Difference between revisions of "Category:101 Standard Forms"

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|-
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|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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==  ==
 
==  ==
 
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.
 
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==
*[http://ghepg01/forms/BR/Bridge%20Division%20Memo.dot Bridge Division Memo]
+
*[http://epg.modot.mo.gov/forms/BR/Bridge%20Division%20Memo.dot Bridge Division Memo]
 +
 
 +
*[[media:101 Bridge Hydraulics Report.docx|Bridge Hydraulics Report]]
 +
 
 +
*[http://epg.modot.mo.gov/forms/BR/Change%20Order.dot Change Order]
 +
<div id="Constructability Questioinnaire"></div>
 +
 
 +
*[http://epg.modot.mo.gov/forms/BR/Constructability%20Questionnaire.dot Constructability Questionnaire]
 +
 
 +
*[[media:101 Culvert Hydraulics Report.docx|Culvert Hydraulics Report]]
 +
[[image:101 Bridge.jpg|right|150px]]
 +
 
 +
*[[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]
 +
 
 +
*[[media:101 Design Layout Box 2014.docx|Design Layout (Box)]]
 +
 
 +
*[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Grade).dot Design Layout (Grade)]
 +
 
 +
*[[media:101 Design Layout Stream 2014.docx|Design Layout (Stream)]]
 +
 
 +
*[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Wall).dot Design Layout (Wall)]
 +
<div id="Floodplain Development Permit/Application"></div>
 +
 
 +
*[[media:101 Floodplain Development Permit Application 2019.pdf|Floodplain Development Permit/Application]]
 +
 
 +
*[[media:101 Floodplain Development Permit To District Cover Letter.docx|Floodplain Development Permit To District Cover Letter]]
 +
 
 +
*[http://epg.modot.mo.gov/forms/BR/Layout%20to%20FHWA.dotx Layout to FHWA]
  
*[http://ghepg01/forms/BR/Bridge%20Survey%20Memo.dot Bridge Survey Memo]
+
*[http://epg.modot.mo.gov/forms/BR/Layout%20to%20Railroad.dot Layout to Railroad]
  
*[http://ghepg01/forms/BR/BridgeHydraulicsReport_English3-1-06.dot BridgeHydraulicsReport_English3-1-06]
+
*[http://epg.modot.mo.gov/forms/BR/Missouri-Illinois%20Border%20Bridge%20Clearinghouse%20Form.dot Missouri-Illinois Border Bridge Clearinghouse Form]
 +
<div id="No-Rise Certificate"></div>
 +
*[[media:101 No Rise Certificate 2020.pdf|No-Rise Certificate]]
  
*[http://ghepg01/forms/BR/Change%20Order.dot Change Order]
+
*[[media:751.1.2.20 Request.xlsx|Request for Final Soundings for Structures Form]]
  
*[http://ghepg01/forms/BR/Constructability%20Questionnaire.dot Constructability Questioinnaire]
+
*[http://epg.modot.mo.gov/forms/BR/Telefax.dot Telefax]
  
*[http://ghepg01/forms/BR/CulvertHydraulicsReport_English3-1-06.dot CulvertHydraulicsReport_English3-1-06]
+
*[http://epg.modot.mo.gov/forms/BR/Transmittal%20Letter.dot Transmittal Letter]
  
*[http://ghepg01/forms/BR/Design%20Except%20to%20District.dot Design Except to District]
+
*[[media:131.1 Vertical Clearance Coord Form Jul 2018.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]]
  
*[http://ghepg01/forms/BR/Design%20Exception.dot Design Exception]
+
==Construction and Materials==
 +
*[http://epg.modot.mo.gov/forms/CM/30_Day_Reminder_Final_Invoice_Letter.pdf 30 Day Reminder Final Invoice Letter]
  
*[http://ghepg01/forms/BR/Design%20Layout%20(Box).dot Design Layout (Box).dot]
+
*[http://epg.modot.mo.gov/forms/CM/60_Day_Final_Acceptance_Letter.pdf 60 Day Final Acceptance Letter]
  
*[http://ghepg01/forms/BR/Design%20Layout%20(Grade).dot Design Layout (Grade).dot]
+
*[http://epg.modot.mo.gov/forms/CM/AC_Index_Price_Adjustment_Hot_Mix_Asphalt_SY.xlsx AC Index Price Adjustment – Hot mix asphalt (per SY)]
 +
[[image:101CM.jpg|right|150px]]
 +
*[http://epg.modot.mo.gov/forms/CM/AC_Index_Price_Adjustment_Hot_Mix_Asphalt_Ton.xlsx AC Index Price Adjustment – Hot mix asphalt (per Ton)]
  
*[http://ghepg01/forms/BR/Design%20Layout%20(Stream).dot Design Layout (Stream)]
+
*[http://epg.modot.mo.gov/forms/CM/AC_Index_Price_Adjustment_Seal_Coat.xlsx AC Index Price Adjustment – Sealcoat]
  
*[http://ghepg01/forms/BR/Design%20Layout%20(Wall).dot Design Layout (Wall)]
+
*[http://epg.modot.mo.gov/forms/CM/AC_Index_Price_Adjustment_UBAWS_Hot_Mix_and_Membrane.xlsx AC Index Price Adjustment – UBAWS Hot Mix and Membrane]
  
*[http://ghepg01/forms/BR/Floodplain%20Permit.dot Floodplain Permit]
+
*[http://epg.modot.mo.gov/forms/CM/AC_Index_Price_Adjustment_Undersealing.xlsx AC Index Price Adjustment – Undersealing]
  
*[http://ghepg01/forms/BR/FloodplainDevelopmentPermit.ToDistrict.CoverLetter.dot Floodplain Development Permit To District Cover Letter]
+
*[https://www.modot.org/media/977 ADA Checklist]
  
*[http://ghepg01/forms/BR/Layout%20to%20District.dot Layout to District]
+
*[http://epg.modot.mo.gov/forms/CM/Aggregate_Base_Random_Locations.xlsm Aggregate Base Random Locations]
  
*[http://ghepg01/forms/BR/Layout%20to%20FHWA.dot Layout to FHWA]
+
*[http://epg.modot.mo.gov/forms/CM/As_Built_Final_Plans_Checklist_SL_District.pdf As Built Plans Checklist - SL District]
  
*[http://ghepg01/forms/BR/Layout%20to%20Railroad.dot Layout to Railroad]
+
*[http://epg.modot.mo.gov/forms/CM/Asbestos_Bulk_Sample_Bridge_CL_EL_5.pdf Asbestos Bulk Sample Bridge CL EL 5]
  
*[http://ghepg01/forms/BR/Memo%20to%20Design,%20no%20Permit%20Required.dot Memo to Design, no Permit Required]
+
*[http://epg.modot.mo.gov/forms/CM/Asbestos_Bulk_Sample_Parcel_CL_EL_5.pdf Asbestos Bulk Sample Parcel CL EL 5]
  
*[http://ghepg01/forms/BR/Memo%20to%20Design,%20Permit%20Required.dot Memo to Design, Permit Required]
+
*[http://epg.modot.mo.gov/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)]
  
*[http://ghepg01/forms/BR/Memo%20to%20District.dot Memo to District]
+
*[http://epg.modot.mo.gov/forms/CM/Asphalt_Core_Spreadsheet.xlsx Asphalt Core Spreadsheet]
  
*[http://ghepg01/forms/BR/Missouri-Illinois%20Border%20Bridge%20Clearinghouse%20Form.dot Missouri-Illinois Border Bridge Clearinghouse Form]
+
*[http://epg.modot.mo.gov/forms/CM/Asphalt_Mix_Design.xlsm Asphalt Mix Design]
  
*[http://ghepg01/forms/BR/No-Rise%20Certificate.dot No-Rise Certificate.dot]
+
*[http://epg.modot.mo.gov/forms/CM/Asphalt_Random_Locations.xlsm Asphalt Random Locations]
  
*[http://ghepg01/forms/BR/Request%20For%20Soil%20Properties.dot Request For Soil Properties]
+
*[http://epg.modot.mo.gov/forms/CM/Asphalt_Roadway_Report.xlsm Asphalt Roadway Report]
  
*[http://ghepg01/forms/BR/Sounding%20Layout.dot Sounding Layout]
+
*[http://epg.modot.mo.gov/forms/CM/Bridge_Bearings.xlsx Bridge Bearings]
  
*[http://ghepg01/forms/BR/Sounding%20Request.dot Sounding Request]
+
*[http://epg.modot.mo.gov/forms/CM/Bridge_Clearance_Report_C239A.pdf Bridge Clearance Report (C-239A)]
  
*[http://ghepg01/forms/BR/Telefax.dot Telefax]
+
*[http://epg.modot.mo.gov/forms/CO/Bridge%20Fabrication%20Report.dot Bridge Fabrication Report]
  
*[http://ghepg01/forms/BR/Transmittal%20Letter.dot Transmittal Letter]
+
*[http://epg.modot.mo.gov/forms/CM/Change%20Order.XLS Change Order]
  
 +
*[http://epg.modot.mo.gov/forms/CM/Job_Site_Bulletin_Board_Checklist_fillable.pdf Checklist of the jobsite posters]
  
==Construction and Materials==
+
*[http://epg.modot.mo.gov/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form]
*[http://ghepg01/forms/CO/30%20Day%20Reminder%20Final%20Invoice%20Letter.dot 30 Day Reminder Final Invoice Letter]
+
 
 +
*[http://epg.modot.mo.gov/forms/CM/Compressive%20Strength%20for%20Forney.xls Compressive Strength for Forney]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/Concrete%20Daily%20Inspection%20Report%20C-681.xls Concrete Daily Inspection Report, C-681]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/Concrete_Cylinder_Sample_Sent_to_Central_Lab.doc Concrete Cylinder Sample Sent to Central Lab]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/CIW_Mainline_Paving.xls Concrete Inspection Worksheet – Mainline QC/QA Paving]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/Concrete_Roadway_Report.pdf Concrete Roadway Report]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/Contingent_Item_Price_Check.pdf Contingent Item Price Check]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/Contractor_Performance_Evaluation_Letter.pdf Contractor Performance Evaluation Letter]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/Contractor_Performance_Evaluation_Signature_Page.pdf Contractor Performance Evaluation Signature Page]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/C9_Daily_Utility_Report.pdf Daily Utility Report (C-9).dot]
 +
 
 +
*[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/Fence_Removal_Notice.pdf Fence Removal Notice]
 +
 
 +
*[http://ghdcogwp001/c10.2.2/cgi-bin/cognosisapi.dll?b_action=cognosViewer&ui.action=run&ui.object=%2fcontent%2ffolder%5b%40name%3d%27AASHTOWARE%27%5d%2ffolder%5b%40name%3d%27Headquarters%27%5d%2ffolder%5b%40name%3d%27Contract%20-%20Administration%27%5d%2freport%5b%40name%3d%27C239_Final_Acceptance_Report_AWP%27%5d&ui.name=C239_Final_Acceptance_Report_AWP&run.outputFormat=PDF&run.prompt=true Final Acceptance Report (C-239), Cognos Report]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/Final_Acceptance_C_239.pdf Final Acceptance Report (C-239), pdf version]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/Final_Plans_Certification.pdf Final Plans Certification]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/Final_Plans_Checklist.pdf Final Plans Checklist]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/KC_Final_Plans_Memo.pdf Final Plans Memo]
  
