity Job Special Provision Action Plan.docx|Sample Company Workforce/Diversity Job Special Provision Action Plan]]
  
*[[media:101 Workforce Pilot Program Employee Notification.pdf|Workforce Pilot Program Employee Notification]]
+
:*[https://www.modot.org/media/12337 Workforce Pre-Construction Diversity Plan Report]
  
 
==Financial Services==
 
==Financial Services==
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==Maintenance==
 
==Maintenance==
*[[media:101 Maintenance - Deer Death Report Form and Map.xls|Deer Death Report Form and Map (Excel)]]
+
*[[media:127.29.9 FRCP.pdf|Facility Runoff Control Plans (FRCP)]]
  
 
*[http://sharepoint/systemdelivery/TR/mo/travinfoitsworkzonemanagment/workzones/Shared%20Documents/Inspections/WorkZone_Inspection-form%202014.pdf Work Zone Inspection Form]
 
*[http://sharepoint/systemdelivery/TR/mo/travinfoitsworkzonemanagment/workzones/Shared%20Documents/Inspections/WorkZone_Inspection-form%202014.pdf Work Zone Inspection Form]
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==Motor Carrier Services==
 
==Motor Carrier Services==
*[http://epg.modot.mo.gov/forms/MCS/Accounting%20Payment%20Error%20Notice.dot Accounting Payment Error Notice]
+
*[https://www.modot.org/HazWaste Hazardous Waste Transport Forms]
  
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Altered%20Temporary.dot IRP Altered Temporary]
+
*[https://www.modot.org/HHGoods Household Goods Transport Forms, Tariff Information, ''Moving in Missouri'' brochure]
  
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Outstanding%20Temporaries.dot IRP Outstanding Temporaries]
+
*[https://www.modot.org/IFTA International Fuel Tax Agreement Forms]
  
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Surrendering%20Plates.dot IRP Surrendering Plates]
+
*[https://www.modot.org/IRP International Registration Plan Forms]
  
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Suspension.dot IRP Suspension]
+
*[https://www.modot.org/MOPA Missouri Operating Authority Forms]
  
*[http://epg.modot.mo.gov/forms/MCS/IRP-IFTA%20Reject%20Letters.dot IRP-IFTA Reject Letters]
+
*[https://www.modot.org/OSOW Oversize Overweight Permitting Forms]
  
*[http://epg.modot.mo.gov/forms/MCS/MCS%20MoDOT%20Letterhead.dot MCS MoDOT Letterhead]
+
*[https://www.modot.org/SC Missouri Intrastate Skill Performance Evaluation for Medical Exemption Forms]
  
 +
*[https://www.modot.org/WasteTire  Waste Tire Transporter Forms]
  
 
==Planning==
 
==Planning==

Revision as of 07:24, 7 April 2020

EPG articles are not referenced as "sections" but as EPG XXX.X (example: EPG 401.3) to avoid confusion with MoDOT specs (which are contractually binding).

Contents

Standard forms organized by functional unit are accessible from this page. The files accessible by the links below are identical to those accessed through Word, Excel or other software application by MoDOT employees. Many of these file links are also contained in Engineering Policy Guide articles that refer to the forms.


Bridge

101 Bridge.jpg

Construction and Materials

101CM.jpg

Forms for Contractor Use

Construction and Contractor Related

Materials Related

Posters, Federal Aid

Please refer to EPG 110.2 Federal-Aid Projects, Required Notices and Posters.

Posters, State Aid

Please refer to EPG 110.2 Federal-Aid Projects, Required Notices and Posters.

Utility or Right of Way Related

Quick Reference Guides (QRGs)

AASHTOWare Project Quick Reference Guides (QRGs)

SiteManager Quick Reference Guides (QRGs) Bulldozer.jpg

Storm Water Database Quick Reference Guides (QRGs)

Design

Microstation D-Sheets
Signing
D-28, D-29 through D-34
Signals
D-37A through D-37d, D-38 through D-38e
Typical Sections
D-49 through D-70
Miscellaneous
D-71

Bridge

Checklist

Computer

Contracts

Design Forms

Engineering Professional Services

Environmental and Cultural

Hearings

Materials

Photo

Planning

Right of Way

Scoping

101 survey.jpg

Survey

External Civil Rights

DBE

OJT

Workforce Diversity JSP

Financial Services

Maintenance

Chip Seal Forms

Bridge Maintenance

Snow & Ice Control

Rest Areas

Commuter Lots

Disasters

Performance Indicators

Pavement Management

Motor Carrier Services

Planning

Right of Way

General Information

Right of Way Organization and Personnel

Administration

Description Writing and Titles

Property Management

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

Junkyards

Local Public Agency Land Acquisition

101 bottom.jpg