Difference between revisions of "Category:101 Standard Forms"

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<div style="float: right; margin-left: 30px; margin-bottom: 30px;">__TOC__</div>
 
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=== ===
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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).
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<div style="float: right; width: 550px; margin-top: 8px; margin-bottom: 8px; padding: 5px; border: 2px solid black; box-shadow:5px 5px 5px #888888">
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EPG articles are not referenced as "sections" but as EPG XXX.X or as "articles" to avoid confusion with MoDOT specs (which are contractually binding).
==  ==
+
</div>
Standard forms organized by functional unit are accessible from this page. '''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.</br>
 
+
'''The files accessible by the links below are identical to those accessed through Word, Excel or other software application by MoDOT employees.'''</br>
 
+
Many of these file links are also contained in Engineering Policy Guide articles that refer to the forms.
 +
----
 +
----
 
==Bridge==
 
==Bridge==
*[http://epg.modot.mo.gov/forms/BR/Bridge%20Division%20Memo.dot Bridge Division Memo]
 
 
*[[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 Questioinnaire]
 
 
*[[media:101 Culvert Hydraulics Report.docx|Culvert Hydraulics Report]]
 
 
[[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]
+
<div style="margin-left: 30px;">
  
*[http://epg.modot.mo.gov/forms/BR/Design%20Except%20to%20District.dot Design Except to District]
+
<div class="mw-customtoggle-BR1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-BR1">
 +
<div class="mw-collapsible-content">
 +
* [https://epg.modot.org/forms/general_files/BR/BridgeDivisionMemo.dotx Bridge Division Memo]
 +
* [https://epg.modot.org/forms/general_files/BR/101_Bridge_Hydraulics_Report_Feb.dotx Bridge Hydraulics Report]
 +
* [https://epg.modot.org/forms/general_files/BR/ChangeOrder.dotx Change Order]
 +
* [https://epg.modot.org/forms/general_files/BR/ConstructabilityQuestionnaire.dotx Constructability Questionnaire]
 +
* [https://epg.modot.org/forms/general_files/BR/Culvert_Hydraulics_Report.docx Culvert Hydraulics Report]
 +
* [https://epg.modot.org/forms/general_files/BR/131.1_Design_Exception.docx Design Exception Information]
 +
* [https://epg.modot.org/forms/general_files/BR/DesignExceptToDistrict.dotx Design Except to District]
 +
* [https://epg.modot.org/forms/general_files/BR/101_Design_Layout_Box.docx Design Layout (Box)]
 +
* [https://epg.modot.org/forms/general_files/BR/DesignLayout-Grade.dotx Design Layout (Grade)]
 +
* [https://epg.modot.org/forms/general_files/BR/101_Design_Layout_Stream.docx Design Layout (Stream)]
 +
* [https://epg.modot.org/forms/general_files/BR/DesignLayout-Wall.dotx Design Layout (Wall)]
 +
* [https://epg.modot.org/forms/general_files/BR/101_Floodplain_Development_Permit_Application.pdf Floodplain Development Permit/Application]
 +
* [https://epg.modot.org/forms/general_files/BR/101_Floodplain_Development_Permit_To_District_Cover_Letter.docx Floodplain Development Permit To District Cover Letter]]
 +
* [https://epg.modot.org/forms/general_files/BR/LayouttoFHWA.dotx Layout to FHWA]
 +
* [https://epg.modot.org/forms/general_files/BR/LayoutToRailroad.dotx Layout to Railroad]
 +
* [https://epg.modot.org/forms/general_files/BR/Missouri-IllinoisBorderBridgeClearinghouseForm.dotx Missouri-Illinois Border Bridge Clearinghouse Form]
 +
* [https://epg.modot.org/forms/general_files/BR/101_No_Rise_Certificate.pdf No-Rise Certificate]
 +
* [https://epg.modot.org/forms/general_files/BR/Request_for_Final_Soundings_for_Structures_Form_LRFD.xlsx Request for Final Soundings for Structures Form]
 +
* [https://epg.modot.org/forms/general_files/BR/Telefax.dotx Telefax]
 +
* [https://epg.modot.org/forms/general_files/BR/TransmittalLetter.dotx Transmittal Letter]
 +
* [https://epg.modot.org/forms/general_files/BR/131.1_Vertical_Clearance_Coord_Form.pdf Vertical Clearance Design Exception Coordination with SDDCTEA]
 +
</div>
 +
</div>
  
*[[media:101 Design Layout Box 2014.docx|Design Layout (Box)]]
+
</div>
 
 
*[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 May 2018.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://epg.modot.mo.gov/forms/BR/Layout%20to%20Railroad.dot Layout to Railroad]
 
 
 
*[http://epg.modot.mo.gov/forms/BR/Missouri-Illinois%20Border%20Bridge%20Clearinghouse%20Form.dot Missouri-Illinois Border Bridge Clearinghouse Form]
 
 
 
*[[media:101 No Rise Certificate 2018.pdf|No-Rise Certificate]]
 
 
 
*[[media:751.1.2.20 Request.xlsx|Request for Final Soundings for Structures Form]]
 
 
 
*[http://epg.modot.mo.gov/forms/BR/Telefax.dot Telefax]
 
 
 
*[http://epg.modot.mo.gov/forms/BR/Transmittal%20Letter.dot Transmittal Letter]
 
 
 
*[[media:131.1.7 Vertical Clearance Design Exception Coordination with SDDCTEA.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]]
 
  
 
==Construction and Materials==
 
==Construction and Materials==
*[http://epg.modot.mo.gov/forms/CM/30_Day_Reminder_Final_Invoice_Letter.dotx 30 Day Reminder Final Invoice Letter]
 
 
*[http://epg.modot.mo.gov/forms/CM/60_Day_Final_Acceptance_Letter.dotx 60 Day Final Acceptance Letter]
 
 
*[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]]
 
[[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://epg.modot.mo.gov/forms/CM/AC_Index_Price_Adjustment_Seal_Coat.xlsx AC Index Price Adjustment – Sealcoat]
 
 
*[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://epg.modot.mo.gov/forms/CM/AC_Index_Price_Adjustment_Undersealing.xlsx AC Index Price Adjustment – Undersealing]
 
 
*[http://epg.modot.mo.gov/forms/CM/ADA_Checklist.dotx ADA Checklist]
 
 
*[http://epg.modot.mo.gov/forms/CM/Aggregate_Base_Random_Locations.xlsm Aggregate Base Random Locations]
 
 
*[http://epg.modot.mo.gov/forms/CM/As_Built_Final_Plans_Checklist_SL_District.dotx As Built Plans Checklist - SL District]
 
 
*[http://epg.modot.mo.gov/forms/CM/Asbestos_Bulk_Sample_Bridge_CL_EL_5.dotx Asbestos Bulk Sample Bridge CL EL 5]
 
 
*[http://epg.modot.mo.gov/forms/CM/Asbestos_Bulk_Sample_Parcel_CL_EL_5.dotx Asbestos Bulk Sample Parcel CL EL 5]
 
 
*[http://epg.modot.mo.gov/forms/CM/Asbestos_Survey_Report_T746_T747_T748_C760.dotx Asbestos Survey Report - All Suspect ACM (Form T746), Nonfriable ACM (Form T747) and All Materials (Form T748)]
 
 
*[http://epg.modot.mo.gov/forms/CM/Asphalt_Core_Spreadsheet.xlsx Asphalt Core Spreadsheet]
 
 
*[http://epg.modot.mo.gov/forms/CM/Asphalt_Mix_Design.xlsm Asphalt Mix Design]
 
 
*[http://epg.modot.mo.gov/forms/CM/Asphalt_Random_Locations.xlsm Asphalt Random Locations]
 
 
*[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/Bridge_Bearings.xlsx Bridge Bearings]
 
 
*[http://epg.modot.mo.gov/forms/CM/Bridge_Clearance_Report_C239A.dotx Bridge Clearance Report (C-239A)]
 
 
*[http://epg.modot.mo.gov/forms/CO/Bridge%20Fabrication%20Report.dot Bridge Fabrication Report]
 
 
*[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]
 
 
*[http://epg.modot.mo.gov/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form]
 
 
*[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/Concrete_Roadway_Report.dotx Concrete Roadway Report]
 
 
*[http://epg.modot.mo.gov/forms/CM/Contingent_Item_Price_Check.dotx Contingent Item Price Check]
 
 
*[http://epg.modot.mo.gov/forms/CM/Contractor_Performance_Evaluation_Letter.dotx Contractor Performance Evaluation Letter]
 
 
*[http://epg.modot.mo.gov/forms/CM/Contractor_Performance_Evaluation_Signature_Page.dotx Contractor Performance Evaluation Signature Page]
 
 
*[http://epg.modot.mo.gov/forms/CM/C9_Daily_Utility_Report.dotx 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/EEO_Checklist.dotx EEO Checklist]
 
 
*[http://epg.modot.mo.gov/forms/CM/EEO_Checklist.dotx Fence Removal Notice]
 
 
*[http://ghdcogwp01/c10/cgi-bin/cognosisapi.dll?b_action=cognosViewer&ui.action=run&ui.object=%2fcontent%2ffolder%5b%40name%3d%27SiteManager%20Reporting%27%5d%2ffolder%5b%40name%3d%27Headquarters%27%5d%2ffolder%5b%40name%3d%27Contract%20-Administration%27%5d%2freport%5b%40name%3d%27C239_Final_Acceptance_Report%27%5d&ui.name=C239_Final_Acceptance_Report&run.outputFormat=PDF&run.prompt=true&ui.backURL=%2fc10%2fcgi-bin%2fcognosisapi.dll%3fb_action%3dxts.run%26m%3dportal%2fcc.xts%26m_folder%3di734C7F8180CF4B9BA373FD704584E006 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.dotx Final Plans Certification]
 
 
*[http://epg.modot.mo.gov/forms/CM/Final_Plans_Checklist.dotx Final Plans Checklist]
 
 
*[http://epg.modot.mo.gov/forms/CM/KC_Final_Plans_Memo.pdf Final Plans Memo]
 
 
*[http://epg.modot.mo.gov/forms/CM/C13_Final_Utility_Report.dotx Final Utility Report (C-13)]
 
 
*[http://epg.modot.mo.gov/forms/CM/Force_Account_Spreasheet.xlsx Force Account Spreadsheet]
 
 
*[http://epg.modot.mo.gov/forms/CM/Form%20M-45%20Bitumin%20Distributor%20Calibration.doc Form M-45 Bitumin Distributor Calibration]
 
 
*[http://epg.modot.mo.gov/forms/CM/Fuel_Adjustment_Calculation.xlsx Fuel Adjustment Calculation]
 
 
*[http://epg.modot.mo.gov/forms/CM/Inspectors_Pay_Qty_Report_IPQR.dotx Inspectors Pay Qty Report (IPQR)]
 
 
*[http://epg.modot.mo.gov/forms/CM/Internal_MoDOT_Product_Form.dotx Internal MoDOT Product Form]
 
 
*[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_2016_Rail_Cable_Fence_Spreadsheet.xlsx JOC 2016 Rail Cable Fence Spreadsheet] 
 