*[http://ghepg01/forms/CO/3-Year%20Graduate%20Engr%20Training%20Checklist.dot 3-Year Graduate Engr Training Checklist]
+
*[http://epg.modot.mo.gov/forms/CM/C13_Final_Utility_Report.pdf Final Utility Report (C-13)]
  
*[http://ghepg01/forms/CO/60%20Day%20Final%20Acceptance%20Letter.dot 60 Day Final Acceptance Letter]
+
*[http://epg.modot.mo.gov/forms/CM/Force_Account_Spreasheet.xlsx Force Account Spreadsheet]
  
*[http://ghepg01/forms/CO/Affirmative%20Action%20Certification.dot Affirmative Action Certification]
+
*[http://epg.modot.mo.gov/forms/CM/Form%20M-45%20Bitumin%20Distributor%20Calibration.doc Form M-45 Bitumin Distributor Calibration]
  
*[http://ghepg01/forms/CO/Asphalt%20Roadway%20Report.dot Asphalt Roadway Report]
+
*[http://epg.modot.mo.gov/forms/CM/Fuel_Adjustment_Calculation.xlsx Fuel Adjustment Calculation]
  
*[http://ghepg01/forms/CO/Bridge%20Clearance%20Report%20(C-239A).dot Bridge Clearance Report (C-239A).dot]
+
*[http://epg.modot.mo.gov/forms/CM/Inspectors_Pay_Qty_Report_IPQR.pdf Inspectors Pay Qty Report (IPQR)]
  
*[http://ghepg01/forms/CO/Bridge%20Fabrication%20Report.dot Bridge Fabrication Report]
+
*[http://epg.modot.mo.gov/forms/CM/Internal_MoDOT_Product_Form.pdf Internal MoDOT Product Form]
  
*[http://ghepg01/forms/CO/Concrete%20Roadway%20Report.dot Concrete Roadway Report]
+
*[http://epg.modot.mo.gov/forms/CM/IRI_Inertial_Profiler_Report_with_Bonus.xlsm IRI Inertial Profiler Report with Bonus]
  
*[http://ghepg01/forms/CO/Construction%20and%20Materials%20Letterhead.dot Construction and Materials Letterhead]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_Asphalt_Pavement_Repair.xlsm JOC 2019 Asphalt Pavement Repair]
  
*[http://ghepg01/forms/CO/Contingent%20Item.dot Contingent Item]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_2020_Asphalt_Pavement_Repair.xlsm JOC 2020 Asphalt Pavement Repair]
  
*[http://ghepg01/forms/CO/Contractor%20Affidavit%20(C-242).dot Contractor Affidavit (C-242)]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_2020_Bridge_Repair_Spreadsheet.xlsm JOC 2019, 2020 Bridge Repair Spreadsheet]
  
*[http://ghepg01/forms/CO/Contractor%20Performance%20Questionnaire%20Letter.dot Contractor Performance Questionnaire Letter]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_2021_Bridge_Repair_Spreadsheet.xlsm JOC 2021 Bridge Repair Spreadsheet]
  
*[http://ghepg01/forms/CO/Contractor%20Performance%20Questionnaire%20Signature%20Page.dot Contractor Performance Questionnaire Signature Page]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_2020_Concrete_Pavement_Repair.XLSM JOC 2019, 2020 Concrete Pavement Repair]
  
*[http://ghepg01/forms/CO/Daily%20Utility%20Report%20(C-9).dot Daily Utility Report (C-9).dot]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_2018_Rail_Cable_Fence_Spreadsheet.xlsx JOC 2018 Rail Cable Fence Spreadsheet]
  
*[http://ghepg01/forms/CO/Documentation%20Record.dot Documentation Record]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2019 Rail Cable Fence Spreadsheet]
  
*[http://ghepg01/forms/CO/Erosion%20Control%20Inspection%20Record.dot Erosion Control Inspection Record]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_2020_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2020 Rail Cable Fence Spreadsheet]
  
*[http://ghepg01/forms/CO/Erosion%20Control%20Product%20Questionnaire.dot Erosion Control Product Questionnaire]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_Lighting_Repair.xlsx JOC Lighting Repair]
  
*[http://ghepg01/forms/CO/Erosion%20Inspection%20Report%20Summary.dot Erosion Inspection Report Summary]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_Microsurfacing_Spreadsheet.xlsx JOC Microsurfacing Spreadsheet]
  
*[http://ghepg01/forms/CO/Estimate%20Cover%20Letter.dot Estimate Cover Letter]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_Signal_and_Lighting_Repair.xlsm JOC Signal and Lighting Repair]
  
*[http://ghepg01/forms/CO/Estimate%20Summary%20Request.dot Estimate Summary Request]
+
*[http://epg.modot.mo.gov/forms/CM/KC_Milestone_Memo.pdf Milestone Memo]
  
*[http://ghepg01/forms/CO/Fax%20Cover.dot Fax Cover.dot]
+
*[http://epg.modot.mo.gov/forms/CM/Milestone_Worksheet.pdf Milestone Worksheet]
  
*[http://ghepg01/forms/CO/Final%20Acceptance%20-%20Off%20System.dot Final Acceptance - Off System.dot]
+
*[http://epg.modot.mo.gov/forms/CM/Mobile_Mixer_Calibration.pdf Mobile Mixer Calibration]
  
*[http://ghepg01/forms/CO/Final%20Acceptance%20(C-239).dot Final Acceptance (C-239)]
+
*[http://epg.modot.mo.gov/forms/CM/Mobile_Mixer_Verification_Sheet.dotx Mobile Mixer Verification Sheet]
  
*[http://ghepg01/forms/CO/Final%20Acceptance%20Checklist.dot Final Acceptance Checklist]
+
*[http://epg.modot.mo.gov/forms/CM/Nuclear_Density_C709ND.pdf Nuclear Density (C-709ND)]
  
*[http://ghepg01/forms/CO/Final%20Plans%20Checklist.dot Final Plans Checklist]
+
*[http://epg.modot.mo.gov/forms/CM/Nuclear_Density_of_Plastic_Portland_Cement_Concrete_C_710ND.pdf Nuclear Density of Plastic Portland Cement Concrete (C-710ND)]
  
*[http://ghepg01/forms/CO/Final%20Utility%20Report%20(C-13).dot Final Utility Report (C-13)]
+
*[http://epg.modot.mo.gov/forms/CM/Order_Record.pdf Order Record (C-259)]
  
*[http://ghepg01/forms/CO/FinalPlansCert.dot FinalPlansCert]
+
*[http://epg.modot.mo.gov/forms/CM/Outlier%20Analysis.xls Outlier Analysis]
  
*[[media:137 Force Account Worksheet.xls|Force Account Worksheet]]
+
*[http://epg.modot.mo.gov/forms/CM/Pavement_Type_Selection_Submittal.pdf Pavement Type Selection Submittal Information (PTS Submittal Form)]
  
*[http://ghepg01/forms/CO/Inspectors%20Pay%20Qty%20Report%20(IPQR).dot Inspectors Pay Qty Report (IPQR)]
+
*[http://epg.modot.mo.gov/forms/CM/Payroll_Log.xltx Payroll Log Form]
  
*[http://ghepg01/forms/CO/Internal%20MoDOT%20Product%20Form.dot Internal MoDOT Product Form]
+
*[http://epg.modot.mo.gov/forms/CM/Pile%20Driving%20Chart2.xls Pile Driving Chart]
 +
 
 +
*[http://epg.modot.mo.gov/forms/CM/Pile_Driving_Data.pdf Pile Driving Data]
  
*[http://ghepg01/forms/CO/Milestone%20Worksheet.dot Milestone Worksheet]
+
*[http://epg.modot.mo.gov/forms/CM/Pile_Driving_Data_PDA.pdf Pile Driving Data PDA]
  
*[http://ghepg01/forms/CO/Mobile%20Mixer%20Verification%20Sheet.dot Mobile Mixer Verification Sheet]
+
*[http://epg.modot.mo.gov/forms/CM/PODI_Bridge_Deck_Pour_Checklist.pdf PODI Bridge Deck Pour Checklist]
  
*[http://ghepg01/forms/CO/MoDOT%20Quick%20Estimate%20Summary%20Request.dot MoDOT Quick Estimate Summary Request]
+
*[http://epg.modot.mo.gov/forms/CM/Pore_Pressure_Report_Type_A.pdf Pore Pressure Report - Type A]
  
*[http://ghepg01/forms/CO/No%20Cost%20C-O%20Sig%20FHWA.dot No Cost C-O Sig FHWA]
+
*[http://epg.modot.mo.gov/forms/CM/Pore_Pressure_Report_Type_B.pdf Pore Pressure Report - Type B]
  
*[http://ghepg01/forms/CO/No%20Cost%20C-O%20Sig.dot No Cost C-O Sig]
+
<div id="PreCon Letter - Federal No Trainees"></div>
 +
*[http://epg.modot.mo.gov/forms/CM/PreCon_Letter_Federal.pdf PreCon Letter - Federal]
  
*[http://ghepg01/forms/CO/Nuclear%20Density%20(C-709ND).dot Nuclear Density (C-709ND)]
+
*[http://epg.modot.mo.gov/forms/CM/PreCon_Letter_State.pdf PreCon Letter - State]
  
*[http://ghepg01/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/CM/Prestress_Deficiency_Report.pdf Prestress Deficiency Report (1029-01)]
  
*[http://ghepg01/forms/CO/OJT-4%20Trainee%20Contact.dot OJT-4 Trainee Contact]
+
*[http://epg.modot.mo.gov/forms/CM/Price_Verification.xlsx Price Verification]
  
*[http://ghepg01/forms/CO/OJT-5%20Discrimination%20Complaint.dot OJT-5 Discrimination Complaint]
+
*[http://epg.modot.mo.gov/forms/CM/Railroad_Crossing_Inspection.pdf Railroad Crossing Inspection]
  
*[http://ghepg01/forms/CO/OJT-6%20Final%20Summary.dot OJT-6 Final Summary]
+
*[http://epg.modot.mo.gov/forms/CM/RE_Letterhead.pdf RE Letterhead]
  
*[http://ghepg01/forms/CO/Order%20Record.dot Order Record]
+
*[http://epg.modot.mo.gov/forms/CM/RE_Letterhead.dotx RE Letterhead – Word Format]
  
*[http://ghepg01/forms/CO/Overdimension%20Restrict.dot Overdimension Restrict]
+
*[http://epg.modot.mo.gov/forms/CM/Retroreflectivity_Payment_Adjustment.xlsm Retroreflectivity Payment Adjustment]
  
*[http://wwwi/intranet/cm/materials/documents/PTSSubmittalForm_000.doc Pavement Type Selection Submittal Information (PTS Submittal Form)]
+
*[http://epg.modot.mo.gov/forms/CM/Retroreflectometer_Request.xlsm Retroreflectometer Request]
  
*[http://ghepg01/forms/CO/Pay%20Quantity%20Cert.dot Pay Quantity Cert]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Aggregate_Scale_Calibration_200.dotx RM Aggregate Scale Calibration - 200]
  
*[http://ghepg01/forms/CO/Pile%20Driving%20Data.dot Pile Driving Data]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Aggregate_Scale_Calibration_300.dotx RM Aggregate Scale Calibration - 300]
  
*[http://ghepg01/forms/CO/Pore%20Pressure%20Report%20-%20Type%20A.dot Pore Pressure Report - Type A]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Aggregate_Scale_Calibration_350.dotx RM Aggregate Scale Calibration - 350]
  
*[http://ghepg01/forms/CO/Pore%20Pressure%20Report%20-%20Type%20B.dot Pore Pressure Report - Type B]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Air_Dispenser_Calibration.dotx RM Air Dispenser Calibration]
  
*[http://ghepg01/forms/CO/PreCon%20Letter%20-%20Federal%20No%20Trainees.dot PreCon Letter - Federal No Trainees]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Cement_Scale_Calibration_150.dotx RM Cement Scale Calibration - 150]
  
*[http://ghepg01/forms/CO/PreCon%20Letter%20-%20Federal.dot PreCon Letter - Federal]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Cement_Scale_Calibration_175.dotx RM Cement Scale Calibration - 175]
  
*[http://ghepg01/forms/CO/PreCon%20Letter%20-%20State.dot PreCon Letter - State]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Cement_Scale_Calibration_200.dotx RM Cement Scale Calibration - 200]
  
*[http://ghepg01/forms/CO/Producer-Supplier%20List.dot Producer-Supplier List]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Concrete_Systems_Form.dotx RM Concrete Systems Form]
  
*[http://ghepg01/forms/CO/Profilograph%20Report.dot Profilograph Report]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Equipment_Calibrated_and_Verified_Form.dotx RM Equipment Calibrated and Verified Form]
  
*[http://epg.modot.org/forms/CO/Railroad%20Crossing%20Inspection.dot Railroad Crossing Inspection]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Truck_Mixer_Information_Form.dotx RM Truck Mixer Information Form]
  
*[http://ghepg01/forms/CO/RE%20Letterhead.dot RE Letterhead]
+
*[http://epg.modot.mo.gov/forms/CM/RM_Water_Calibration.dotx RM Water Calibration]
  
*[http://ghepg01/forms/CO/Material%20Transfer%20Request.dot Request for Transfer of Inspected Material]
+
*[http://epg.modot.mo.gov/forms/CM/RoCap_Test_Form_Long_Bolts.pdf RoCap Test Form - Long Bolts]
  
*[http://ghepg01/forms/CO/Semi-annual%20Labor%20Compliance%20Report.dot Semi-annual Labor Compliance Report]
+
*[http://epg.modot.mo.gov/forms/CM/RoCap_Test_Form_Short_Bolts.pdf RoCap Test Form - Short Bolts]
  
*[http://ghepg01/forms/CO/Semi-Final%20Inspection%20(C-236).dot Semi-Final Inspection (C-236)]
+
*[http://epg.modot.mo.gov/forms/CM/Semi_Annual_Labor_Compliance_Report.dotx Semi-annual Labor Compliance Report]
  
*[http://ghepg01/forms/CO/Subcontracts.dot Subcontracts]
+
*[http://epg.modot.mo.gov/forms/CM/Semi_Final_Inspection_C_236.pdf Semi-Final Inspection (C-236)]
  
*[http://ghepg01/forms/CO/Time%20Adj%20C-O%20Sig%20FHWA.dot Time Adj C-O Sig FHWA]
+
*[http://epg.modot.mo.gov/forms/CM/Sitemanager_Contractor_Payment_Schedule.pdf SiteManager Contractor Payment Schedule]
  
*[http://ghepg01/forms/CO/Time%20Adj%20C-O%20Sig.dot Time Adj C-O Sig]
+
*[http://epg.modot.mo.gov/forms/CM/Standard%20Compaction%20Test%20Blank.xls Standard Compaction Test Blank]
  
*[http://epg.modot.org/forms/CO/Wage%20Interview%20(Form%20CR-1).dot Wage Interview (Form CR-1)]
+
*[http://epg.modot.mo.gov/forms/CM/Survey%20Calculator.xlsx Survey Calculator]
  
*[http://ghepg01/forms/CO/Waste%20Disposal%20Agreement.dot Waste Disposal Agreement]
+
*[http://epg.modot.mo.gov/forms/CM/Tank%20Capacity%202.0.xls Tank Capacity]
 +
<div id="Wage Interview"></div>
 +
*[http://epg.modot.mo.gov/forms/CM/CR1_Wage_Rate_Interview.pdf Wage Interview (Form CR-1)]
  
*[http://ghepg01/forms/CO/Weekly.dot Weekly]
+
*[http://sharepoint/systemdelivery/TR/mo/travinfoitsworkzonemanagment/workzones/Shared%20Documents/Inspections/WorkZone_Inspection-form%202014.pdf Work Zone Inspection Form]
  
 
===Forms for Contractor Use  ===
 
===Forms for Contractor Use  ===
 
====Construction and Contractor Related====
 
====Construction and Contractor Related====
  
:*[http://www.modot.org/business/materials/2008%20CPQ.doc 2008 Contractor Performance Questionnaire]
+
:* [http://epg.modot.mo.gov/forms/CM/Blank_2AA_Sheet.pdf 2AA Sheet – Blank]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/Example_2AA_Sheet.pdf 2AA Sheet – Example]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/Affidavit_for_Compliance_with_Prevailing_Wage.pdf Affidavit for Compliance with Prevailing Wage Law]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/Contractors_Affidavit_C-242.pdf Contractor's Affidavit Regarding Settlement of Claims (C-242)]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/Contractor_Questionnaire.pdf Contractor Questionnaire] (to bid contracts less than $2,000,000)
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/DBE_Contractor_Project_Trucker_Equipment_List_Form.pdf DBE Contractor Project Trucker Equipment List Form]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/DBE_Contractor_Subcontractor_Project_Trucker_Form_Instructions.pdf DBE Contractor Subcontractor Project Trucker Form Instructions]
 +
 
 +
:* [[media:101 DBE Identification Submittal Form.pdf|DBE Identification Submittal Form]]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/DBE_Substitution_Form.pdf DBE Substitution Form]
 +
 
 +
:* [http://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Contractor_Informational_Packet.pdf Lead Abatement MoDOT Contractor Informational Packet]
  
:*[http://www.modot.org/business/materials/Blank%202AA%20Sheet.pdf 2AA Sheet – Blank]
+
:* [http://epg.modot.org/forms/CM/Lead_Abatement_MODOT_FA_Project_Notification.pdf Lead Abatement MoDOT FA Project Notification]
  
:*[http://www.modot.org/business/materials/example%202AA%20sheet.pdf 2AA Sheet – Example]
+
:* [http://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Notification.pdf Lead Abatement MoDOT Project Notification]
  
:*[http://www.modot.org/business/contractor_resources/documents/AffidavitforCompliancewithPrevailingWageLaw.pdf Affidavit for Compliance with Prevailing Wage Law]
+
:* [http://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Re_Notification.pdf Lead Abatement MoDOT Project Re-Notification]
  
:*[http://www.modot.org/business/materials/Trainee%20Notification.pdf CAT Trainee Notification]
+
:* [http://epg.modot.org/forms/CM/Lead_Abatement_Program_Contact_Info.pdf Lead Abatement Program Contact Info]  
  
:*[http://www.modot.org/business/materials/Project%20Conflict%20Resolution%20Flowchart.pdf Conflict Resolution Flowchart]
+
:* [http://eprojects/Templates/MODOT_Workforce_JSP_Cummulative_Workforce_Hours_Report.xlsx MoDOT Workforce JSP Cumulative Workforce Hours Report]
  
:*[http://ghepg01/forms/CO/Contractor%20Affidavit%20(C-242).dot Contractor's Affidavit Regarding Settlement of Claims  (C-242), 2008 version]
+
:* [http://epg.modot.mo.gov/forms/CM/MoDOT_Workforce_Pre_Construction_Diversity_Plan_Report.xlsx MoDOT Workforce Pre-Construction Diversity Plan Report]
  
:*[http://www.modot.org/pdf/business/Contractor%20Affidavit%20Regarding%20Settlement%20of%20Claims%20(C-242).pdf Contractor's Affidavit Regarding Settlement of Claims  (C-242), 2000 version]
+
:* [http://epg.modot.org/forms/CM/OJT_1_Trainee_Notification.pdf OJT-1, Trainee Notification]
  
:*[http://www.modot.org/business/contractor_resources/documents/Contractor_Questionnaire.pdf Contractor Questionnaire]
+
:* [http://sp/sites/CM/COMAT/Shared%20Documents/Forms%20for%20Review/OJT-2%20_Contractor_Monthly_Trainee_report.pdf OJT-2, Contractor Monthly Trainee Report]
  
:*[http://www.modot.org/business/materials/contractor%27s%20Monthly%20Trainee%20Report.pdf Contractor's Monthly Trainee Report]
+
:* [http://epg.modot.org/forms/CM/OJT_3_Training_Completion.pdf OJT-3, Training Completion]
  
:*[http://www.modot.org/pdf/business/DBE.pdf DBE Program Submittal]
+
:* [http://epg.modot.mo.gov/forms/CM/OJT_4_Trainee_Contact.pdf OJT-4, Trainee Contact]
  
:*[http://www.modot.org/business/materials/Estimate%20Summary%20Request.dot Estimate Summary Request Form]
+
:* [http://epg.modot.mo.gov/forms/CM/OJT_5_Discrimination_Complaint.pdf OJT-5, Discrimination Complaint]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/OJT_6_Final_Trainee_Summary.pdf OJT-6, Training Summary]  
  
:*[http://www.modot.org/business/materials/Trainee%20Example%20Letter.pdf Example Letter to Trainee to be used by Contractor]
+
:* [http://epg.modot.org/forms/CM/Prequalification_Questionnaire.pdf Prequalification Contractor Questionnaire] (to bid a contract of any size)
  
:*[http://www.modot.org/business/contractor_resources/documents/PCQForm.pdf Prequalification Contractor Questionnaire]
+
:* [https://www.modot.org/media/12323 Request to Subcontract Work  (C-220)]
  
:*[http://www.modot.org/business/materials/Request%20to%20Subcontract%20Work%20(C-220).pdf Request to Subcontract Work  (C-220)]
+
:* [http://epg.modot.mo.gov/forms/CM/Request_to_Subcontract_C_220_Excel.xlsm Request to Subcontract Work  (C-220), Excel]
  
:*[http://www.modot.org/ValueEngineering/documents/VECPFormC104.doc Value Engineering Change Proposal (C-104)]
+
:* [http://epg.modot.org/forms/CM/Subcontractor_Certification_Regarding_Affirmative_Action.pdf Subcontractor Certification Regarding Affirmative Action]
  
:*[http://www.modot.org/business/materials/PreCon%20Flow%20Chart%20-%20Federal.pdf Wage Flowchart for Federal Jobs – Precon]
+
:* [http://epg.modot.org/forms/CM/Value_Engineering_Proposal_C_104.pdf Value Engineering Change Proposal (C-104)]
  
:*[http://www.modot.org/business/materials/PreCon%20Flow%20Chart%20-%20State.pdf Wage Flowchart for State Jobs – Precon]
+
:* [http://epg.modot.org/forms/CM/Wage_Flow_Chart_for_Federal_Jobs.pdf Wage Flowchart for Federal Jobs – Precon]
  