 
*[http://epg.modot.mo.gov/forms/CM/JOC_2017_Rail_Cable_Fence_Spreadsheet.xlsx JOC 2017 Rail Cable Fence Spreadsheet]
 
 
*[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_Asphalt_Pavement_Repair.xlsm JOC Asphalt Pavement Repair]
 
 
*[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_Microsurfacing_Spreadsheet.xlsx JOC Microsurfacing Spreadsheet]
 
 
*[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/Milestone_Worksheet.dotx Milestone Worksheet]
 
 
*[http://epg.modot.mo.gov/forms/CM/Mobile_Mixer_Calibration.xlsx Mobile Mixer Calibration]
 
 
*[http://epg.modot.mo.gov/forms/CM/Mobile_Mixer_Verification_Sheet.dotx Mobile Mixer Verification Sheet]
 
 
*[http://epg.modot.mo.gov/forms/CM/Nuclear_Density_C709ND.dotx Nuclear Density (C-709ND)]
 
 
*[http://epg.modot.mo.gov/forms/CM/Nuclear_Density_of_Plastic_Portland_Cement_Concrete_C_710ND.dotx Nuclear Density of Plastic Portland Cement Concrete (C-710ND)]
 
 
*[http://epg.modot.mo.gov/forms/CM/Order_Record.dotx Order Record (C-259)]
 
 
*[http://epg.modot.mo.gov/forms/CM/Outlier%20Analysis.xls Outlier Analysis]
 
 
*[http://epg.modot.mo.gov/forms/CM/Pavement_Type_Selection_Submittal.dotx Pavement Type Selection Submittal Information (PTS Submittal Form)]
 
 
*[http://epg.modot.mo.gov/forms/CM/Payroll_Log.xltx Payroll Log 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.dotx Pile Driving Data]
 
 
*[http://epg.modot.mo.gov/forms/CM/Pore_Pressure_Report_Type_A.dotx Pore Pressure Report - Type A]
 
  
*[http://epg.modot.mo.gov/forms/CM/Pore_Pressure_Report_Type_B.dotx Pore Pressure Report - Type B]
+
<div style="margin-left: 30px;">
  
<div id="PreCon Letter - Federal No Trainees"></div>
+
===Forms for MoDOT Use ===
*[http://epg.modot.mo.gov/forms/CM/PreCon_Letter_Federal.dotx PreCon Letter - Federal]
+
<div class="mw-customtoggle-CM1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] General Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM1">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
  
*[http://epg.modot.mo.gov/forms/CM/PreCon_Letter_State.dotx PreCon Letter - State]
+
<div class="mw-customtoggle-CM1a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Project Closeout and As-Built Plans</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM1a" style="margin-left:15px;">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/As_Built_Final_Plans_Checklist_SL_District.pdf As Built Plans Checklist - SL District]
 +
* [https://epg.modot.org/forms/CM/Bridge_Clearance_Report_C239A.pdf Bridge Clearance Report (C-239A)]
 +
* [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242.pdf Contractor Affidavit Regarding Settlement of Claims]
 +
* [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242_With_Exceptions.pdf Contractor's Affidavit Regarding Settlement of Claims (C-242) with Exceptions]
 +
* [https://epg.modot.org/forms/CM/Final_Acceptance_C_239.pdf Final Acceptance Report (C-239), pdf version]
 +
* [https://epg.modot.org/forms/CM/Final_Plans_Certification.pdf Final Plans Certification]
 +
* [https://epg.modot.org/forms/CM/Final_Plans_Checklist.pdf Final Plans Checklist]
 +
* [https://epg.modot.org/forms/CM/KC_Final_Plans_Memo.pdf Final Plans Memo]
 +
* [https://epg.modot.org/forms/CM/C13_Final_Utility_Report.pdf Final Utility Report (C-13)]
 +
* [https://epg.modot.org/forms/CM/Bluebeam_Revu_Editing_As-Built_Plans.pdf Preparing As-Built (Final) Plans in Construction Using Bluebeam Revu]
 +
* [https://epg.modot.org/forms/CM/Semi_Final_Inspection_C_236.pdf Semi-Final Inspection (C-236)]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/Prestress_Deficiency_Report.dotx Prestress Deficiency Report (1029-01)]
+
----
 +
* [https://epg.modot.org/forms/CM/30_Day_Reminder_Final_Invoice_Letter.pdf 30 Day Reminder Final Invoice Letter]
 +
* [https://epg.modot.org/forms/CM/60_Day_Final_Acceptance_Letter.pdf 60 Day Final Acceptance Letter]
 +
* [https://epg.modot.org/forms/CM/ADA_Checklist.pdf ADA Checklist (PDF)]
 +
* [https://epg.modot.org/forms/CM/ADA_Checklist.docx ADA Checklist (MS Word)]
 +
* [https://epg.modot.org/forms/CM/Aggregate_Base_Random_Locations.xlsm Aggregate Base Random Locations]
 +
* [https://epg.modot.org/forms/CM/Asbestos_Bulk_Sample_Bridge_CL_EL_5.pdf Asbestos Bulk Sample Bridge CL EL 5]
 +
* [https://epg.modot.org/forms/CM/Asbestos_Bulk_Sample_Parcel_CL_EL_5.pdf Asbestos Bulk Sample Parcel CL EL 5]
 +
* [https://epg.modot.org/forms/CM/Asbestos_Survey_Report_T746_T747_T748_C760.pdf Asbestos Survey Report - All Suspect ACM (Form T746), Nonfriable ACM (Form T747) and All Materials (Form T748)]
 +
* [https://epg.modot.org/forms/CM/Bluebeam_Revu_2015_Training_Manual.pdf Bluebeam Revu Training Manual]
 +
* [https://epg.modot.org/forms/CM/Bridge_Bearings.xlsx Bridge Bearings]
 +
* [https://epg.modot.org/forms/CO/Bridge%20Fabrication%20Report.dot Bridge Fabrication Report]
 +
* [https://epg.modot.org/forms/CM/Change%20Order.XLS Change Order]
 +
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form]
 +
* [https://epg.modot.org/forms/CM/CUF_Determination_Form_Contracts_Let_After_03_2021.pdf Commercially Useful Function (CUF) Determination Form (for contracts let after March 2021)]
 +
* [https://epg.modot.org/forms/CM/Compressive%20Strength%20for%20Forney.xls Compressive Strength for Forney]
 +
* [https://epg.modot.org/forms/CM/Contingent_Item_Price_Check.pdf Contingent Item Price Check]
 +
* [https://epg.modot.org/forms/CM/Contractor_Performance_Evaluation_Letter.pdf Contractor Performance Evaluation Letter]
 +
* [https://epg.modot.org/forms/CM/Contractor_Performance_Evaluation_Signature_Page.pdf Contractor Performance Evaluation Signature Page]
 +
* [https://epg.modot.org/forms/CM/C9_Daily_Utility_Report.pdf Daily Utility Report (C-9)]
 +
* [https://epg.modot.org/forms/CM/Dimensions%20To%20Tons%20Converter.xlsx Dimensions To Tons Converter]
 +
* [https://epg.modot.org/forms/CM/Documentation_Record.pdf Documentation Record]
 +
* [https://epg.modot.org/forms/CM/EEO_Checklist.pdf EEO Checklist]
 +
* [https://epg.modot.org/forms/CM/Fence_Removal_Notice.pdf Fence Removal Notice]
 +
* [https://epg.modot.org/forms/CM/Force_Account_Spreadsheet.xlsx Force Account Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/Form%20M-45%20Bitumin%20Distributor%20Calibration.doc Form M-45 Bitumin Distributor Calibration]
 +
* [https://epg.modot.org/forms/CM/Inspectors_Pay_Qty_Report_IPQR.pdf Inspectors Pay Qty Report (IPQR)]
 +
* [https://epg.modot.org/forms/CM/IRI_Inertial_Profiler_Report_with_Bonus.xlsm IRI Inertial Profiler Report with Bonus]
 +
* [https://epg.modot.org/forms/CM/Job_Site_Bulletin_Board_Checklist_fillable.pdf Job Site Bulletin Board Checklist]
 +
* [https://epg.modot.org/forms/CM/KC_Milestone_Memo.pdf Milestone Memo]
 +
* [https://epg.modot.org/forms/CM/Milestone_Worksheet.pdf Milestone Worksheet]
 +
* [https://epg.modot.org/forms/CM/Mobile_Mixer_Calibration.xlsx Mobile Mixer Calibration]
 +
* [https://epg.modot.org/forms/CM/Mobile_Mixer_Verification_Sheet.pdf Mobile Mixer Verification Sheet]]
 +
* [https://epg.modot.org/forms/CM/NCR_Non_Conformance_Report.pdf Nonconformance Report (NCR)]
 +
* [https://epg.modot.org/forms/CM/Nuclear_Density_C709ND.pdf Nuclear Density (C-709ND)]
 +
* [https://epg.modot.org/forms/CM/Nuclear_Density_of_Plastic_Portland_Cement_Concrete_C_710ND.pdf Nuclear Density of Plastic Portland Cement Concrete (C-710ND)]
 +
* [https://epg.modot.org/forms/CM/Order_Record.pdf Order Record (C-259)]
 +
* [https://epg.modot.org/forms/CM/Outlier%20Analysis.xls Outlier Analysis]
 +
* [https://epg.modot.org/forms/CM/Pavement_Type_Selection_Submittal.pdf Pavement Type Selection Submittal Information (PTS Submittal Form)]
 +
* [https://epg.modot.org/forms/CM/Payroll_Log.xltx Payroll Log Form]
 +
* [https://epg.modot.org/forms/CM/Pile%20Driving%20Chart2.xls Pile Driving Chart]
 +
* [https://epg.modot.org/forms/CM/Pile_Driving_Data.pdf Pile Driving Data]
 +
* [https://epg.modot.org/forms/CM/Pile_Driving_Data_PDA.pdf Pile Driving Data PDA]
 +
* [https://epg.modot.org/forms/CM/PODI_Bridge_Deck_Pour_Checklist.pdf PODI Bridge Deck Pour Checklist]
 +
* [https://epg.modot.org/forms/CM/Pore_Pressure_Report_Type_A.pdf Pore Pressure Report - Type A]
 +
* [https://epg.modot.org/forms/CM/Pore_Pressure_Report_Type_B.pdf Pore Pressure Report - Type B]
 +
* [https://epg.modot.org/forms/CM/PreCon_Letter_Federal.pdf PreCon Letter - Federal]
 +
* [https://epg.modot.org/forms/CM/PreCon_Letter_State.pdf PreCon Letter - State]
 +
* [https://epg.modot.org/forms/CM/Prestress_Deficiency_Report.pdf Prestress Deficiency Report (1029-01)]
 +
* [https://epg.modot.org/forms/CM/Price_Verification.xlsx Price Verification]
 +
* [https://epg.modot.org/forms/CM/Railroad_Crossing_Inspection.pdf Railroad Crossing Inspection]
 +
* [https://epg.modot.org/forms/CM/RE_Letterhead.pdf RE Letterhead]
 +
* [https://epg.modot.org/forms/CM/RE_Letterhead.docx RE Letterhead – Word Format]
 +
* [https://epg.modot.org/forms/CM/Retroreflectivity_Payment_Adjustment.xlsm Retroreflectivity Payment Adjustment]
 +
* [https://epg.modot.org/forms/CM/Retroreflectometer_Request.xlsm Retroreflectometer Request]
 +
* [https://epg.modot.org/forms/CM/RoCap_Test_Form_Long_Bolts.pdf RoCap Test Form - Long Bolts]
 +
* [https://epg.modot.org/forms/CM/RoCap_Test_Form_Short_Bolts.pdf RoCap Test Form - Short Bolts]
 +
* [https://epg.modot.org/forms/CM/Semi_Annual_Labor_Compliance_Report.dotx Semi-annual Labor Compliance Report]
 +
* [https://www.modot.org/contractor-pay Contractor Payment Schedule]
 +
* [https://epg.modot.org/forms/CM/Standard%20Compaction%20Test%20Blank.xls Standard Compaction Test Blank]
 +
* [https://epg.modot.org/forms/CM/Survey%20Calculator.xlsx Survey Calculator]
 +
* [https://epg.modot.org/forms/CM/Tank%20Capacity%202.0.xls Tank Capacity]
 +
* [https://epg.modot.org/forms/CM/Tension_Log_Form.xlsx Tension Log Form]
 +
* [https://epg.modot.org/forms/CM/CR1_Wage_Rate_Interview.pdf Wage Interview (Form CR-1)]
 +
* [https://modotgov.sharepoint.com/sites/ts/Lists/WZInspect/NewForm.aspx?Source=https%3A%2F%2Fmodotgov%2Esharepoint%2Ecom%2Fsites%2Fts%2FLists%2FWZInspect%2FAllItems%2Easpx&ContentTypeId=0x0100F67DC01F15B8954690AE254DC67C2082&RootFolder=%2Fsites%2Fts%2FLists%2FWZInspect Work Zone Inspection Form]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/Price_Verification.xlsx Price Verification]
+
<div class="mw-customtoggle-CM2" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Job Order Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM2">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/JOC_2020_Asphalt_Pavement_Repair.xlsm JOC 2020 Asphalt Pavement Repair]
 +
* [https://epg.modot.org/forms/CM/JOC_2021_Asphalt_Pavement_Repair.xlsm JOC 2021 Asphalt Pavement Repair]
 +
* [https://epg.modot.org/forms/CM/JOC_2022_Asphalt_Pavement_Repair.xlsm JOC 2022 Asphalt Pavement Repair]
 +
* [https://epg.modot.org/forms/CM/JOC_2023_Asphalt_Pavement_Repair.xlsm JOC 2023 Asphalt Pavement Repair]
 +
* [https://epg.modot.org/forms/CM/JOC_2024_Asphalt_Pavement_Repair.xlsm JOC 2024 Asphalt Pavement Repair]
 +
* [https://epg.modot.org/forms/CM/JOC_2021_Bridge_Repair_Spreadsheet.xlsm JOC 2021 Bridge Repair Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2022_Bridge_Repair_Spreadsheet.xlsm JOC 2022 Bridge Repair Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2023_Bridge_Repair_Spreadsheet.xlsm JOC 2023 Bridge Repair Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2024_Bridge_Repair_Spreadsheet.xlsm JOC 2024 Bridge Repair Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2021_Concrete_Pavement_Repair.xlsm JOC 2021 Concrete Pavement Repair]
 +
* [https://epg.modot.org/forms/CM/JOC_2022_Concrete_Pavement_Repair.xlsm JOC 2022 Concrete Pavement Repair]
 +
* [https://epg.modot.org/forms/CM/JOC_2023_Concrete_Pavement_Repair.xlsm JOC 2023 Concrete Pavement Repair]
 +
* [https://epg.modot.org/forms/CM/JOC_2024_Concrete_Pavement_Repair.xlsm JOC 2024 Concrete Pavement Repair]
 +
* [https://epg.modot.org/forms/CM/JOC_2022_Fence_Repair_Spreadsheet.xlsm JOC 2022 Fence Repair Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2023_Fence_Repair_Spreadsheet.xlsm JOC 2023 Fence Repair Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2024_Fence_Repair_Spreadsheet.xlsm JOC 2024 Fence Repair Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2020_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2020 Rail Cable Fence Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2021_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2021 Rail Cable Fence Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2022_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2022 Rail Cable Fence Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2023_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2023 Rail Cable Fence Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_2024_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2024 Rail Cable Fence Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_Lighting_Repair.xlsx JOC Lighting Repair]
 +
* [https://epg.modot.org/forms/CM/JOC_Microsurfacing_Spreadsheet.xlsx JOC Microsurfacing Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/JOC_Signal_and_Lighting_Repair.xlsm JOC Signal and Lighting Repair]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/Railroad_Crossing_Inspection.dotx Railroad Crossing Inspection]
+
<div class="mw-customtoggle-CM3" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] AC Index Price and Fuel Adjustment Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM3">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Hot_Mix_Asphalt_SY.xlsx AC Index Price Adjustment – Hot mix asphalt (per SY)]
 +
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Hot_Mix_Asphalt_Ton.xlsx AC Index Price Adjustment – Hot mix asphalt (per Ton)]
 +
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Seal_Coat.xlsx AC Index Price Adjustment – Sealcoat]
 +
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_UBAWS_Hot_Mix_and_Membrane.xlsx AC Index Price Adjustment – UBAWS Hot Mix and Membrane]
 +
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Undersealing.xlsx AC Index Price Adjustment – Undersealing]
 +
* [https://epg.modot.org/forms/CM/Fuel_Adjustment_Calculation.xlsx Fuel Adjustment Calculation]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RE_Letterhead.dotx RE Letterhead]
+
<div class="mw-customtoggle-CM4" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Asphalt Inspection Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM4">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/Asphalt_Core_Spreadsheet.xlsx Asphalt Core Spreadsheet]
 +
* [https://epg.modot.org/forms/CM/Asphalt_Mix_Design.xlsm Asphalt Mix Design]
 +
* [https://epg.modot.org/forms/CM/Asphalt_Random_Locations.xlsm Asphalt Random Locations]
 +
* [https://epg.modot.org/forms/CM/Asphalt_Roadway_Report.xlsm Asphalt Roadway Report]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/Retroreflectivity_Payment_Adjustment.xlsm Retroreflectivity Payment Adjustment]
+
<div class="mw-customtoggle-CM5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Concrete Inspection Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM5">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
  