:*[http://www.modot.org/business/materials/welder%20qualification%20form.pdf Welder Qualification Form]
+
:* [http://epg.modot.org/forms/CM/Wage_Flow_Chart_for_State_Jobs.pdf Wage Flowchart for State Jobs – Precon]
  
:*[http://www.modot.org/business/materials/Waste%20Disposal%20Agreement.pdf Waste Disposal Agreement]
+
:* [http://epg.modot.org/forms/CM/Waste_Disposal_Agreement.pdf Waste Disposal Agreement]
  
 
====Materials  Related====
 
====Materials  Related====
:*[http://www.modot.org/business/materials/Aggregate%20Quality%20Control%20Plan.pdf Aggregate Quality Control Plan]
+
:*[http://epg.modot.mo.gov/forms/CM/AsphPlantInspCumulative.xls Asphalt Inspection Worksheet Cumulative Gradation]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/AsphPlantInspNonCumulative.xls Asphalt Inspection Worksheet Non-Cumulative Gradation]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/PipeShippingReportForm2.pdf CMP, RCP, Precast Drainage Units and Precast Box Culvert Shipping Report Form]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/Concrete%20Mix%20Design%20Submittal%20Form.xls Concrete Mix Design Submittal Form]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/Missouri%20CoreLok%20Aggregate%20Workbook.xls CoreLok Aggregate Workbook]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/GS013F2.pdf Fabricator’s PAL Receival Form]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/NewProductEvaluationForm.pdf New Product Evaluation Form]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/GS013F4.pdf PAL Program Inclusion Certifications and Guarantee Statement]
 +
 
 +
:*[http://epg.modot.org/forms/CM/Producer_Supplier_List.pd Producer/Supplier List]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/PipeShippingReportForm_Thermoplastic.pdf PVC & HDPE Pipe Shipping Report Form]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/Request_to_Transfer_Inspected_Matl.pdf Request for Transfer of Inspected Materials]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/GS013F3.pdf Shipper’s PAL Transmittal Form]
 +
 
 +
====Posters, Federal Aid====
 +
 
 +
Please refer to [http://epg.modot.org/index.php?title=Category:110_State_and_Federal_Wage_Rates_and_Other_Requirements#Required_Notices_and_Posters EPG 110.2 Federal-Aid Projects, Required Notices and Posters].
 +
 
 +
====Posters, State Aid====
 +
 
 +
Please refer to [http://epg.modot.org/index.php?title=Category:110_State_and_Federal_Wage_Rates_and_Other_Requirements#Required_Notices_and_Posters EPG 110.2 Federal-Aid Projects, Required Notices and Posters].
 +
 
 +
====Utility or Right of Way  Related====
 +
 
 +
:*[http://www.modot.mo.gov/asp/intentToWork.shtml Notice of Intent to Perform Work Process]
 +
 
 +
:*[https://www6.modot.mo.gov/ElectronicPermitting/ElectronicPermitting.html# Permit for Work on Right of Way]
 +
 
 +
===Quick Reference Guides (QRGs)===
 +
====AASHTOWare Project Quick Reference Guides (QRGs)====
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CM_AASHTOWARE_Project_Terminology.docx AWP CM AASHTOWARE Project Terminology]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CM_Certified_Testers.doc AWP CM Certified Testers]
 +
 
 +
:* [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_2ChangeOrderAddingNewItemorOverrunUnderrunExisting.doc AWP CO 2 Change Order Adding New Item or Overrun/Underrun of Existing Items]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_3ChangeOrderTimeExtension.doc AWP CO 3 Change Order Time Extension]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_4ChangeOrderValueEngineering.doc AWP CO 4 Change Order Value Engineering]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_5ChangeOrderNoCostContractModification.doc AWP CO 5 Change Order, No Cost Contract Modification]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_6ChangeOrderMobilizationAndContractBond.doc AWP CO 6 Change Order, Mobilization and Contract Bond]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_7ChangeOrderApproval.doc AWP CO 7 Change Order Approval]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Change_Order_Codes.doc AWP CO Change Order Codes]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Change_Order_Reports.doc AWP CO Change Order Reports]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Construction_Stockpiles.doc AWP CO Construction Stockpiles]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Contract_Payment_Estimate_Exception_Override.doc AWP CO Contract Payment Estimate Exception Override]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_ContractVendorAssets.doc AWP CO Contract Vendor Assets]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Contract_Adjustments.doc AWP CO Contract Adjustments]
 +
<div id="CO Contract Times"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Contract_Times.doc AWP CO Contract Times]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_DailyDiary.doc AWP CO Daily Diary]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_DailyDiaryAdjustments.doc AWP CO Daily Diary Adjustments]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_DailyWorkReport.doc AWP CO Daily Work Report]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_DailyWorkReport_Deleting_Postings_and_Acceptance_Records.doc AWP CO Daily Work Report, Deleting DWR Postings and Acceptance Records]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Disposition_Remarks_PAL_Material.doc AWP CO Disposition Remarks for PAL Material]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_EmergencyContacts.doc AWP CO Emergency Contacts]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Estimate.doc AWP CO Estimate]
 +
<div id="AWP CO Estimate Final"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Estimate_Final.doc AWP CO Estimate Final]
 +
<div id="AWP CO Item Adjustments"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Item_Adjustments.doc AWP CO Item Adjustments]
 +
<div id="CO Milestones"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Milestones.doc AWP CO Milestones]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Signal_Maintenance.doc AWP CO Signal Maintenance]
 +
 
 +
:* [http://epg.modot.mo.gov/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]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Subcontract.doc AWP CO Subcontract]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Adding_Contract_Lines_For_Acceptance_Actions.doc AWP MA Adding Contract Lines For Acceptance Actions]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Adding_Concrete_Mix_Design.doc AWP MA Adding New Concrete Mix Design]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Associating_Material_To_Source.docx AWP MA Associating Material to Source]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_DEC_Sample_Record.docx AWP MA DEC Sample Record]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_EditingContractAcceptanceActionsAndActionRelationships.doc AWP MA Editing Contract Acceptance Actions and Action Relationships]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Generating_Contract_SampleChecklist.doc AWP MA Generating Contract Sample Checklist]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_IAS_Lab_Audit.doc AWP MA I.A.S. Lab Audit]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_PAL_Plant_Inspection_Record.doc AWP MA PAL Plant Inspection Record]
  
:*[http://www.modot.org/business/materials/asphpayfactor.xls Asphalt Inspectors Worksheets: QA Pay Factor v5.01]
+
:* [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://www.modot.mo.gov/business/materials/AsphPlantInsp.xls Asphalt Inspectors Worksheets:    Plant Inspection v4.10]
+
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_Acceptance_By_Certification.docx AWP MA Sample Record Acceptance By Certification]
  
:*[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://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_Changing_Material_Code_Source_or_SampleType.docx AWP MA Sample Record Changing Material Code Source or Sample Type]
  
:*[http://www.modot.mo.gov/business/materials/Concrete%20Mix%20Design%20Submittal%20Form.xls Concrete Mix Design Submittal Form]
+
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_General.docx AWP MA Sample Record, General]
  
:*[http://www.modot.mo.gov/business/materials/Missouri%20CoreLok%20Aggregate%20Workbook.xls CoreLok Aggregate Workbook]
+
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_General_IAS_Audit_Record.docx AWP MA Sample Record, General IAS Audit Record]
  
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS013F2.pdf  Fabricator’s PAL Receival Form]
+
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sampling_and_Testing_Status_Report.docx AWP MA Sampling and Testing Status Report]
  
:*[http://www.modot.mo.gov/business/materials/New%20Product%20Evaluation%20Form.pdf New Product Evaluation Form]
+
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_UsingFindSample.docx AWP MA Using the Find Sample Function]
  
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS013F4.pdf PAL Program Inclusion Certifications and Guarantee Statement]
+
====SiteManager Quick Reference Guides (QRGs) [[image:bulldozer.jpg|20px]]====
 +
<div id="Change Order Codes"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Change_Order_Codes.doc Change Order Codes]
 +
<div id="Change Order Reports"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Change_Order_reports.docx Change Order Reports]
 +
<div id="Change Orders - Zero Dollar"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Change_Orders_zero_dollar.docx Change Orders - Zero Dollar]
 +
<div id="Change Orders"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Change_Orders.docx Change Orders]
 +
<div id="Change Orders – Mobilization and Contract Bond"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Change_Orders_Mobilization_and_Contract_Bond.docx Change Orders – Mobilization and Contract Bond]
 +
<div id="Change Orders – Time Adjustment"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Change_Orders_Time_Adjustment.docx Change Orders – Time Adjustment]
 +
<div id="Change Orders – Value Engineering"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Change_Orders_Value_Engineering.doc Change Orders – Value Engineering]
  
:*[http://www.modot.mo.gov/business/materials/Producer-Supplier%20List.pdf Producer/Supplier List]
+
:* [http://epg.modot.mo.gov/forms/CM/Check_for_Current_Version_of_SiteManager.doc Check for Current Version of SiteManager]
  
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS017F1.pdf PVC & HDPE Pipe Shipping Report Form]
+
:* [http://epg.modot.mo.gov/forms/CM/Concrete_Cylinder_Sample_Sent_to_Central_Lab.doc Concrete Cylinder Sample Sent to Central Lab]
  
:*[http://www.modot.mo.gov/business/documents/MaterialTransferRequest_0304.pdf Request for Transfer of Inspected Materials]
+
:* [http://epg.modot.mo.gov/forms/CM/Concrete_mix_design_creation.doc Concrete Mix Design Creation]
 +
<div id="Contract Adjustments"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Contract_Adjustments.docx Contract Adjustments]
  
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS013F3.pdf Shipper’s PAL Transmittal Form]
+
:* [http://epg.modot.mo.gov/forms/CM/Contract_Master_List.docx Contract Master List]
  
====Posters, Federal Aid====
+
:* [http://epg.modot.mo.gov/forms/CM/Contract_Finalization.doc Contract Finalization]
 +
<div id="Contractor Pay Estimates"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Contractor_Pay_Estimates.docx Contractor Pay Estimates]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/CRE20_Contractor_Reoporting_Excel2Oracle.docx CRE2O - Contractor Reporting Excel2Oracle]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/CRE20_QA_Asphalt_Guide.docx CRE2O QA Asphalt Guide]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/Daily_Work_Reports.docx Daily Work Reports]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/Diaries.docx Diaries]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/Digital_Signature_for_Adobe_Reader_DC_or_Pro_DC.docx Digital Signature for Adobe Reader DC or Pro DC]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/Disposition_Remarks_for_PAL_Materials.doc Disposition Remarks for PAL Materials]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/Emergency_Contacts.docx Emergency Contacts]
 +
 
 +
:* [http://epg.modot.mo.gov/forms/CM/Equipment_Rental_Rates_online.doc Equipment Rental Rates from the Blue Book]
 +
<div id=" Equipment Verification Samples "></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Equipment_Verification_Samples.docx Equipment Verification Samples]
  
:*[http://www.modot.org/business/materials/discrimination%20in%20employment.pdf Discrimination in Employment]
+
:* [http://epg.modot.mo.gov/forms/CM/Estimate_Based_Documentation_Records.doc Estimate Based Documentation Records]  
  
:*[http://www.modot.org/business/materials/EEO%20Policy%20Example%20Letter.pdf EEO Policy Letter Example Letter]
+
:* [http://epg.modot.mo.gov/forms/CM/Filtering_a_SiteManager_Pick_List.doc Filtering a SiteManager Pick List]
  
:*[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://epg.modot.mo.gov/forms/CM/How_to_Use_Cognos_Reports.docx How to Use Cognos Reports]
  
:*[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://epg.modot.mo.gov/forms/CM/Job_Order_Contracts.docx Job Order Contracts]
  
:*[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://epg.modot.mo.gov/forms/CM/Key_Dates.docx Key Dates]
  
:*[http://www.modot.org/business/materials/Job%20Site%20Bulletin%20Board%20Checklist.pdf Jobsite Bulletin Board Checklist]
+
:* [http://epg.modot.mo.gov/forms/CM/Line_Item_Adjustments.docx Line Item Adjustments]  
 +
<div id="Liquidated Damage Adjustments"></div>
  
:*[http://www.modot.org/business/materials/Letter%20Appt%20EEO%20Officer.pdf Letter Appt EEO Officer]
+
:* [http://epg.modot.mo.gov/forms/CM/Liquidated_Damage_Adjustments.docx Liquidated Damage Adjustments]
 +
<div id="Milestones"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Milestones.docx Milestones]  
 +
<div id="Moving Files from SharePoint to CIA"></div>
  
:*[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://epg.modot.mo.gov/forms/CM/PAL_Plant_Inspection_and_Record.docx PAL Plant Inspection and Record]  
  
:*[http://www.modot.org/business/materials/Notice%20FHWA%201022.pdf Notice FHWA 1022]
+
:* [http://epg.modot.mo.gov/forms/CM/SL_Reason_Codes_for_Time_Extension_Change_Orders.doc SL District Reason Codes for Time Extension Change Orders]
  
:*[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://epg.modot.mo.gov/forms/CM/SL_Signal_Maintenance.docx SL District Signal Maintenance by Contractor Key Dates]
 +
<div id=" Sample Record General Information "></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/Sample_Record_General.docx Sample Record General Information]
  
:*[http://www.modot.org/business/materials/Notice%20to%20Employees%20Davis%20Bacon%201321.pdf Notice to Employees Davis Bacon 1321]
+
:* [http://epg.modot.mo.gov/forms/CM/Sample_Record_of_DEC_Inspection.doc Sample Record of DEC Inspection]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/Sample_Record_of_Soil_Density_Inspection.doc Sample Record of Soil Density Inspection]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/Sample_Record_of_Visual_Inspection.doc Sample Record of Visual Inspection]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/Sampling_Checklist.docx Sampling Checklist]
 +
<div id="Stockpiled Materials"></div> 
 +
:* [http://epg.modot.mo.gov/forms/CM/Stockpiled_Materials.doc Stockpiled Materials]
  
:*[http://www.modot.org/business/materials/Notice%20to%20Workers%20Disability%20WH%201284.pdf Notice to Workers with Disability WH 1284]
+
:* [http://epg.modot.mo.gov/forms/CM/Subcontracts.docx Subcontracts]
 +
<div id="SuperPave Adjustments"></div> 
 +
:* [http://epg.modot.mo.gov/forms/CM/SuperPave_Adjustments.doc SuperPave Adjustments]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/Terminal_Services-Remote_Desktop_Connection.docx Terminal Services/Remote Desktop Connection]  
  
:*[http://www.modot.org/business/materials/stormwater%20sign.doc Stormwater Permit Sign]
+
:* [http://epg.modot.mo.gov/forms/CM/Vendor_Master_List.doc Vendor Master List]
  
:*[http://www.modot.org/business/materials/Your%20Rights%20FMLA%20WH%201420.pdf Your Rights FMLA WH 1420]
+
====Storm Water Database Quick Reference Guides (QRGs)====
  
====Posters, State Aid====
+
:* [[media:101 How to Fill Out Land Disturbance Inspection Record.pdf|How to Fill Out Land Disturbance Inspection Record]]
:*[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]
+
:* [[media:101 Land Disturbance Deficiencies QRG 2019.pdf|Land Disturbance Deficiencies]]
  
:*[http://www.modot.org/business/contractor_resources/documents/UnemploymentBenefitsLaws.pdf Unemployment Benefits Laws]
+
:* [[media:101 Land Disturbance Storm Water Database Closeout Procedure QRG 2020.pdf|Land Disturbance Storm Water Database Closeout Procedure]]
  
:*[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])
+
:* [[media:101 Land Disturbance Storm Water Database Initial Setup for Construction Projects 2020.pdf|Land Disturbance Storm Water Database Initial Setup for Construction Projects]]
  
====Utility or Right of Way  Related====
+
:* [[media:101 Land Disturbance Storm Water Database Initial Setup for Maintenance Projects QRG 2020.pdf|Land Disturbance Storm Water Database Initial Setup for Maintenance Projects]]
  
:*[http://www.modot.mo.gov/asp/intentToWork.shtml Notice of Intent to Perform Work Process]
+
:* [[media:101 Land Disturbance Storm Water Database 7 Day Reviews QRG.pdf|Land Disturbance Storm Water Database 7-Day Reviews]]
  
:*[http://www.modot.mo.gov/business/contractor_resources/documents/permit_external.pdf Permit for Work on Right of Way]
+
:* [[media:101 Storm Water Land Disturbance Erosion Reporting QRG Dec 2020.pdf|Storm Water Land Disturbance Erosion Reporting]]
  
 
==Design==
 
==Design==
 +
{|style="padding: 0.3em; margin-left:15px; border:1px solid #a9a9a9; text-align:center; font-size: 95%; background:#f5f5f5" width="160px" align="right"
 +
|- 
 +
|'''[http://www.modot.org/business/standards_and_specs/d-sheets.htm Microstation D-Sheets]'''
 +
|-
 +
|'''Signing'''
 +
|-
 +
|[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/D-28.doc 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===
 
===Bridge===
*[http://ghepg01/forms/DE-Bridge/404%20Permits.dot 404 Permits]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/Environmental/404%20Permits.dot 404 Permits]
  
*[http://ghepg01/forms/DE-Bridge/BridgeSurvey%20Report%20Form%20-%20English.dot Bridge Survey Report Form]
+
*[[media:747 Bridge Survey Checklist.xlsx|Bridge Survey Checklist]]
  
*[http://ghepg01/forms/DE-Bridge/Structural%20Rehab%20Checklist.xlt Structural Rehab Checklist (Excel)]
+
*[[media:747 Bridge Survey Location Request Dec 2019.docx|Bridge Survey Location Request]]
  
 +
*[[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]]
 +
 +
*[http://sp/sites/br/Review/RehabChecklist/Structural%20Rehabilitation%20Checklist.xlsm Structural Rehabilitation Checklist (Excel)]
 +
 +
*[[media:131.1 Vertical Clearance Coord Form Jul 2018.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]]
  
 
===Checklist===
 
===Checklist===
*[http://ghepg01/forms/DE-Checklist/Design%20Progress%20Check%20List.dot Design Progress Check List]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Design%20Progress%20Check%20List.docx Design Progress Check List]
  
*[http://ghepg01/forms/DE-Checklist/District%20Final%20Design%20Checklist%20-%20D12.dot District Final Design Checklist - D12]
+
*[http://sp/sites/de/Bid/Shared%20Documents/Letting_Information/D-12.pdf District Final Design Checklist - D-12]
  
*[http://ghepg01/forms/DE-Checklist/Preliminary%20Plans%20Check%20List.dot Preliminary Plans Check List]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Preliminary%20Plans%20Check%20List.dot Preliminary Plans Check List]
  
*[http://ghepg01/forms/DE-Checklist/Right%20of%20Way%20Check%20List.dot Right of Way Check List]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/124_Project_Reviewing_Checklist.docx Project Reviewing Checklist]
  
 +
*[http://epg.modot.mo.gov/forms/DE-Checklist/Right%20of%20Way%20Check%20List.dot Right of Way Check List]
  
 
===Computer===
 
===Computer===
*[http://ghepg01/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/Design%20Computer%20Files%20&%20Drawings%20Log%20Sheet%20-%20D-97.dot Design Computer Files & Drawings Log Sheet - D-97]
 
 
*[http://ghepg01/forms/DE-Computer/MicroStation%20Computer%20Drawings%20Log%20Sheet%20-%20D96.dot MicroStation Computer Drawings Log Sheet - D96]
 
  
 +
*[http://epg.modot.mo.gov/forms/DE-Computer/MicroStation%20Computer%20Drawings%20Log%20Sheet%20-%20D96.dot MicroStation Computer Drawings Log Sheet - D96]
  
 
===Contracts===
 
===Contracts===
*[http://ghepg01/forms/DE-Contracts/Award.dot Award]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/BiddingContract/District%20Award.dot District Award]
  
*[http://ghepg01/forms/DE-Contracts/Computer%20Deliverable%20Contract%20Plans%202003.dot Computer Deliverable Contract Plans 2003]
+
*[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)]
 
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Consultant Services Contract - State Funded (MoDOT Users)]
Line 335: Line 630:
 
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot De1]
 
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot De1]
  
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot DE11]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/BiddingContract/DE11_Municipal_Agreement.doc DE11]
  
*[http://ghepg01/forms/DE-Contracts/Sample%20Scope%20of%20Services%20-%20Location%20and%20Environment.dot Sample Scope of Services - Location and Environment]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Sample%20Scope%20of%20Services%20-%20Location%20and%20Environment.dot Sample Scope of Services - Location and Environment]
 
 
*[http://ghepg01/forms/DE-Contracts/Sample%20Scope%20of%20Services%20Design.dot Sample Scope of Services Design]
 
  
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Sample%20Scope%20of%20Services%20Design.dot Sample Scope of Services Design]
  
 
===Design Forms===
 
===Design Forms===
*[http://epg.modot.mo.gov/forms/DE-DEForms/3R%20CONCEPTUAL%20STUDY%20REPORT.dot 3R Conceptual Study Report]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/3R%20CONCEPTUAL%20STUDY%20REPORT.dot 3R Conceptual Study Report]
  
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/4R%20PAVEMENT%20REHABILITATION%20ANALYSIS%20DATA%20AND%20CONCEPTUAL%20STUDY%20REPORT.dot 4R Pavement Rehabilitation Analysis Data and Conceptual Study Report]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/4R%20PAVEMENT%20REHABILITATION%20ANALYSIS%20DATA%20AND%20CONCEPTUAL%20STUDY%20REPORT.dot 4R Pavement Rehabilitation Analysis Data and Conceptual Study Report]
  
*[http://ghepg01/forms/DE-DEForms/Aerial%20Mosiac%20Submittal%20for%20Recon%20Study.dot Aerial Mosiac Submittal for Recon Study]
+
*[http://epg.modot.mo.gov/forms/DE-DEForms/Aerial%20Mosiac%20Submittal%20for%20Recon%20Study.dot Aerial Mosaic Submittal for Recon Study]
  
*[http://ghepg01/forms/DE-DEForms/Commission%20Backup%20Form%20Blank.dot Commission Backup Form Blank]
+
*[http://epg.modot.mo.gov/forms/DE-DEForms/Commission%20Backup%20Form%20Blank.dot Commission Backup Form Blank]
  