*[http://epg.modot.mo.gov/forms/CM/Retroreflectometer_Request.xlsx Retroreflectometer Request]
+
<div class="mw-customtoggle-CM5a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Ready Mix Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM5a" style="margin-left:15px;">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/RM_Aggregate_Scale_Calibration_200.dotx RM Aggregate Scale Calibration - 200]
 +
* [https://epg.modot.org/forms/CM/RM_Aggregate_Scale_Calibration_300.dotx RM Aggregate Scale Calibration - 300]
 +
* [https://epg.modot.org/forms/CM/RM_Aggregate_Scale_Calibration_350.dotx RM Aggregate Scale Calibration - 350]
 +
* [https://epg.modot.org/forms/CM/RM_Air_Dispenser_Calibration.dotx RM Air Dispenser Calibration]
 +
* [https://epg.modot.org/forms/CM/RM_Cement_Scale_Calibration_150.dotx RM Cement Scale Calibration - 150]
 +
* [https://epg.modot.org/forms/CM/RM_Cement_Scale_Calibration_175.dotx RM Cement Scale Calibration - 175]
 +
* [https://epg.modot.org/forms/CM/RM_Cement_Scale_Calibration_200.dotx RM Cement Scale Calibration - 200]
 +
* [https://epg.modot.org/forms/CM/RM_Concrete_Systems_Form.dotx RM Concrete Systems Form]
 +
* [https://epg.modot.org/forms/CM/RM_Equipment_Calibrated_and_Verified_Form.dotx RM Equipment Calibrated and Verified Form]
 +
* [https://epg.modot.org/forms/CM/RM_Truck_Mixer_Information_Form.dotx RM Truck Mixer Information Form]
 +
* [https://epg.modot.org/forms/CM/RM_Water_Calibration.dotx RM Water Calibration]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/Retroreflectometer_Results.xlsm Retroreflectometer Results]
+
----
 +
* [https://epg.modot.org/forms/CM/Concrete%20Daily%20Inspection%20Report%20C-681.xls Concrete Daily Inspection Report, C-681]
 +
* [https://epg.modot.org/forms/CM/Concrete_Cylinder_Sample_Sent_to_Central_Lab.doc Concrete Cylinder Sample Sent to Central Lab]
 +
* [http://eprojects/Templates/AWP_CIW_Mainline_Paving.xlsm Concrete Inspection Worksheet – Mainline QC/QA Paving]
 +
* [https://epg.modot.org/forms/CM/Concrete_Roadway_Report.pdf Concrete Roadway Report]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RM_Aggregate_Scale_Calibration_200.dotx RM Aggregate Scale Calibration - 200]
+
===Forms for Contractor Use ===
 +
<!-- NOTE: FORMS FOR CONTRACTOR USE SHOULD MATCH WHAT IS OUT ON https://www.modot.org/forms-contractor-use -->
 +
<div class="mw-customtoggle-CM7" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Construction and Contract Administration Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM7">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/Blank_2AA_Sheet.pdf 2AA Sheet-Blank]
 +
* [https://epg.modot.org/forms/CM/Example_2AA_Sheet.pdf 2AA Sheet-Example]
 +
* [https://epg.modot.org/forms/CM/ADA_Checklist.pdf ADA Checklist - PDF]
 +
* [https://epg.modot.org/forms/CM/ADA_Checklist.docx ADA Checklist - Word Document]
 +
* [https://epg.modot.org/forms/CM/Affidavit_for_Compliance_with_Prevailing_Wage.pdf Affidavit for Compliance with Prevailing Wage]
 +
* [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242.pdf Contractor Affidavit Regarding Settlement of Claims]
 +
* [https://epg.modot.org/forms/CM/CPRQuestionnaire.pdf Contractor Performance Questionnaire]
 +
* [https://epg.modot.org/forms/CM/Contractor_Questionnaire.pdf Contractor Questionnaire]
 +
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf CUF Determination Form]
 +
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Contractor_Informational_Packet.pdf Lead Abatement MoDOT Contractor Informational]
 +
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_FA_Project_Notification.pdf Lead Abatement MoDOT FA Project Notification Must be Filled out by RE]
 +
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Notification.pdf Lead Abatement MoDOT Project Notification]
 +
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Re_Notification.pdf Lead Abatement MoDOT Project Re-Notification]
 +
* [https://epg.modot.org/forms/CM/Lead_Abatement_Program_Contact_Info.pdf Lead Abatement Program Contact Info]
 +
* [https://epg.modot.org/forms/CM/NCR_Non_Conformance_Report.pdf Nonconformance Report (NCR)]
 +
* [https://epg.modot.org/forms/CM/Pile%20Driving%20Chart2.xls Pile Driving Set Calculator]
 +
* [https://epg.modot.org/forms/CM/Prequalification_Questionnaire.pdf Prequalification Questionnaire]
 +
* [https://epg.modot.org/forms/CM/Request_to_Subcontract_C_220.pdf Request to Subcontract Work (C-220)]
 +
* [https://epg.modot.org/forms/CM/Request_to_Subcontract_C_220_Excel.xlsm Request to Subcontract Work (C-220), Excel]
 +
* [https://epg.modot.org/forms/CM/Sign_Certification_of_Destruction.pdf Sign Certification of Destruction (PDF)]
 +
* [https://epg.modot.org/forms/CM/Sign_Delivery_Certification.pdf Sign Delivery Certification (PDF)]
 +
* [https://epg.modot.org/forms/CM/Subcontractor_Certification_Regarding_Affirmative_Action.pdf Subcontractor Certification Regarding Affirmative Action]
 +
* [https://epg.modot.org/forms/CM/Tension_Log_Form.xlsx Tension Log Form]
 +
* [https://epg.modot.org/forms/CM/Value_Engineering_Proposal_C_104.pdf Value Engineering Change Proposal (C-104)]
 +
* [https://epg.modot.org/forms/CM/Wage_Flow_Chart_for_Federal_Jobs.pdf Wage Flowchart for Federal Jobs-Precon]
 +
* [https://epg.modot.org/forms/CM/Wage_Flow_Chart_for_State_Jobs.pdf Wage Flowchart for State Jobs-Precon]
 +
* [https://epg.modot.org/forms/CM/Waste_Disposal_Agreement.pdf Waste Disposal Agreement]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RM_Aggregate_Scale_Calibration_300.dotx RM Aggregate Scale Calibration - 300]
+
<div class="mw-customtoggle-CM8" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Materials Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM8">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/Asphalt_Mix_Design.xlsm Asphalt Mix Design Submittal]
 +
* [https://epg.modot.org/forms/CM/CERTIFICATE_OF_MATERIALS_ORIGIN.pdf Buy America Materials of Origin]
 +
* [https://epg.modot.org/forms/CM/CERTIFICATE_OF_MATERIALS_ORIGIN_NONIRON_STEEL.pdf Buy America Materials of Origin Non-Iron/Steel (PDF)]
 +
* [https://epg.modot.org/forms/CM/Concrete%20Mix%20Design%20Submittal%20Form.xls Concrete Mix Design Submittal Form]
 +
* [https://epg.modot.org/forms/CM/Missouri%20CoreLok%20Aggregate%20Workbook.xls Corelok Aggregate Workbook]
 +
* [https://epg.modot.org/forms/CM/Durable%20Aggregate%20Calculation.xls Durable Aggregate Calculation]
 +
* [https://epg.modot.org/forms/CM/Illinois_Flexibility_Index_Test.pdf Illinois Flexibility Index Test]
 +
* [https://epg.modot.org/forms/CM/NewProductEvaluationForm.pdf New Product Evaluation Form]
 +
* [https://epg.modot.org/forms/CM/GS013F4.pdf PAL Program Inclusion Certifications and Guarantee Statement]
 +
* [https://epg.modot.org/forms/CM/GS013F2.pdf PAL Fabricators Receival Form]
 +
* [https://epg.modot.org/forms/CM/GS013F3.pdf PAL Shippers Transmittal Form]
 +
* [https://epg.modot.org/forms/CM/PipeShippingReportForm2.pdf CMP, RCP, Pipe Shipping Submittal Form: Precast Drainage Unit and Precast Box Culvert Shipping Report Form]
 +
* [https://epg.modot.org/forms/CM/PipeShippingReportForm_Thermoplastic.pdf Pipe Shipping Submittal Form: Thermoplastic]
 +
* [https://epg.modot.org/forms/CM/Producer_Supplier_List.pdf Producer Supplier Listing Form]
 +
* [https://epg.modot.org/forms/CM/RecycleBinderContribution.xls Recycle Binder Contribution v2.12]
 +
* [https://epg.modot.org/forms/CM/RecycleBinderContribution_401.xls Recycle Binder Contribution v2.20]
 +
* [https://epg.modot.org/forms/CM/Section1040,1043,1044_Inclusion_Certification.pdf Section 1040, 1043 and 1044 Inclusion Certification Statement]
 +
* [https://epg.modot.org/forms/CM/Section1040,1043,1044_Shipping_Report_Form_Fillable.pdf Section 1040, 1043 and 1044 Shipping Report Form]
 +
* [https://epg.modot.org/forms/CM/Request_to_Transfer_Inspected_Matl.pdf Transfer Request of Inspected Material]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RM_Aggregate_Scale_Calibration_350.dotx RM Aggregate Scale Calibration - 350]
+
<div class="mw-customtoggle-CM9" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Civil Rights Related Forms and Posters</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
  
*[http://epg.modot.mo.gov/forms/CM/RM_Air_Dispenser_Calibration.dotx RM Air Dispenser Calibration]
+
<div class="mw-customtoggle-CM9a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] DBE Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9a" style="margin-left:15px;">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/DBE_and_non_DBE_Subcontractor_Reporting_Form.pdf DBE and non DBE Subcontractor Reporting Form]</br>
 +
* [https://epg.modot.org/forms/CM/DBE_Change_Form.pdf DBE Change Form]</br>
 +
* [https://epg.modot.org/forms/CM/DBE_Contractor_Project_Trucker_Equipment_List_Form.pdf DBE Contractor/Subcontractor Project Trucker and Equipment List]</br>
 +
* [https://epg.modot.org/forms/CM/DBE_Contractor_Subcontractor_Project_Trucker_Form_Instructions.pdf DBE Contractor/Subcontractor Project Trucker and Equipment List - Instructions]</br>
 +
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_MoDOT_Excel.xlsm DBE Identification Submittal Form (Excel)]</br>
 +
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_MoDOT.pdf DBE Identification Submittal Form (PDF)]</br>
 +
* [https://epg.modot.org/forms/CM/DBE_Termination_Form.pdf DBE Termination Form]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RM_Cement_Scale_Calibration_150.dotx RM Cement Scale Calibration - 150]
+
<div class="mw-customtoggle-CM9b" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] On the Job Training Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9b" style="margin-left:15px;">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/OJT_1_Trainee_Notification.pdf OJT 1, Training Notification]</br>
 +
* [https://epg.modot.org/forms/CM/OJT_2_Contractor_Monthly_Trainee_Report.pdf OJT 2, Contractor Monthly Trainee Report]</br>
 +
* [https://epg.modot.org/forms/CM/OJT_3_Training_Completion.pdf OJT 3, Training Completion Report]</br>
 +
* [https://epg.modot.org/forms/CM/OJT_4_Trainee_Contact.pdf OJT 4, Trainee Contact]</br>
 +
* [https://epg.modot.org/forms/CM/OJT_5_Discrimination_Complaint.pdf OJT 5, Discrimination Complaint]</br>
 +
* [https://epg.modot.org/forms/CM/OJT_6_Final_Trainee_Summary.pdf OJT 6, Training Summary]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RM_Cement_Scale_Calibration_175.dotx RM Cement Scale Calibration - 175]
+
<div class="mw-customtoggle-CM9c" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Workforce Diversity Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9c" style="margin-left:15px;">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/WF_2%20_Contractor_Monthly_New_Hire_report.pdf Contractor Monthly New Hire Report]</br>
 +
* [https://epg.modot.org/forms/CM/MoDOT_Workforce_Pre_Construction_Diversity_Plan_Report.xlsx Initial Workforce Diversity Plan]</br>
 +
* [https://epg.modot.org/forms/CM/MODOT_Workforce_JSP_Cummulative_Workforce_Hours_Report.xlsx Monthly Workforce Reporting Report]</br>
 +
* [https://epg.modot.org/forms/CM/WF_1_New_Hire_Notification.pdf New Hire Notification]</br>
 +
* [https://epg.modot.org/forms/CR/WF_3_Sample_Workforce_Action_Plan.pdf Sample Workforce Action Plan]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RM_Cement_Scale_Calibration_200.dotx RM Cement Scale Calibration - 200]
+
<div class="mw-customtoggle-CM9d" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Federal Aid Job Site Posters</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9d" style="margin-left:15px;">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
:Please refer to [https://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].
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RM_Concrete_Systems_Form.dotx RM Concrete Systems Form]
+
<div class="mw-customtoggle-CM9e" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] State Aid Job Site Posters</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9e" style="margin-left:15px;">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
:Please refer to [https://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].
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RM_Equipment_Calibrated_and_Verified_Form.dotx RM Equipment Calibrated and Verified Form]
+
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RM_Truck_Mixer_Information_Form.dotx RM Truck Mixer Information Form]
+
<div class="mw-customtoggle-CM10" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Permit Forms for Working on Right of Way</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM10">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://www6.modot.mo.gov/ElectronicPermitting/ElectronicPermitting.html Permit for Work on Right of Way]
 +
* [https://www.modot.org/notice-intent MoDOT Notice of Intent to Perform Work]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RM_Water_Calibration.dotx RM Water Calibration]
+
===Quick Reference Guides (QRGs)===
 +
<div class="mw-customtoggle-CM11" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] AASHTOWare Project</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM11">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* '''[https://epg.modot.org/forms/CM/AWP_QRG_Revision_Dates.xlsx AWP QRG Revision Dates]'''
 +
* [https://epg.modot.org/forms/CM/AWP_CM_AASHTOWARE_Project_Terminology.docx AWP CM AASHTOWARE Project Terminology]
 +
* [https://epg.modot.org/forms/CM/AWP_CM_Certified_Testers.doc AWP CM Certified Testers]
 +
* [https://epg.modot.org/forms/CM/AWP_CM_Filters.doc AWP CM Filters]
 +
* [https://epg.modot.org/forms/CM/AWP_CM_Filters_for_Sample_Records_or_Acceptance_Actions.doc AWP CM Filters for Sample Records or Acceptance]
 +
* [https://epg.modot.org/forms/CM/AWP_CM_Test_Equipment.doc AWP CM Test Equipment]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_1ChangeOrderOverview.doc AWP CO 1 Change Order Overview]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_2ChangeOrderAddingNewItemorOverrunUnderrunExisting.doc AWP CO 2 Change Order Adding New Item or Overrun/Underrun of Existing Items]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_3ChangeOrderTimeExtension.doc AWP CO 3 Change Order Time Extension]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_4ChangeOrderValueEngineering.doc AWP CO 4 Change Order Value Engineering]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_5ChangeOrderNoCostContractModification.doc AWP CO 5 Change Order, No Cost Contract Modification]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_6ChangeOrderMobilizationAndContractBond.doc AWP CO 6 Change Order, Mobilization and Contract Bond]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_7ChangeOrderApproval.doc AWP CO 7 Change Order Approval]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Codes.doc AWP CO Change Order Codes]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Reports.doc AWP CO Change Order Reports]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_CUF_Entry.doc AWP CO Commercially Useful Function (CUF) Review Date Entry]
 +
* [https://epg.modot.org/forms/CM/CUF_Determination_Form_Contracts_Let_After_03_2021.pdf Commercially Useful Function (CUF) Determination Form (for contracts awarded after March 2021)]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Construction_Stockpiles.doc AWP CO Construction Stockpiles]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Payment_Estimate_Exception_Override.doc AWP CO Contract Payment Estimate Exception Override]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_ContractVendorAssets.doc AWP CO Contract Vendor Assets]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Adjustments.doc AWP CO Contract Adjustments]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Times.doc AWP CO Contract Times]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_DailyDiary.doc AWP CO Daily Diary]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_DailyDiaryAdjustments.doc AWP CO Daily Diary Adjustments]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_DailyWorkReport.doc AWP CO Daily Work Report]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_DailyWorkReport_Deleting_Postings_and_Acceptance_Records.doc AWP CO Daily Work Report, Deleting DWR Postings and Acceptance Records]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Disposition_Remarks_PAL_Material.doc AWP CO Disposition Remarks for PAL Material]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Documentation_Records.docx AWP CO Documentation Records]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_EmergencyContacts.doc AWP CO Emergency Contacts]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Estimate.doc AWP CO Estimate]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Estimate_Final.doc AWP CO Estimate Final]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Item_Adjustments.doc AWP CO Item Adjustments]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Milestones.doc AWP CO Milestones]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Signal_Maintenance.doc AWP CO Signal Maintenance]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Reason_Codes_for_SL_Time_Extension_Change_Orders.doc AWP CO SL District Reason Codes for Time Extension Change Orders]
 +
* [https://epg.modot.org/forms/CM/AWP_CO_Subcontract.doc AWP CO Subcontract]
 +
* [http://eprojects/Templates/AWP_Guide_For_Creating_QA_%20Sample_Records_Using%20E2O%20Spreadsheets.doc AWP Guide for Creating QA Sample Records Using E20 Spreadsheets (Internal Use Only)]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_Adding_Contract_Lines_For_Acceptance_Actions.doc AWP MA Adding Contract Lines For Acceptance Actions]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_Adding_Concrete_Mix_Design.doc AWP MA Adding New Concrete Mix Design]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_Associating_Material_To_Source.docx AWP MA Associating Material to Source]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_Checking_For_UnAuthorized_Sample_Records.doc AWP MA Checking For Unauthorized Sample Records]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_DEC_Sample_Record.docx AWP MA DEC Sample Record]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_DeletingMaterialsFromAcceptanceActions.doc AWP MA Deleting materials From Acceptance]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_EditingContractAcceptanceActionsAndActionRelationships.doc AWP MA Editing Contract Acceptance Actions and Action Relationships]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_Generating_Contract_SampleChecklist.doc AWP MA Generating Contract Sample Checklist]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_IAS_Lab_Audit.doc AWP MA I.A.S. Lab Audit]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_PAL_Plant_Inspection_Record.doc AWP MA PAL Plant Inspection Record]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_ReGenerating_Contract_Lines_For_Original_Materials_And_Acceptance_Actions.doc AWP MA Regenerating Contract Lines for Original Materials and Acceptance Actions]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_Acceptance_By_Certification.docx AWP MA Sample Record Acceptance By Certification]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_Changing_Material_Code_Source_or_SampleType.docx AWP MA Sample Record Changing Material Code Source or Sample Type]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_General.docx AWP MA Sample Record, General]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_General_IAS_Audit_Record.docx AWP MA Sample Record, General IAS Audit Record]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_Sampling_and_Testing_Status_Report.docx AWP MA Sampling and Testing Status Report]
 +
* [https://epg.modot.org/forms/CM/AWP_MA_UsingFindSample.docx AWP MA Using the Find Sample Function]
 +
* [http://eprojects/Templates/AWP_QA_Asphalt.xlsm AWP QA Asphalt]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RoCap_Test_Form_Long_Bolts.dotx RoCap Test Form - Long Bolts]
+
<div class="mw-customtoggle-CM12" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Digital Signatures</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM12">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://epg.modot.org/forms/CM/Digital_Signatures_using_Adobe_DC_Reader_Pro.docx Digital Signatures using Adobe DC Reader/Pro]
 +
* [https://epg.modot.org/forms/CM/Digital_Signatures_using_Bluebeam_Revu.pdf Digital Signatures using Bluebeam Revu]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/RoCap_Test_Form_Short_Bolts.dotx RoCap Test Form - Short Bolts]
+
<div class="mw-customtoggle-CM13" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Storm Water Database</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM13">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[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 Storm Water Database Closeout Procedure QRG 2020.pdf|Land Disturbance Storm Water Database Closeout Procedure]]
 +
* [[media:101 Land Disturbance Storm Water Database Initial Setup for Construction Projects 2020.pdf|Land Disturbance Storm Water Database Initial Setup for Construction Projects]]
 +
* [[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]]
 +
* [[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 Dec 2020.pdf|Storm Water Land Disturbance Erosion Reporting]]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/CM/Semi_Annual_Labor_Compliance_Report.dotx Semi-annual Labor Compliance Report]
+
</div>
 