*[http://ghepg01/forms/DE-DEForms/Commission%20Backup%20Form%20Instructions.dot Commission Backup Form Instructions]
+
*[http://epg.modot.mo.gov/forms/DE-DEForms/Commission%20Backup%20Form%20Instructions.dot Commission Backup Form Instructions]
  
*[http://epg.modot.mo.gov/forms/DE-DEForms/Conceptual%20Study%20Report.dot Conceptual Study Report]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Conceptual%20Study%20Report.dot Conceptual Study Report]
  
*[http://ghepg01/forms/DE-DEForms/Consultant%20Rating%20Form.dot Consultant Rating Form]
+
*[[media:134.2.2.5.1 May 2017.doc|Consultant Rating Form]]
  
*[http://ghepg01/forms/DE-DEForms/Cultural%20Resource%20Assessment%20Letter.dot Cultural Resource Assessment Letter]
+
*[http://epg.modot.mo.gov/forms/DE-DEForms/Cultural%20Resource%20Assessment%20Letter.dot Cultural Resource Assessment Letter]
  
*[http://ghepg01/forms/DE-DEForms/D-28%20Sign%20Design%20Order%20Form.dot D-28 Sign Design Order Form]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/D-28.doc D-28 Sign Design Order Form]
  
*[http://epg.modot.mo.gov/forms/DE-DEForms/DESIGN%20EXCEPTION%20INFORMATION.dot Design Exception Information]
+
*[[media:131.1 Design Exception 2020.docx|Design Exception Information]]
  
*[http://ghepg01/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]
  
*[http://ghepg01/forms/DE-DEForms/Highway%20Lighting%20Warrants%20D21.dot Highway Lighting Warrants D21]
+
*[[media:Form 806.8.2 dec 2019.pdf|Form 806.8.2, Project-Specific SWPPP Information]]
  
*[http://ghepg01/forms/DE-DEForms/Inquiry%20Report.dot Inquiry Report]
+
*[[media:Form D21 2018.pdf|Highway Lighting Warrants D21]]
  
*[http://ghepg01/forms/DE-DEForms/Job%20Special%20Provisions%20Stylesheet.dot Job Special Provisions Stylesheet]
+
*[http://epg.modot.mo.gov/forms/DE-DEForms/Inquiry%20Report.dot Inquiry Report]
  
*[http://epg.modot.mo.gov/forms/DE-DEForms/Location%20Study%20Report.dot Location Study Report]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Location%20Study%20Report.dot Location Study Report]
  
*[http://ghepg01/forms/DE-DEForms/Pavement%20Distress%20Log%20Form%20-%20Asphalt%20-%2011x17.dot Pavement Distress Log Form - Asphalt - 11x17]
+
* [[media:M-40 2013.docx|M-40 Request for Drilling Services]]
  
*[http://ghepg01/forms/DE-DEForms/Pavement%20Distress%20Log%20Form%20-%20Concrete%2011x17.dot Pavement Distress Log Form - Concrete 11x17]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Pavement%20Distress%20Log%20Form%20-%20Asphalt%20-%2011x17.dot Pavement Distress Log Form - Asphalt - 11x17]
  
*[http://ghepg01/forms/DE-DEForms/Pavement%20Repair%20Log.dot Pavement Repair Log]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Pavement%20Distress%20Log%20Form%20-%20Concrete%2011x17.dot Pavement Distress Log Form - Concrete 11x17]
  
*[http://ghepg01/forms/DE-DEForms/Preliminary%20Plans%20Proposal%20Review.dot Preliminary Plans Proposal Review]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Pavement%20Repair%20Log.dot Pavement Repair Log]
  
*[http://ghepg01/forms/DE-DEForms/Preliminary%20Signal%20Plan%20Submittal.dot Preliminary Signal Plan Submittal]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Preliminary%20Plans%20Proposal%20Review.dot Preliminary Plans Proposal Review]
  
*[http://ghepg01/forms/DE-DEForms/PROJECT%20ASSIGNMENTS%20AND%20COMPLETION%20DATES.dot Project Assignments and Completion Dates]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Preliminary%20Signal%20Plan%20Submittal.dot Preliminary Signal Plan Submittal]
  
*[http://ghepg01/forms/DE-DEForms/PROJECT%20CORE%20TEAM%20CERTIFICATION_D13.dot Project Core Team Certification D13]
+
*[http://epg.modot.mo.gov/forms/DE-DEForms/PROJECT%20ASSIGNMENTS%20AND%20COMPLETION%20DATES.dot Project Assignments and Completion Dates]
  
*[http://ghepg01/forms/DE-DEForms/Project%20Data%20for%20BAMS.dot Project Data for BAMS]
+
*[http://epg.modot.mo.gov/forms/DE-DEForms/Project%20Data%20for%20BAMS.dot Project Data for BAMS]
  
*[http://ghepg01/forms/DE-DEForms/Project%20Initialization%20Estimate%20Form.dot Project Initialization Estimate Form]
+
*[http://epg.modot.mo.gov/forms/DE-DEForms/Project%20Initialization%20Estimate%20Form.dot Project Initialization Estimate Form]
  
*[http://ghepg01/forms/DE-DEForms/Submittal%20to%20Professional%20Services%20Committee.dot Submittal to Professional Services Committee]
+
*[https://spexternal.modot.mo.gov/sites/de/_layouts/15/WopiFrame.aspx?sourcedoc=%7bC825A659-7DD3-4CF3-8F3D-284E3BFF6E39%7d&file=JSP-Formatting-Guide.doc&action=default Roadway Job Special Provision Formatting Guide]
  
*[http://ghepg01/forms/DE-DEForms/Suggested%20Revision%20to%20a%20CADD%20Standard.dot Suggested Revision to a CADD Standard]
+
*[https://spexternal.modot.mo.gov/sites/de/_layouts/15/WopiFrame.aspx?sourcedoc=%7b01675DEF-ADDD-465C-AF8F-868B9CF5DBE2%7d&file=Roadway%20JSP%20Instructions.docx&action=default Roadway Job Special Provision Instructions]
  
*[http://ghepg01/forms/DE-DEForms/Test-Cultural%20Resource%20Assessment%20Letter.dot Test-Cultural Resource Assessment Letter]
+
*[https://spexternal.modot.mo.gov/sites/de/_layouts/15/WopiFrame.aspx?sourcedoc={5D551D7A-2FA3-4777-BB7E-829D7D83CA92}&file=Roadway_JSP_Template.doc&action=default Roadway Job Special Provision Template]
  
*[http://ghepg01/forms/DE-DEForms/Traffic%20Signal%20Warrants,%20Form%20D22.dot Traffic Signal Warrants, Form D22]
+
*[[media:134.2.2.2 2019.docx|Submittal to Professional Services Committee]]
  
*[http://ghepg01/forms/DE-DEForms/Utility%20Print%20Submittal%20Letter.dot Utility Print Submittal Letter]
+
*[http://epg.modot.mo.gov/forms/DE-DEForms/Suggested%20Revision%20to%20a%20CADD%20Standard.dot Suggested Revision to a CADD Standard]
  
*[http://ghepg01/forms/DE-DEForms/Utility%20Print%20Submittal%20letter_Revised%20Plans.dot Utility Print Submittal letter_Revised Plans]
+
*[http://epg.modot.mo.gov/forms/DE-DEForms/Test-Cultural%20Resource%20Assessment%20Letter.dot Test-Cultural Resource Assessment Letter]
  
*[http://ghepg01/forms/DE-DEForms/WORK%20DAY%20STUDY%20-%20124.dot Work Day Study - 124]
+
*[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.org/forms/DE%202017%20Forms/DELiaison/WORK%20DAY%20STUDY%20-%20124.dot Work Day Study - 124]
 +
 
 +
===[http://epg.modot.org/index.php?title=Category:134_Engineering_Professional_Services#134.1.3_Consultant_Qualification Engineering Professional Services]===
  
 
===Environmental and Cultural===
 
===Environmental and Cultural===
*[http://ghepg01/forms/DE-Env&Cultural/Categorial%20Exclusion%20Form.dot Categorical Exclusion Form]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/Environmental/Categorial%20Exclusion%20Form.dot Categorical Exclusion Form]
 +
 
 +
*[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]
 +
 
 +
*[https://www6.modot.mo.gov/EnvironmentalRequest/Pages/Login.aspx Request for Environmental Services (RES) Form]
 +
 
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/Environmental/127.1%20Instructions%20for%20the%20RES%20Form.docx Instructions for the RES Form]
 +
 
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/Environmental/127.1_Consultant_RES_form_instruction.docx Consultant information needed to fill out RES Form]
 +
 
 +
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/STRUCT.dot STRUCT]
 +
 
 +
===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.org/forms/DE%202017%20Forms/DELiaison/Materials%20Suppliers,%20Source%20and%20Location.dot Materials Suppliers, Source and Location]
 +
 
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/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://ghepg01/forms/DE-Env&Cultural/Categorial%20Exclusion%20For%20Hardships%20Determined.dot Categorical Exclusion Determination for Hardships]
+
*[http://epg.modot.mo.gov/forms/DE-Photo/Microfilm-Print%20Billing%20Form.dot Microfilm-Print Billing Form]
  
*[http://ghepg01/forms/DE-Env&Cultural/Categorial%20Exclusion%20Form.dot Cultural Resource Assessment Letter]
+
*[http://epg.modot.mo.gov/forms/DE-Photo/Prints%20of%20Previous%20Photography%20Requistion.dot Prints of Previous Photography Requistion]
  
*[http://ghepg01/forms/DE-Env&Cultural/Cultural%20Resource%20Structure%20Log.dot Cultural Resource Structure Log]
+
*[http://epg.modot.mo.gov/forms/DE-Photo/Request%20for%20Color%20Copies.dot Request for addition to flight program]
  
*[http://ghepg01/forms/DE-Env&Cultural/DNR%20Land%20Survey%20Request.dot DNR Land Survey Request]
+
*[http://epg.modot.mo.gov/forms/DE-Photo/Request%20for%20addition%20to%20flight%20program.dot Request for Color Copies]
  
*[http://ghepg01/forms/DE-Env&Cultural/Farmland%20Conversion%20IMpact%20Rating%20(Site).dot Farmland Conversion Impact Rating (Corridor)]
+
===Planning===
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/ARAN%20Report%20Request.dot ARAN Report Request]
  
*[http://ghepg01/forms/DE-Env&Cultural/Farmland%20Conversion%20Impact%20Rating%20(Corridor).dot Farmland Conversion Impact Rating (Site)]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Conceptual%20Study%20Traffic%20Count%20Request.dot Conceptual Study Traffic Count Request]
  
*[http://ghepg01/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-Planning/Fis%20Formc.dot Fis Formc]
  
*[http://ghepg01/forms/DE-Env&Cultural/Initial%20Site%20Assessment%20Form.dot Initial Site Assessment Form]
+
*[http://sp/sites/tp/sysanlysis/dmas/Shared%20Documents/Forms%20TP/Road%20User%20Costs%20Request%20Form.pdf Road User Costs Request Form]
  
*[http://ghepg01/forms/DE-Env&Cultural/Request%20for%20Environmental%20Studies.dot Request for Environmental Studies]
+
*[[media:101 traffic forecast request form.pdf|Traffic Forecast Request Form]]
  