 
*[http://epg.modot.mo.gov/forms/CM/Semi_Final_Inspection_C_236.pdf Semi-Final Inspection (C-236)]
 
 
 
*[http://epg.modot.mo.gov/forms/CM/Sitemanager_Contractor_Payment_Schedule.pdf Sitemanager Contractor Payment Schedule]
 
 
 
*[http://epg.modot.mo.gov/forms/CM/Standard%20Compaction%20Test%20Blank.xls Standard Compaction Test Blank]
 
 
 
*[http://epg.modot.mo.gov/forms/CM/Survey%20Calculator.xlsx Survey Calculator]
 
 
 
*[http://epg.modot.mo.gov/forms/CM/Tank%20Capacity%202.0.xls Tank Capacity]
 
 
 
*[http://epg.modot.mo.gov/forms/CM/CR1_Wage_Rate_Interview.pdf Wage Interview (Form CR-1)]
 
 
 
*[http://sharepoint/systemdelivery/TR/mo/travinfoitsworkzonemanagment/workzones/Shared%20Documents/Inspections/WorkZone_Inspection-form%202014.pdf Work Zone Inspection Form]
 
 
 
===Forms for Contractor Use  ===
 
====Construction and Contractor Related====
 
 
 
:* [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.org/forms/CM/Lead_Abatement_MODOT_Contractor_Informational_Packet.pdf Lead Abatement MoDOT Contractor Informational Packet]
 
 
 
:* [http://epg.modot.org/forms/CM/Lead_Abatement_MODOT_FA_Project_Notification.pdf Lead Abatement MoDOT FA Project Notification]
 
 
 
:* [http://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Notification.pdf Lead Abatement MoDOT Project Notification]
 
 
 
:* [http://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Re_Notification.pdf Lead Abatement MoDOT Project Re-Notification]
 
 
 
:* [http://epg.modot.org/forms/CM/Lead_Abatement_Program_Contact_Info.pdf Lead Abatement Program Contact Info]
 
 
 
:* [http://eprojects/Templates/MODOT_Workforce_JSP_Cummulative_Workforce_Hours_Report.xlsx MoDOT Workforce JSP Cumulative Workforce Hours Report]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/MoDOT_Workforce_Pre_Construction_Diversity_Plan_Report.xlsx MoDOT Workforce Pre-Construction Diversity Plan Report]
 
 
 
:* [http://epg.modot.org/forms/CM/OJT_1_Trainee_Notification.pdf OJT-1, Trainee Notification]
 
 
 
:* [http://epg.modot.org/forms/CM/OJT_2_Contractor_Monthly_Training_Report.pdf OJT-2, Contractor Monthly Trainee Report]
 
 
 
:* [http://epg.modot.org/forms/CM/OJT_3_Training_Completion.pdf OJT-3, Training Completion]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/OJT_4_Trainee_Contact.pdf OJT-4, Trainee Contact]
 
 
 
:* [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://epg.modot.org/forms/CM/Prequalification_Questionnaire.pdf Prequalification Contractor Questionnaire] (to bid a contract of any size)
 
 
 
:* [http://epg.modot.org/forms/CM/Request_to_Subcontract_C_220.pdf Request to Subcontract Work  (C-220)]
 
 
 
:* [http://epg.modot.org/forms/CM/Subcontractor_Certification_Regarding_Affirmative_Action.pdf Subcontractor Certification Regarding Affirmative Action]
 
 
 
:* [http://epg.modot.org/forms/CM/Value_Engineering_Proposal_C_104.doc Value Engineering Change Proposal (C-104)]
 
 
 
:* [http://epg.modot.org/forms/CM/Wage_Flow_Chart_for_Federal_Jobs.pdf Wage Flowchart for Federal Jobs – Precon]
 
 
 
:* [http://epg.modot.org/forms/CM/Wage_Flow_Chart_for_State_Jobs.pdf Wage Flowchart for State Jobs – Precon]
 
 
 
:* [http://epg.modot.org/forms/CM/Waste_Disposal_Agreement.pdf Waste Disposal Agreement]
 
 
 
====Materials  Related====
 
:*[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) [[image:bulldozer.jpg|20px]]===
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Change_Order_Codes.doc Change Order Codes]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Change_Order_reports.docx Change Order Reports]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Change_Orders_zero_dollar.docx Change Orders - Zero Dollar]
 
 
 
:* [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]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Change_Orders_Time_Adjustment.docx Change Orders – Time Adjustment]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Change_Orders_Value_Engineering.doc Change Orders – Value Engineering]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Check_for_Current_Version_of_SiteManager.doc Check for Current Version of SiteManager]
 
 
 
:* [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/Concrete_mix_design_creation.doc Concrete Mix Design Creation]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Consent_Decree_Closeout.pdf Consent Decree Close Out Procedure]
 
<div id="Land Disturbance Deficiency"></div>
 
 
 
:* [[media:101 Land Disturbance Deficiency QRG.pdf|Consent Decree Deficiencies – Halting, Un-halting, Resolving (Land Disturbance Deficiency)]]
 
 
 
:* [http://sharepoint/sites/de/epg/Lists/EPGResponse/Attachments/527/Consent%20Decree%20Inspections.pdf Consent Decree Erosion Reporting]
 
 
 
:* [http://sharepoint/sites/de/epg/Lists/EPGResponse/Attachments/639/Consent%20Decree%20Initial%20Setup.pdf Consent Decree Initial Setup]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Contract_Adjustments.docx Contract Adjustments]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Contract_Master_List.docx Contract Master List]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Contract_Finalization.doc Contract Finalization]
 
 
 
:* [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://epg.modot.mo.gov/forms/CM/Estimate_Based_Documentation_Records.doc Estimate Based Documentation Records]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Filtering_a_SiteManager_Pick_List.doc Filtering a SiteManager Pick List]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/How_to_Use_Cognos_Reports.docx How to Use Cognos Reports]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Job_Order_Contracts.docx Job Order Contracts]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Key_Dates.docx Key Dates]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Line_Item_Adjustments.docx Line Item Adjustments]
 
<div id="Liquidated Damage Adjustments"></div>
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Liquidated_Damage_Adjustments.docx Liquidated Damage Adjustments]
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/Milestones.docx Milestones]
 
<div id="Moving Files from SharePoint to CIA"></div>
 
 
 
:* [http://epg.modot.mo.gov/forms/CM/PAL_Plant_Inspection_and_Record.docx PAL Plant Inspection and Record]
 
 
 
:* [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://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://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]
 
 
:* [http://epg.modot.mo.gov/forms/CM/Stockpiled_Materials.doc Stockpiled Materials]
 
 
:* [http://epg.modot.mo.gov/forms/CM/Subcontracts.docx Subcontracts]
 
 
:* [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://epg.modot.mo.gov/forms/CM/Vendor_Master_List.doc Vendor Master List]
 
  
 
==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===
 
*[http://epg.modot.org/forms/DE%202017%20Forms/Environmental/404%20Permits.dot 404 Permits]
 
 
*[[media:747 Bridge Survey Checklist 2018.doc|Bridge Survey Checklist]]
 
 
*[[media:747 Bridge Survey Location Request.docx|Bridge Survey Location Request]]
 
  
*[[media:747 Bridge Survey Report April 2018.docx| Bridge Survey Report Form]]
+
<div style="margin-left: 30px;">
  
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Copy%20of%20751.1.3.5_Structural_Rehabilitation_Checklist.xlsm Structural Rehabilitation Checklist (Excel)]
+
<div class="mw-customtoggle-DE1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE1">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:101 404 Permit.dotx|404 Permits]]
 +
* [[media:747 Bridge Survey Checklist.xlsx|Bridge Survey Checklist]]
 +
* [[media:747 Bridge Survey Location Request Dec 2019.docx|Bridge Survey Location Request]]
 +
* [[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]]
 +
* [[media:751.1.3.2_Structural_Rehabilitation_Checklist.xlsm|Structural Rehabilitation Checklist (Excel)]]
 +
* [https://epg.modot.org/forms/general_files/BR/131.1_Vertical_Clearance_Coord_Form.pdf Vertical Clearance Design Exception Coordination with SDDCTEA]
 +
</div>
 +
</div>
  
*[http://ghepg01/forms/BR/Vertical%20Clearance%20Design%20Exception%20Coordination%20with%20SDDCTEA%20Form.doc Vertical Clearance Design Exception Coordination with SDDCTEA]
+
<div class="mw-customtoggle-DE2" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Checklist</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE2">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:124.2.4 Design Progress Check list.docx|Design Progress Check List]]
 +
* [https://epg.modot.org/forms/general_files/DE/D-12-form.pdf District Final Design Checklist - D-12]
 +
* [[media:124.2.4 Check List for Preliminary Plans.docx|Preliminary Plans Check List]]
 +
* [[media:124.2.4 Project Reviewing Checklist.docx|Project Reviewing Checklist]]
 +
* [https://epg.modot.org/forms/RW/Chapter%2013_Designing%20Right%20of%20Way%20Plans/Right%20Way%20Plans%20Checklist%20Form%20236.13.7.docx Right of Way Plan Review Check List]
 +
</div>
 +
</div>
  
===Checklist===
+
<div class="mw-customtoggle-DE3" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Contracts</div>
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Design%20Progress%20Check%20List.docx Design Progress Check List]
+
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE3">
 
+
<div class="mw-collapsible-content" style="margin-bottom:15px;">
*[[media:D-12 Aug 22 2018.pdf|District Final Design Checklist - D-12]]
+
* [[media:District_Award.dotx|District Award]]
 
+
* [http://www.modot.org/business/standards_and_specs/documents/ComputerDeliverableContractPlans.pdf Computer Deliverable Contract Plans 2005]
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Preliminary%20Plans%20Check%20List.dot Preliminary Plans Check List]
+
* [https://epg.modot.org/forms/DE%202017%20Forms/BiddingContract/DE11_Municipal_Agreement.doc DE11]
 
+
* [[media:Sample_Scope_of_Services_-_Location_and_Environment.dotx|Sample Scope of Services - Location and Environment]]
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/124_Project_Reviewing_Checklist.docx Project Reviewing Checklist]
+
* [[media:Sample_Scope_of_Services_Design.dotx|Sample Scope of Services Design]]
 
+
</div>
*[http://epg.modot.mo.gov/forms/DE-Checklist/Right%20of%20Way%20Check%20List.dot Right of Way Check List]
+
</div>
 
 
===Computer===
 
*[http://epg.modot.mo.gov/forms/DE-Computer/Design%20Computer%20Files%20&%20Drawings%20Log%20Sheet%20-%20D-97.dot Design Computer Files & Drawings Log Sheet - D-97]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-Computer/MicroStation%20Computer%20Drawings%20Log%20Sheet%20-%20D96.dot MicroStation Computer Drawings Log Sheet - D96]
 
 
 
 
 
===Contracts===
 
*[http://epg.modot.org/forms/DE%202017%20Forms/BiddingContract/District%20Award.dot District Award]
 
 
 
*[http://www.modot.org/business/standards_and_specs/documents/ComputerDeliverableContractPlans.pdf Computer Deliverable Contract Plans 2005]
 
 
 
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Consultant Services Contract - State Funded (MoDOT Users)]
 
 
 
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot De1]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/BiddingContract/DE11_Municipal_Agreement.doc DE11]
 
 
 
*[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://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Sample%20Scope%20of%20Services%20Design.dot Sample Scope of Services Design]
 
 
 
===Design Forms===
 
*[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/Aerial%20Mosiac%20Submittal%20for%20Recon%20Study.dot Aerial Mosiac Submittal for Recon Study]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Commission%20Backup%20Form%20Blank.dot Commission Backup Form Blank]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Commission%20Backup%20Form%20Instructions.dot Commission Backup Form Instructions]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Conceptual%20Study%20Report.dot Conceptual Study Report]
 
 
 
*[[media:134.2.2.5.1 May 2017.doc|Consultant Rating Form]]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Cultural%20Resource%20Assessment%20Letter.dot Cultural Resource Assessment Letter]
 
 
 
*[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]]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Equipment%20and%20Materials%20List.dot Equipment and Materials List]
 
 
 
*[[media:Form 806.8.2.pdf|Form 806.8.2, Project-Specific SWPPP Information]]
 
 
 
*[[media:Form D21 2018.pdf|Highway Lighting Warrants D21]]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Inquiry%20Report.dot Inquiry Report]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/EPG/JSP-Formatting-Guide.doc Job Special Provision Formatting Instructions]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Location%20Study%20Report.dot Location Study Report]
 
  
 +
<div class="mw-customtoggle-DE4" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Design</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE4">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:3R_Conceptual_Study_Report.dotx|3R Conceptual Study Report]]
 +
* [[media:4R_Conceptual_Study_Report.dotx|4R Pavement Rehabilitation Analysis Data and Conceptual Study Report]]
 +
* [[media:Commission_Backup_Form_Blank.dotx|Commission Backup Form Blank]]
 +
* [[media:Commission_Backup_Form_Instructions.dotx|Commission Backup Form Instructions]]
 +
* [[media:Conceptual Study Report.dotx|Conceptual Study Report]]
 +
* [[media:134.2.2.5.1 May 2017.doc|Consultant Rating Form]]
 +
* [https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/D-28.doc D-28 Sign Design Order Form]
 +
* [https://epg.modot.org/forms/general_files/BR/131.1_Design_Exception.docx Design Exception Information]
 +
* [[media:Equipment_and_Materials_List.dotx|Equipment and Materials List]]
 +
* [https://epg.modot.org/forms/DE/SWPPP_Project_Specific_Form_806.8.2.pdf Form 806.8.2, Project-Specific SWPPP Information]
 +
* [[media:Form D21 2018.pdf|Highway Lighting Warrants D21]]
 +
* [[media:Location Study Report.dotx|Location Study Report]]
 
* [[media:M-40 2013.docx|M-40 Request for Drilling Services]]
 
* [[media:M-40 2013.docx|M-40 Request for Drilling Services]]
 +
* [[media:Pavement_Distress_Log_Form_-_Asphalt_-_11x17.dotx|Pavement Distress Log Form - Asphalt - 11x17]]
 +
* [[media:Pavement_Distress_Log_Form_-_Concrete_11x17.dotx|Pavement Distress Log Form - Concrete 11x17]]
 +
* [[media:Pavement_Repair_Log.dotx|Pavement Repair Log]]
 +
* [[media:Preliminary_Plans_Proposal_Review.dotx|Preliminary Plans Proposal Review]]
 +
* [[media:Project_Data_for_BAMS.dotx|Project Data for BAMS]]
 +
* [[media:Project Initialization Estimate Form.dotx|Project Initialization Estimate Form]]
 +
* [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]
 +
* [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]
 +
* [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]
 +
* [[media:134.2.2.2 2019.docx|Submittal to Professional Services Committee]]
 +
* [[media:Suggested_Revision_to_a_CADD_Standard.dotx|Suggested Revision to a CADD Standard]]
 +
* [[media:Test-Cultural_Resource_Assessment_Letter.dotx|Test-Cultural Resource Assessment Letter]]
 +
* [[media:Traffic_Signal_Warrants,_Form_D22.dotx|Traffic Signal Warrants, Form D22]]
 +
* [[media:Utility_Print_Submittal_Letter.dotx|Utility Print Submittal Letter]]
 +
* [[media:Utility_Print_Submittal_Letter_Revised_Plans.dotx|Utility Print Submittal Letter, Revised Plans]]
 +
* [[media:124_Work_Day_Study_a.dotx|Work Day Study]]
 +
</div>
 +
</div>
  
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Pavement%20Distress%20Log%20Form%20-%20Asphalt%20-%2011x17.dot Pavement Distress Log Form - Asphalt - 11x17]
+
<div style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"><span style="margin-left:36px;">[[:Category:134_Engineering_Professional_Services#134.1.3_Consultant_Qualification|Engineering Professional Services]]</span></div>
  
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Pavement%20Distress%20Log%20Form%20-%20Concrete%2011x17.dot Pavement Distress Log Form - Concrete 11x17]
+
<div class="mw-customtoggle-DE5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Environmental and Cultural</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE5">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:127.14 Categorical Exclusion Determination 2021.docx|Categorical Exclusion Form]]
 +
* [[media: 127.11 Farmland Conversion Impact Rating Corridor.pdf|Farmland Conversion Impact Rating (Corridor)]]
 +
* [[media: 127.11 Farmland Conversion Impact Rating Site.pdf| Farmland Conversion Impact Rating (Site)]]
 +
* [https://www6.modot.mo.gov/EnvironmentalRequest/Pages/Login.aspx Request for Environmental Services (RES) Form]
 +
* [https://epg.modot.org/forms/general_files/DE/ENV/RES_Instruction_Manual.docx Instructions for the RES Form]
 +
* [[media:Property_Permission_Letter_E-HP_sample-07-23.docx| Sample letter requesting permission]]
 +
</div>
 +
</div>
  
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Pavement%20Repair%20Log.dot Pavement Repair Log]
+
<div class="mw-customtoggle-DE6" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Materials</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE6">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:101_Request_for_Asphalt_Cement_%_Grade.dotx|Request for Asphalt Cement % Grade]]
 +
* [[media:101_Soil_Info_Request.dotx|Soil Info Request]]
 +
* [[media:101_Soil_Survey_Request.dotx|Soil Survey Request]]
 +
</div>
 +
</div>
  