*[http://ghepg01/forms/DE-Env&Cultural/RES%20Instruction%20sheet.doc RES Instruction sheet]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Turning%20Movement%20Traffic%20Count%20Request.dot Turning Movement Traffic Count Request]
  
*[http://ghepg01/forms/DE-Env&Cultural/STRUCT.dot STRUCT]
+
===Public Involvement===
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Notice%20of%20Formal%20Public%20Hearing.dot Notice of Formal Public Hearing]
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Open-House%20Public%20Hearing.dot Open House Public Hearing]
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Public%20Hearing%20Statement%20Form.dot 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/DE/Public%20Involvement/Sample%20Public%20Involvement%20Plan.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]
  
===Hearings===
+
===Right of Way===
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Generic Meeting Sign-Up Sheet]
+
*[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://ghepg01/forms/DE-Hearings/Notice%20of%20Formal%20Public%20Hearing.dot Notice of Formal Public Hearing]
+
*[http://epg.modot.mo.gov/forms/DE-ROW/Forthcoming%20RW%20Plan%20changes.dot Forthcoming RW Plan Changes]
  
*[http://ghepg01/forms/DE-Hearings/Open-House%20Public%20Hearing.dot Open-House Public Hearing]
+
*[http://epg.modot.mo.gov/forms/DE-ROW/Preliminary%20Right%20of%20Way%20Estimate.dot Preliminary Right of Way Estimate]
  
*[http://ghepg01/forms/DE-Hearings/Public%20Hearing%20Statement%20Form.dot Public Hearing Statement Form]
+
*[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]
  
===Materials===
+
*[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://ghepg01/forms/DE-Materials/Hazardous%20Waste%20Removal%20Bid%20Information.dot Hazardous Waste Removal Bid Information]
 
  
*[http://ghepg01/forms/DE-Materials/Itemized%20Proposal%20-%20Demolition,%20Asbestos,%20UST%20Removal.dot Itemized Proposal - Demolition, Asbestos, UST Removal]
+
*[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Change%20Information%20for%20Microfilming.dot RW Change Information for Microfilming]
  
*[http://ghepg01/forms/DE-Materials/Materials%20Suppliers,%20Source%20and%20Location.dot Materials Suppliers, Source and Location]
+
*[[media:236.13.15 2014 certification.docx|Certification Document]]
  
*[http://ghepg01/forms/DE-Materials/Request%20for%20Asphalt%20Cement%20%25%20Grade.dot Request for Asphalt Cement % Grade]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/RW/RW%20Plans%20Approval%20-%20Letter%20of%20Certification.dot RW Plans Approval - Letter of Certification]
  
*[http://ghepg01/forms/DE-Materials/Soil%20Info%20Request.dot Soil Info Request]
+
===Scoping===
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Bridge%20Checklist.dot Bridge Checklist]
  
*[http://ghepg01/forms/DE-Materials/Soil%20Survey%20Request.dot Soil Survey Request]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Construction%20and%20Materials%20Checklist.dot Construction and Materials Checklist]
  
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Design_Checklist_Apr_26,_2012.doc Design Checklist]
  
===Photo===
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Project%20Scoping%20Memorandum.dot Draft Project Scoping Memorandum]
*[http://ghepg01/forms/DE-Photo/Aerial%20Photography%20Requisition.dot Aerial Photography Requisition]
 
  
*[http://ghepg01/forms/DE-Photo/Microfilm-Print%20Billing%20Form.dot Microfilm-Print Billing Form]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Environmental%20Checklist.dot Environmental Checklist]
  
*[http://ghepg01/forms/DE-Photo/Prints%20of%20Previous%20Photography%20Requistion.dot Prints of Previous Photography Requistion]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/FHWA%20Checklist.dot FHWA Checklist]
  
*[http://ghepg01/forms/DE-Photo/Request%20for%20Color%20Copies.dot Request for addition to flight program]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Maintenance%20Checklist.dot Maintenance Checklist]
  
*[http://ghepg01/forms/DE-Photo/Request%20for%20addition%20to%20flight%20program.dot Request for Color Copies]
+
*[http://epg.modot.mo.gov/forms/DE-Scoping/Major%20Project%20Scope%20or%20Estimate%20Change.dot Major Project Scope or Estimate Change]
 +
[[image:101 survey.jpg|right|150px]]
  
 +
*[http://epg.modot.mo.gov/forms/DE-Scoping/Non-Major%20Project%20Scope%20or%20Estimate%20Change.dot Non-Major Project Scope or Estimate Change]
  
===Planning===
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Planning%20Checklist.dot Planning Checklist]
*[http://ghepg01/forms/DE-Planning/ARAN%20Report%20Request.dot ARAN Report Request]
 
  
*[http://ghepg01/forms/DE-Planning/Conceptual%20Study%20Traffic%20Count%20Request.dot Conceptual Study Traffic Count Request]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Design_Liaison_Checklist.doc Design Liaison Checklist]
  
*[http://ghepg01/forms/DE-Planning/Fis%20Formc.dot Fis Formc]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Project%20Estimate%20Quality%20Assurance%20Report.dot Project Estimate Quality Assurance Report]
  
*[http://ghepg01/forms/DE-Planning/Turning%20Movement%20Traffic%20Count%20Request.dot Turning Movement Traffic Count Request]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Project_Scoping_Checklist_Apr_26,_2012.doc Project Scoping Checklist]
  
 +
*[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Scoping%20Memorandum.dot Project Scoping Memorandum]
  
===Right of Way===
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Public%20Information%20and%20Outreach%20Checklist.dot Public Information and Outreach Checklist]
*[http://ghepg01/forms/DE-ROW/3-4.1a.dot 3-4.1a]
 
  
*[http://ghepg01/forms/DE-ROW/3-4.1b.dot 3-4.1b]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Railroad%20Checklist.dot Railroad Checklist]
  
*[http://ghepg01/forms/DE-ROW/3-4.2a.dot 3-4.2a]
+
*[http://epg.modot.mo.gov/forms/DE-Scoping/Right%20of%20Way%20Checklist.dot Right of Way Checklist]
  
*[http://ghepg01/forms/DE-ROW/Forthcoming%20RW%20Plan%20changes.dot Forthcoming RW Plan Changes]
+
*[http://sp/sites/de/Team/New%20folder/DE%20eProjects%20Forms/DE%20Liaison/Traffic%20Checklist.dot Traffic Checklist]
  
*[http://ghepg01/forms/DE-ROW/Preliminary%20Right%20of%20Way%20Estimate.dot Preliminary Right of Way Estimate]
+
*[http://epg.modot.mo.gov/forms/DE-Scoping/Utilities%20Checklist.dot Utilities Checklist]
  
*[http://ghepg01/forms/DE-ROW/Right%20of%20Way%20Plans%20Reviewed.dot Right of Way Plans Reviewed]
+
===Survey===
 +
*[[media:747 Bridge Survey Location Request Dec 2019.docx|Bridge Survey Location Request]]
  
*[http://ghepg01/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-Survey/Center%20Line%20Staking%20-%20Letter%20to%20Property%20Owner.dot Center Line Staking - Letter to Property Owner]
  
*[http://ghepg01/forms/DE-ROW/RW%20Apr%20Condemnation%20Required%20.dot RW Apr Condemnation Required]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/Center%20Line%20Staking.dot Center Line Staking]
  
*[http://ghepg01/forms/DE-ROW/RW%20Change%20Information%20for%20Microfilming.dot RW Change Information for Microfilming]
+
*[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://ghepg01/forms/DE-ROW/RW%20Plans%20-%20Commission%20Certification%20(Amended).dot RW Plans - Commission Certification (Amended)]
+
*[http://epg.modot.mo.gov/forms/DE-Survey/Permanent%20RW%20Marker%20Settings.dot Permanent RW Marker Settings]
  
*[http://ghepg01/forms/DE-ROW/RW%20Plans%20-%20Commission%20Certification.dot RW Plans - Commission Certification]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/238.2.18.2_Plat_Review_Checklist.pdf Form 238.2.18.2 Plat Review Checklist]
  
*[http://ghepg01/forms/DE-ROW/RW%20Plans%20Approval%20-%20Letter%20of%20Certification.dot RW Plans Approval - Letter of Certification]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/Preliminary%20Surveying%20-%20letter%20to%20property%20owner%201.dot Preliminary Surveying - letter to property owner 1]
  
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/Preliminary%20Surveying%20-%20letter%20to%20property%20owner.dot Preliminary Surveying - letter to property owner]
  
===Scoping===
+
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/Preliminary%20Surveying.dot Preliminary Surveying]
*[http://ghepg01/forms/DE-Scoping/Bridge%20Checklist.dot Bridge Checklist]
 
  
*[http://ghepg01/forms/DE-Scoping/Construction%20and%20Materials%20Checklist.dot Construction and Materials Checklist]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/238.2.17_Professional_Land_Surveyor_2013.doc Professional Land Surveyor Description Review Form]
  
*[http://ghepg01/forms/DE-Scoping/Design%20Checklist.dot Design Checklist]
+
*[http://epg.modot.mo.gov/forms/DE-Survey/RW%20Marker%20Setting.dot RW Marker Setting]
  
*[http://ghepg01/forms/DE-Scoping/Draft%20Project%20Scoping%20Memorandum.dot Draft Project Scoping Memorandum]
+
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/Survey%20Request%20Form.dot Survey Request Form]
  
*[http://ghepg01/forms/DE-Scoping/Environmental%20Checklist.dot Environmental Checklist]
+
==External Civil Rights==
  
*[http://ghepg01/forms/DE-Scoping/FHWA%20Checklist.dot FHWA Checklist]
+
===DBE===
 +
:*[http://epg.modot.mo.gov/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form]
  
*[http://ghepg01/forms/DE-Scoping/Maintenance%20Checklist.dot Maintenance Checklist]
+
:*[https://www.modot.org/media/26953 DBE and Non-DBE Subcontractor Report Form]
  
*[http://ghepg01/forms/DE-Scoping/Major%20Project%20Scope%20or%20Estimate%20Change.dot Major Project Scope or Estimate Change]
+
:*[https://www.modot.org/media/245 DBE Contractor/Subcontractor Project Trucker and Equipment List]
  
*[http://ghepg01/forms/DE-Scoping/Non-Major%20Project%20Scope%20or%20Estimate%20Change.dot Non-Major Project Scope or Estimate Change]
+
:*[http://epg.modot.org/files/5/57/101_DBE_Identification_Submittal_Form.pdf DBE Identification Submittal Form]
  
*[http://ghepg01/forms/DE-Scoping/Planning%20Checklist.dot Planning Checklist]
+
:*[http://epg.modot.mo.gov/forms/CM/DBE_Substitution_Form.pdf DBE Substitution Form]
  
*[http://ghepg01/forms/DE-Scoping/Project%20Development%20Liaison%20Checklist.dot Project Development Liaison Checklist]
+
===OJT===
 +
:*[https://www.modot.org/media/14124 OJT-1, Trainee Notification]
  
*[http://ghepg01/forms/DE-Scoping/Project%20Estimate%20Quality%20Assurance%20Report.dot Project Estimate Quality Assurance Report]
+
:*[https://www.modot.org/media/331 OJT-2, Contractor Monthly Trainee Report]
  