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Preliminary%20Plans%20Proposal%20Review.dot Preliminary Plans Proposal Review]
+
<div class="mw-customtoggle-DE7" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Planning</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE7">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:101_ARAN_Report_Request.dotx|ARAN Report Request]]
 +
* [[media:101_Conceptual_Study_Traffic_Count_Request.dotx|Conceptual Study Traffic Count Request]]
 +
* [[media:101_Fis_Formc.dotx|Fis Formc]]
 +
* [https://modotgov.sharepoint.com/:b:/r/sites/tp/Shared%20Documents/Traffic%20Collection/Request%20Forms%20-%20Traffic%20Forecast%20-%20Road%20User%20Costs/Road%20User%20Costs%20Request%20Form.pdf?csf=1&web=1&e=lrKK8d Road User Costs Request Form]
 +
* [https://modotgov.sharepoint.com/:b:/r/sites/tp/Shared%20Documents/Traffic%20Collection/Request%20Forms%20-%20Traffic%20Forecast%20-%20Road%20User%20Costs/Traffic%20Forecast%20Request%20Form.pdf?csf=1&web=1&e=G0Npik Traffic Forecast Request Form]
 +
* [[media:101_Turning_Movement_Traffic_Count_Request.dotx|Turning Movement Traffic Count Request]]
 +
</div>
 +
</div>
  
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Preliminary%20Signal%20Plan%20Submittal.dot Preliminary Signal Plan Submittal]
+
<div class="mw-customtoggle-DE8" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Public Involvement</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE8">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:101_Public_Hearing_Statement_Form.dotx|Public Hearing Statement Form]]
 +
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Letter%20Advertising%20a%20Public%20Hearing.docx Sample Letter Advertising a Public Hearing]
 +
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%204f.docx Sample Notice 4F]
 +
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%20of%20Public%20Hearing.docx Sample Notice of Public Hearing]
 +
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample_Opportunity_for_Public_Hearing.doc Sample Opportunity for a Public Hearing/Meeting Notice]
 +
* [[media:129 Sample Public Involvement or Communication Plan.docx|Sample Public Involvement Plan or Communication Plan]]
 +
* [https://epg.modot.org/forms/DE/Public%20Involvement/SampleRequestforApprovelofLocationorDesigntoStateDesignEngineer.docx Sample Request for Approval of Location and/or Design of Highways to State Design Engineer]
 +
* [https://epg.modot.org/forms/DE/Public%20Involvement/SampleRequestforApprovelofLocationorDesigntotheCommission.docx Sample Request for Approval of Location to the Commission]
 +
* [https://epg.modot.org/forms/DE/Public%20Involvement/SampleTranscript.pdf Sample Transcript]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/DE-DEForms/PROJECT%20ASSIGNMENTS%20AND%20COMPLETION%20DATES.dot Project Assignments and Completion Dates]
+
<div style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"><span style="margin-left:36px;">[[:Category:236_Right_of_Way|Right of Way]]</span></div>
  
*[http://epg.modot.mo.gov/forms/DE-DEForms/Project%20Data%20for%20BAMS.dot Project Data for BAMS]
+
<div class="mw-customtoggle-DE9" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Scoping</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE9">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:101_Bridge_Checklist.dotx|Bridge Checklist]]
 +
* [[media:101_Construction_and_Materials_Checklist.dotx|Construction and Materials Checklist]]
 +
* [https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Design_Checklist_Apr_26,_2012.doc Design Checklist]
 +
* [https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Design_Liaison_Checklist.doc Design Liaison Checklist]
 +
* [[media:101_FHWA_Checklist.dotx|FHWA Checklist]]
 +
* [[media:101_Maintenance_Checklist.dotx|Maintenance Checklist]]
 +
* [[media:101_Planning_Checklist.dotx|Planning Checklist]]
 +
* [https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Project_Scoping_Checklist_Apr_26,_2012.doc Project Scoping Checklist]
 +
* [[media:101_Public_Information_and_Outreach_Checklist.dotx|Public Information and Outreach Checklist]]
 +
* [[media:101_Railroad_Checklist.dotx|Railroad Checklist]]
 +
* [[media:101_Right_of_Way_Checklist.dotx|Right of Way Checklist]]
 +
* [[media:101_Traffic_Checklist.dotx|Traffic Checklist]]
 +
* [[media:101_Utilities_Checklist.dotx|Utilities Checklist]]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/DE-DEForms/Project%20Initialization%20Estimate%20Form.dot Project Initialization Estimate Form]
+
<div class="mw-customtoggle-DE10" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Survey</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE10">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:747 Bridge Survey Location Request Dec 2019.docx|Bridge Survey Location Request]]
 +
* [https://epg.modot.org/forms/DE%202017%20Forms/CADD/238.2.18.2_Plat_Review_Checklist.pdf Form 238.2.18.2 Plat Review Checklist]
 +
* [https://epg.modot.org/forms/DE%202017%20Forms/CADD/238.2.17_Professional_Land_Surveyor_2013.doc Professional Land Surveyor Description Review Form]
 +
* [https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/238.2_Sample_Letter_Notifying_Property_Owner_of_Survey.doc Sample Letter Notifying Property Owner of Survey]
 +
</div>
 +
</div>
  
*[http://epg.modot.org/forms/DE%202017%20Forms/EPG/JSP-Formatting-Guide.doc Roadway Job Special Provision Formatting Instructions]
+
</div>
  
*[http://epg.modot.org/forms/DE%202017%20Forms/EPG/Roadway_JSP_Templet.doc Roadway Job Special Provision Template]
+
==Financial Services==
 
 
*[[media:134.2.2.2 Nov 2017.docx|Submittal to Professional Services Committee]]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Suggested%20Revision%20to%20a%20CADD%20Standard.dot Suggested Revision to a CADD Standard]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Test-Cultural%20Resource%20Assessment%20Letter.dot Test-Cultural Resource Assessment Letter]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Traffic%20Signal%20Warrants,%20Form%20D22.dot Traffic Signal Warrants, Form D22]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Utility%20Print%20Submittal%20Letter.dot Utility Print Submittal Letter]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Utility%20Print%20Submittal%20letter_Revised%20Plans.dot Utility Print Submittal letter_Revised Plans]
 
 
 
*[http://epg.modot.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===
 
*[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]
 
 
 
===Hearings===
 
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Generic Meeting Sign-Up Sheet]
 
 
 
*[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]
 
 
 
===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]
+
<div style="margin-left: 30px;">
  
===Photo===
+
<div class="mw-customtoggle-FS1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Financial Services Forms</div>
*[http://epg.modot.mo.gov/forms/DE-Photo/Aerial%20Photography%20Requisition.dot Aerial Photography Requisition]
+
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-FS1">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:235 Agreements Checklist.doc|Agreements Checklist]]
 +
</div>
 +
</div>
  
*[http://epg.modot.mo.gov/forms/DE-Photo/Microfilm-Print%20Billing%20Form.dot Microfilm-Print Billing Form]
+
</div>
  
*[http://epg.modot.mo.gov/forms/DE-Photo/Prints%20of%20Previous%20Photography%20Requistion.dot Prints of Previous Photography Requistion]
+
==Highway Safety & Traffic==
  
*[http://epg.modot.mo.gov/forms/DE-Photo/Request%20for%20Color%20Copies.dot Request for addition to flight program]
+
<div style="margin-left: 30px;">
  
*[http://epg.modot.mo.gov/forms/DE-Photo/Request%20for%20addition%20to%20flight%20program.dot Request for Color Copies]
+
<div class="mw-customtoggle-HS1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Highway Safety & Traffic Forms</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-HS1">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:902.5.8.3.1 checklist.xlsx|Statewide Signal/Lighting/Flasher Preventive Maintenance Checklist]]
 +
</div>
 +
</div>
  
 
+
</div>
===Planning===
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/ARAN%20Report%20Request.dot ARAN Report Request]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Conceptual%20Study%20Traffic%20Count%20Request.dot Conceptual Study Traffic Count Request]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-Planning/Fis%20Formc.dot Fis Formc]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Turning%20Movement%20Traffic%20Count%20Request.dot Turning Movement Traffic Count Request]
 
 
 
===Right of Way===
 
*[http://epg.modot.org/forms/DE-ROW/Certification%20of%20Right%20of%20Way%20Plans%20for%20Condemnation%20Letter.dot Certification of Right of Way Plans for Condemnation Letter]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-ROW/Forthcoming%20RW%20Plan%20changes.dot Forthcoming RW Plan Changes]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-ROW/Preliminary%20Right%20of%20Way%20Estimate.dot Preliminary Right of Way Estimate]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-ROW/Right%20of%20Way%20Approval%20(Amended_Plans)%20Condemnation%20Required.dot Right of Way Approval (Amended Plans) Condemnation Required]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-ROW/Right%20of%20Way%20Plans%20Reviewed.dot Right of Way Plans Reviewed]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-ROW/Right%20of%20Way%20Plans%20to%20Dist%20RW%20Agent.dot Right of Way Plans to Dist RW Agent]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Change%20Information%20for%20Microfilming.dot RW Change Information for Microfilming]
 
 
 
*[[media:236.13.15 2014 certification.docx|Certification Document]]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/RW/RW%20Plans%20Approval%20-%20Letter%20of%20Certification.dot RW Plans Approval - Letter of Certification]
 
 
 
===Scoping===
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Bridge%20Checklist.dot Bridge Checklist]
 
 
 
*[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]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Project%20Scoping%20Memorandum.dot Draft Project Scoping Memorandum]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Environmental%20Checklist.dot Environmental Checklist]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/FHWA%20Checklist.dot FHWA Checklist]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Maintenance%20Checklist.dot Maintenance Checklist]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Major%20Project%20Scope%20or%20Estimate%20Change.dot Major Project Scope or Estimate Change]
 
[[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]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Planning%20Checklist.dot Planning Checklist]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Design_Liaison_Checklist.doc Design Liaison Checklist]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Project%20Estimate%20Quality%20Assurance%20Report.dot Project Estimate Quality Assurance Report]
 
 
 
*[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]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Public%20Information%20and%20Outreach%20Checklist.dot Public Information and Outreach Checklist]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Railroad%20Checklist.dot Railroad Checklist]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Right%20of%20Way%20Checklist.dot Right of Way Checklist]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Traffic%20Checklist.dot Traffic Checklist]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Utilities%20Checklist.dot Utilities Checklist]
 
 
 
===Survey===
 
*[[media:747 Bridge Survey Location Request.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.org/forms/DE%202017%20Forms/CADD/Center%20Line%20Staking.dot Center Line Staking]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-Survey/Permanent%20RW%20Marker%20Setting%20-%20letter%20to%20property%20owner.dot Permanent RW Marker Setting - letter to property owner]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-Survey/Permanent%20RW%20Marker%20Settings.dot Permanent RW Marker Settings]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/238.2.18.2_Plat_Review_Checklist.pdf Form 238.2.18.2 Plat Review Checklist]
 
 
 
*[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]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/Preliminary%20Surveying.dot Preliminary Surveying]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/238.2.17_Professional_Land_Surveyor_2013.doc Professional Land Surveyor Description Review Form]
 
 
 
*[http://epg.modot.mo.gov/forms/DE-Survey/RW%20Marker%20Setting.dot RW Marker Setting]
 
 
 
*[http://epg.modot.org/forms/DE%202017%20Forms/CADD/Survey%20Request%20Form.dot Survey Request Form]
 
 
 
==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]]
 
 
 
*[[media:101 Workforce Pilot Program Employee Notification.pdf|Workforce Pilot Program Employee Notification]]
 
 
 
==Financial Services==
 
*[[media:235 Agreements Checklist.doc|Agreements Checklist]]
 
  
 
==Maintenance==
 
==Maintenance==
*[[media:101 Maintenance - Deer Death Report Form and Map.xls|Deer Death Report Form and Map (Excel)]]
 
  
*[http://sharepoint/systemdelivery/TR/mo/travinfoitsworkzonemanagment/workzones/Shared%20Documents/Inspections/WorkZone_Inspection-form%202014.pdf Work Zone Inspection Form]
+
<div style="margin-left: 30px;">
  
===Chip Seal Forms===
+
<div class="mw-customtoggle-MT1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge Maintenance</div>
*[http://wwwi/maintenance/Forms/App%20Adjust%20Form.pdf Application Adjustment Factor Form]
+
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT1">
*[http://wwwi/maintenance/Forms/Traffic%20Eval%20Factor.pdf Traffic Evaluation Factor (TEF) for Asphalt Application Adjustment]
+
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[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)]]
 +
</div>
 +
</div>
  
===Bridge Maintenance===
+
<div class="mw-customtoggle-MT2" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Chip Seal Forms</div>
*[[media:101 Maintenance - blankinspreport.pdf|Blank Inspection Report]]
+
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT2">
*[[media:101 Maintenance - bridgemaintenancerepairreport.xls|Bridge Maintenance Repair Report (Excel)]]
+
<div class="mw-collapsible-content" style="margin-bottom:15px;">
*[http://ghepg01/forms/BR/774_Cathodic_System_Evaluation.dotx Cathodic System Evaluation]
+
* [http://wwwi/maintenance/Forms/App%20Adjust%20Form.pdf Application Adjustment Factor Form]
*[[media:101 Maintenance - CIF - Written form.dot|CIF (Critical Inspection Finding)]]
+
* [http://wwwi/maintenance/Forms/Traffic%20Eval%20Factor.pdf Traffic Evaluation Factor (TEF) for Asphalt Application Adjustment]
*[[media:101 Maintenance - Follow-up Action Required-Written form.doc|FAR (Follow-Up Action Required)]]
+
</div>
*[[media:101 Maintenance - maintmatlusage.xls|Maintenance Material Usage (Excel)]]
+
</div>
*[[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)]]
 
  
===Snow & Ice Control===
+
<div class="mw-customtoggle-MT3" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Commuter Lots</div>
*[[media:101 Maintenance - Snow and Ice Control Equipment Inventory.xls|Snow and Ice Control Equipment Inventory (Excel)]]
+
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT3">
*[[media:101 Maintenance - Chemical Requirements.xls|Chemical Requirements (Excel)]]
+
<div class="mw-collapsible-content" style="margin-bottom:15px;">
*[[media:101 Maintenance - Salt Storage.xls|Salt Storage (Excel)]]
+
* [[media:101 Maintenance - Commuter Lot Inspection Form.xls|Commuter Lot Inspection (Excel)]]
 +
* [[media:101 Maintenance - Commuter Lot Survey.pdf|Commuter Lot Survey]]
 +
</div>
 +
</div>
  
===Rest Areas===
+
<div class="mw-customtoggle-MT4" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Disasters</div>
*[[media:101 Maintenance - Rest Area Truck Parking.xls|Rest Area Truck Parking (Excel)]]
+
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT4">
*[[media:101 Maintenance - REST AREA inspection_2005.doc|Rest Area Inspection]]
+
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[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)]]
 +
</div>
 +
</div>
  
===Commuter Lots===
+
<div class="mw-customtoggle-MT5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Miscellaneous Forms</div>
*[[media:101 Maintenance - Commuter Lot Inspection Form.xls|Commuter Lot Inspection (Excel)]]
+
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT5">
*[[media:101 Maintenance - Commuter Lot Survey.pdf|Commuter Lot Survey]]
+
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[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]
 +
</div>
 +
</div>
  
===Disasters===
+
<div class="mw-customtoggle-MT6" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Rest Areas</div>
*[[media:101 Maintenance - DDIR.xls|Detailed Damage Inspection Report (Excel)]]
+
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT6">
*[[media:101 Maintenance - Non Federal Aid Route DDIR.xls|FEMA Detailed Damage Inspection Report (Excel)]]
+
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[media:101 Maintenance - Rest Area Truck Parking.xls|Rest Area Truck Parking (Excel)]]
 +
* [[media:101 Maintenance - REST AREA inspection_2005.doc|Rest Area Inspection]]
 +
</div>
 +
</div>
  
===Performance Indicators===
+
<div class="mw-customtoggle-MT7" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Snow and Ice Control</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT7">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [[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)]]
 +
</div>
 +
</div>
  
===Pavement Management===
+
</div>
  
 
==Motor Carrier Services==
 
==Motor Carrier Services==
*[http://epg.modot.mo.gov/forms/MCS/Accounting%20Payment%20Error%20Notice.dot Accounting Payment Error Notice]
 
 
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Altered%20Temporary.dot IRP Altered Temporary]
 
 
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Outstanding%20Temporaries.dot IRP Outstanding Temporaries]
 
 
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Surrendering%20Plates.dot IRP Surrendering Plates]
 
 
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Suspension.dot IRP Suspension]
 
 
*[http://epg.modot.mo.gov/forms/MCS/IRP-IFTA%20Reject%20Letters.dot IRP-IFTA Reject Letters]
 
 
*[http://epg.modot.mo.gov/forms/MCS/MCS%20MoDOT%20Letterhead.dot MCS MoDOT Letterhead]
 
 
 
==Planning==
 
*[http://epg.modot.mo.gov/forms/MCS/MCS%20MoDOT%20Letterhead.dot MTFC Letterhead]
 
 
==Right of Way==
 
*[http://epg.modot.mo.gov/forms/RW/RW%20Mortgage%20Analyzer.xlt RW Mortgage Analyzer (Excel)]
 
===General Information===
 
===Right of Way Organization and Personnel===
 
===Administration===
 
 
*[http://epg.modot.org/forms/RW/Chapter%203_Administration/RW%20Cost%20Estimate%20Form%203.3.3B.docx Acquisition Complete Cost Estimate Worksheet_(Form 3-3_3B)]
 
 
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Categorical%20Exclusion%20Review_Form%203-1_2.dot Categorical Exclusion Review_(Form 3-1_2)]
 
 
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Request%20for%20Acquisition%20Authority_Form%203-6_10A.dot Request for Acquisition Authority_(Form 3-6_10A)]
 
 
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Form%203-4_1A%20.dot Request for Federal Funding_Limited Acquisition Authority_(Form 3-4_1A)]
 
 
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Form%203-4_1B.dot Request for Limited Acquisition Authority_(Form 3-4_1B)]
 
 
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Form%203-4_2A.dot Request for Federal Funding_(Form 3-4_2A)]
 
 
*[http://epg.modot.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)]
 
 
*[http://ghepg01/forms/RW/Chapter%203_Administration/Right%20of%20Way%20Cost%20Estimate_Form%203-3_3C.dotx Right of Way Cost Estimate_(Form 3-3_3C)]
 
 
*[http://ghepg01/forms/RW/Chapter%203_Administration/Form%203-4_1C.dot Safe and Sound Acquisition Authority Date (Form 3-4.1C)]
 
 
*[http://epg.modot.mo.gov/forms/RW/Chapter%203_Administration/Supplemental%20Page_Form%203-3_3A.dot Supplemental Page_(Form 3-3_3A)]
 
 
===Description Writing and Titles===
 
 
*[http://epg.modot.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://ghepg01/forms/RW/Chapter%205_Property%20Management/ Internet Posting Request]
 
 
*[http://epg.modot.mo.gov/forms/RW/Chapter%205_Property%20Management/Property%20Inventory%20Record.dot Property Inventory Record]
 
 
*[http://epg.modot.mo.gov/forms/RW/Chapter%205_Property%20Management/Property%20Inventory%20Record%20Instructions.dot Property Inventory Record Instructions]
 
 
*[http://ghepg01/forms/RW/Chapter%205_Property%20Management/Real%20Estate%20Risk%20Assessment%20Form.pdf Real Estate Risk Assessment Form]
 
 
*[http://eprojects/Templates/Forms/AllItems.aspx?RootFolder=%2FTemplates%2FRW%2FChapter%205%5FProperty%20Management&FolderCTID=0x01200083357C119C6A2C4A96DD2E4D58CF9124&View=%7B2B438AC9%2D9C62%2D4180%2D8D58%2D25D5A5C021BB%7D 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===
+
<div style="margin-left: 30px;">
  
* [http://modot.org/business/Outdoor_Advertising/documents/ApplicationForLicenseToMaintainAJunkyardformfill.docx Application for License to Maintain a Junkyard]
+
<div class="mw-customtoggle-MC1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge Maintenance</div>
 +
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MC1">
 +
<div class="mw-collapsible-content" style="margin-bottom:15px;">
 +
* [https://www.modot.org/HazWaste Hazardous Waste Transport Forms]
 +
* [https://www.modot.org/HHGoods Household Goods Transport Forms, Tariff Information, ''Moving in Missouri'' brochure]
 +
* [https://www.modot.org/IFTA International Fuel Tax Agreement Forms]
 +
* [https://www.modot.org/IRP International Registration Plan Forms]
 +
* [https://www.modot.org/MOPA Missouri Operating Authority Forms]
 +
* [https://www.modot.org/OSOW Oversize Overweight Permitting Forms]
 +
* [https://www.modot.org/SC Missouri Intrastate Skill Performance Evaluation for Medical Exemption Forms]
 +
* [https://www.modot.org/WasteTire  Waste Tire Transporter Forms]
 +
</div>
 +
</div>
  
===Local Public Agency Land Acquisition===
+
</div>
  
 
[[image:101 bottom.jpg|center|1025px]]
 
[[image:101 bottom.jpg|center|1025px]]

Revision as of 15:15, 17 April 2024



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

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



Bridge

101 Bridge.jpg
[+/-] Bridge Forms

Construction and Materials

101CM.jpg

Forms for MoDOT Use

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

[+/-] Job Order Forms
[+/-] AC Index Price and Fuel Adjustment Forms
[+/-] Asphalt Inspection Forms
[+/-] Concrete Inspection Forms

Forms for Contractor Use

[+/-] Construction and Contract Administration Forms
[+/-] Materials Forms
[+/-] Civil Rights Related Forms and Posters
[+/-] Permit Forms for Working on Right of Way

Quick Reference Guides (QRGs)

[+/-] AASHTOWare Project
[+/-] Digital Signatures
[+/-] Storm Water Database

Design

[+/-] Bridge
[+/-] Checklist
[+/-] Contracts
[+/-] Design
[+/-] Environmental and Cultural
[+/-] Materials
[+/-] Planning
[+/-] Public Involvement
[+/-] Scoping
[+/-] Survey

Financial Services

[+/-] Financial Services Forms

Highway Safety & Traffic

[+/-] Highway Safety & Traffic Forms

Maintenance

[+/-] Bridge Maintenance
[+/-] Chip Seal Forms
[+/-] Commuter Lots
[+/-] Disasters
[+/-] Miscellaneous Forms
[+/-] Rest Areas
[+/-] Snow and Ice Control

Motor Carrier Services

[+/-] Bridge Maintenance
101 bottom.jpg