*[http://ghepg01/forms/DE-Scoping/Project%20Scoping%20Checklist.dot Project Scoping Checklist]
+
:*[https://www.modot.org/media/14125 OJT-3, Trainee Completion Report]  
  
*[http://ghepg01/forms/DE-Scoping/Project%20Scoping%20Memorandum.dot Project Scoping Memorandum]
+
:*[https://www.modot.org/media/14126 OJT-4, Trainee Contact]
  
*[http://ghepg01/forms/DE-Scoping/Public%20Information%20and%20Outreach%20Checklist.dot Public Information and Outreach Checklist]
+
:*[https://www.modot.org/media/332 OJT-5, Trainee Discrimination Complaint]
  
*[http://ghepg01/forms/DE-Scoping/Railroad%20Checklist.dot Railroad Checklist]
+
:*[https://www.modot.org/media/12141 OJT-6, Training Summary]
  
*[http://ghepg01/forms/DE-Scoping/Right%20of%20Way%20Checklist.dot Right of Way Checklist]
+
===Workforce Diversity JSP===
 +
:*[[media:101 Contractor's Monthly New Employee Report.pdf|Contractor's Monthly New Employee Report]]
  
*[http://ghepg01/forms/DE-Scoping/Traffic%20Checklist.dot Traffic Checklist]
+
:*[https://www.modot.org/media/12336 MoDOT Cumulative Workforce Hours Report (Workforce Monthly Report)]
  
*[http://ghepg01/forms/DE-Scoping/Utilities%20Checklist.dot Utilities Checklist]
+
:*[https://www.modot.org/sites/default/files/documents/WF-1_New_Hire_Notification.pdf New Hire Notification]
  
 +
:*[[media:101 Sample Company Workforce Diversity Job Special Provision Action Plan.docx|Sample Company Workforce/Diversity Job Special Provision Action Plan]]
  
===Survey===
+
:*[https://www.modot.org/media/12337 Workforce Pre-Construction Diversity Plan Report]
*[http://ghepg01/forms/DE-Survey/Center%20Line%20Staking%20-%20Letter%20to%20Property%20Owner.dot Center Line Staking - Letter to Property Owner]
 
  
*[http://ghepg01/forms/DE-Survey/Center%20Line%20Staking.dot Center Line Staking]
+
==Financial Services==
 +
*[[media:235 Agreements Checklist.doc|Agreements Checklist]]
  
*[http://ghepg01/forms/DE-Survey/Permanent%20RW%20Marker%20Setting%20-%20letter%20to%20property%20owner.dot Permanent RW Marker Setting - letter to property owner]
+
==Maintenance==
 +
*[[media:127.29.9 FRCP.pdf|Facility Runoff Control Plans (FRCP)]]
  
*[[http://ghepg01/forms/DE-Survey/Permanent%20RW%20Marker%20Settings.dot Permanent RW Marker Settings]
+
*[http://sharepoint/systemdelivery/TR/mo/travinfoitsworkzonemanagment/workzones/Shared%20Documents/Inspections/WorkZone_Inspection-form%202014.pdf Work Zone Inspection Form]
  
*[http://ghepg01/forms/DE-Survey/Preliminary%20Surveying%20-%20letter%20to%20property%20owner%201.dot Preliminary Surveying - letter to property owner 1]
+
===Chip Seal Forms===
 +
*[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]
  
*[http://ghepg01/forms/DE-Survey/Preliminary%20Surveying%20-%20letter%20to%20property%20owner.dot Preliminary Surveying - letter to property owner]
+
===Bridge Maintenance===
 +
*[[media:101 Maintenance - blankinspreport.pdf|Blank Inspection Report]]
 +
*[[media:101 Maintenance - bridgemaintenancerepairreport.xls|Bridge Maintenance Repair Report (Excel)]]
 +
*[http://ghepg01/forms/BR/774_Cathodic_System_Evaluation.dotx Cathodic System Evaluation]
 +
*[[media:101 Maintenance - CIF - Written form.dot|CIF (Critical Inspection Finding)]]
 +
*[[media:101 Maintenance - Follow-up Action Required-Written form.doc|FAR (Follow-Up Action Required)]]
 +
*[[media:101 Maintenance - maintmatlusage.xls|Maintenance Material Usage (Excel)]]
 +
*[[media:101 Maintenance - Maintenance Recommendation Report.pdf|Maintenance Recommendation Report]]
 +
*[[media:101 Maintenance - paintdatareportformblank.xls|Paint Data Report (Excel)]]
 +
*[[media:101 Maintenance - Photo Log.xls|Photo Log Sheet (Excel)]]
  
*[http://ghepg01/forms/DE-Survey/Preliminary%20Surveying.dot Preliminary Surveying]
+
===Snow & Ice Control===
 +
*[[media:101 Maintenance - Snow and Ice Control Equipment Inventory.xls|Snow and Ice Control Equipment Inventory (Excel)]]
 +
*[[media:101 Maintenance - Chemical Requirements.xls|Chemical Requirements (Excel)]]
 +
*[[media:101 Maintenance - Salt Storage.xls|Salt Storage (Excel)]]
  
*[http://ghepg01/forms/DE-Survey/RW%20Marker%20Setting.dot RW Marker Setting]
+
===Rest Areas===
 +
*[[media:101 Maintenance - Rest Area Truck Parking.xls|Rest Area Truck Parking (Excel)]]
 +
*[[media:101 Maintenance - REST AREA inspection_2005.doc|Rest Area Inspection]]
  
*[http://ghepg01/forms/DE-Survey/Survey%20Request%20Form.dot Survey Request Form]
+
===Commuter Lots===
 +
*[[media:101 Maintenance - Commuter Lot Inspection Form.xls|Commuter Lot Inspection (Excel)]]
 +
*[[media:101 Maintenance - Commuter Lot Survey.pdf|Commuter Lot Survey]]
  
 +
===Disasters===
 +
*[[media:101 Maintenance - DDIR.xls|Detailed Damage Inspection Report (Excel)]]
 +
*[[media:101 Maintenance - Non Federal Aid Route DDIR.xls|FEMA Detailed Damage Inspection Report (Excel)]]
  
 +
===Performance Indicators===
  
 +
===Pavement Management===
  
 
==Motor Carrier Services==
 
==Motor Carrier Services==
*[http://ghepg01/forms/MCS/Accounting%20Payment%20Error%20Notice.dot Accounting Payment Error Notice]
+
*[https://www.modot.org/HazWaste Hazardous Waste Transport Forms]
  
*[http://ghepg01/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://ghepg01/forms/MCS/IRP%20Outstanding%20Temporaries.dot IRP Outstanding Temporaries]
+
*[https://www.modot.org/IFTA International Fuel Tax Agreement Forms]
  
*[http://ghepg01/forms/MCS/IRP%20Surrendering%20Plates.dot IRP Surrendering Plates]
+
*[https://www.modot.org/IRP International Registration Plan Forms]
  
*[http://ghepg01/forms/MCS/IRP%20Suspension.dot IRP Suspension]
+
*[https://www.modot.org/MOPA Missouri Operating Authority Forms]
  
*[http://ghepg01/forms/MCS/IRP-IFTA%20Reject%20Letters.dot IRP-IFTA Reject Letters]
+
*[https://www.modot.org/OSOW Oversize Overweight Permitting Forms]
  
*[http://ghepg01/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==
*[http://ghepg01/forms/MCS/MCS%20MoDOT%20Letterhead.dot MTFC Letterhead]
+
*[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.org/forms/RW/Chapter%203_Administration/RW%20Cost%20Estimate%20Form%203.3.3B.docx Acquisition Complete Cost Estimate Worksheet_(Form 3-3_3B)]
 +
 +
*[http://eprojects/Templates/RW/Chapter%203_Administration/Categorical%20Exclusion%20Review_Form%203-1_2.docx Categorical Exclusion Review_(Form 3-1_2)]
 +
 +
*[http://epg.modot.org/forms/RW/Chapter%203_Administration/RW%20Cost%20Estimate%20Worksheet%20Form%203.3.3A.docx Right of Way Cost Estimate Worksheet_(Form 3-3_3A)]
  
==Right of Way==
+
===Description Writing and Titles===
*[http://ghepg01/forms/RW/RW%20Mortgage%20Analyzer.xlt RW Mortgage Analyzer (Excel)]
+
 
 +
*[http://epg.modot.org/forms/RW/Chapter%204_Description%20Writing%20&%20Titles/Affidavit%20of%20Scriveners%20Error%20Form%204_6_4a.docx Affidavit of Scrivener's Error (Form 4-6.4a)]
 +
 
 +
===Property Management===
 +
 
 +
*[http://eprojects/Templates/RW/Chapter%205_Property%20Management/Real%20Estate%20Risk%20Assessment%20Form.pdf Real Estate Risk Assessment Form]
 +
 
 +
*[http://eprojects/Templates/RW/Chapter%205_Property%20Management/Realty%20Asset%20Sale%20Legal%20Opinion%20Memo.docx Realty Asset Sale Legal Opinion Memo]
 +
 
 +
*[http://epg.modot.org/forms/RW/Chapter%205_Property%20Management/Request%20for%20Excess%20Parcel%20Survey%20Form%20236.5.19a.docx Request for Excess Parcel Survey (Form 236.5.19a)]
 +
 
 +
===Appraisal and Appraisal Review===
 +
===Negotiation===
 +
===Relocation Assistance Program===
 +
 
 +
*[http://epg.modot.org/forms/RW/Chapter%208_Relocation/Advance%20Increased%20Interest%20Payment%20Agreement%20Form%20236.8.11.4.D.2.docx Advance Increased Interest Payment Agreement (Form 236.8.11.4(d)(2))]
 +
 
 +
*[http://epg.modot.org/forms/RW/Chapter%208_Relocation/Advance%20Replacement%20Housing%20and%20Increased%20Interest%20Pmt%20Agreement%20Form%20236.8.11.4.D.1.docx Advance Replacement Housing and Increased Interest Payment Agreement (Form 236.8.11.4(d)(1))]
 +
 
 +
*[http://epg.modot.org/forms/RW/Chapter%208_Relocation/Condemnation%20Agreement%20Residential%20Property%20Form%20236.8.9.3.E.1.docx Condemnation Agreement Residential Property (Form 236.8.9.3(e)(1))]
 +
 
 +
*[http://epg.modot.org/forms/RW/Chapter%208_Relocation/Relocation%20Report%20Form%20236.8.6.4.docx Relocation Report (Form 236.8.6.4)]
 +
 
 +
*[http://epg.modot.org/forms/RW/Chapter%208_Relocation/Relocatee%20Needs%20Questionnaire%20Form%20236.8.5.2.docx Relocatee Needs Questionnaire]
 +
 
 +
===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===
 +
===[[236.16 Outdoor Advertising#Failure to provide|Outdoor Advertising]]===
 +
 
 +
===Junkyards===
 +
 
 +
* [[media:236.17 Application for License to Maintain a Junkyard.docx|Application for License to Maintain a Junkyard]]
 +
 
 +
===Local Public Agency Land Acquisition===
 +
 
 +
[[image:101 bottom.jpg|center|1025px]]

Revision as of 13:32, 22 January 2021

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

Materials

Photo

Planning

Public Involvement

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