Difference between revisions of "Category:101 Standard Forms"

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m (Per Env'l, updated form by adding a new page for REs/Inspectors to identify the BMPs that will be used on a project)
m (→‎AASHTOWare Project Quick Reference Guides (QRGs): Per CM, new QRG, AWP CO Estimate Final)
 
(46 intermediate revisions by the same user not shown)
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<div id="Constructability Questioinnaire"></div>
 
<div id="Constructability Questioinnaire"></div>
  
*[http://epg.modot.mo.gov/forms/BR/Constructability%20Questionnaire.dot Constructability Questioinnaire]
+
*[http://epg.modot.mo.gov/forms/BR/Constructability%20Questionnaire.dot Constructability Questionnaire]
  
 
*[[media:101 Culvert Hydraulics Report.docx|Culvert Hydraulics Report]]
 
*[[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]
+
*[[media:131.1 Design Exception 2020.docx|Design Exception Information]]
  
 
*[http://epg.modot.mo.gov/forms/BR/Design%20Except%20to%20District.dot Design Except to District]
 
*[http://epg.modot.mo.gov/forms/BR/Design%20Except%20to%20District.dot Design Except to District]
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*[http://epg.modot.mo.gov/forms/BR/Missouri-Illinois%20Border%20Bridge%20Clearinghouse%20Form.dot Missouri-Illinois Border Bridge Clearinghouse Form]
 
*[http://epg.modot.mo.gov/forms/BR/Missouri-Illinois%20Border%20Bridge%20Clearinghouse%20Form.dot Missouri-Illinois Border Bridge Clearinghouse Form]
 
<div id="No-Rise Certificate"></div>
 
<div id="No-Rise Certificate"></div>
*[[media:101 No Rise Certificate July 2019.pdf|No-Rise Certificate]]
+
*[[media:101 No Rise Certificate 2020.pdf|No-Rise Certificate]]
  
 
*[[media:751.1.2.20 Request.xlsx|Request for Final Soundings for Structures Form]]
 
*[[media:751.1.2.20 Request.xlsx|Request for Final Soundings for Structures Form]]
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*[http://epg.modot.mo.gov/forms/CM/Asphalt_Random_Locations.xlsm Asphalt Random Locations]
 
*[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/Asphalt_Roadway_Report.xlsm 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_Bearings.xlsx Bridge Bearings]
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*[http://epg.modot.mo.gov/forms/CM/Dimensions%20To%20Tons%20Converter.xlsx Dimensions To Tons Converter]
 
*[http://epg.modot.mo.gov/forms/CM/Dimensions%20To%20Tons%20Converter.xlsx Dimensions To Tons Converter]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/Documentation_Record.pdf Documentation Record]
  
 
*[http://epg.modot.mo.gov/forms/CM/EEO_Checklist.pdf EEO Checklist]
 
*[http://epg.modot.mo.gov/forms/CM/EEO_Checklist.pdf EEO Checklist]
Line 127: Line 127:
 
*[http://epg.modot.mo.gov/forms/CM/Fence_Removal_Notice.pdf Fence Removal Notice]
 
*[http://epg.modot.mo.gov/forms/CM/Fence_Removal_Notice.pdf Fence Removal Notice]
  
*[http://ghdcogwp001:80/c10.2.2/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 Final Acceptance Report (C-239), Cognos Report]
+
*[http://ghdcogwp001/c10.2.2/cgi-bin/cognosisapi.dll?b_action=cognosViewer&ui.action=run&ui.object=%2fcontent%2ffolder%5b%40name%3d%27AASHTOWARE%27%5d%2ffolder%5b%40name%3d%27Headquarters%27%5d%2ffolder%5b%40name%3d%27Contract%20-%20Administration%27%5d%2freport%5b%40name%3d%27C239_Final_Acceptance_Report_AWP%27%5d&ui.name=C239_Final_Acceptance_Report_AWP&run.outputFormat=PDF&run.prompt=true Final Acceptance Report (C-239), Cognos Report]
 
 
*[http://ghdcogwp001/c10.2.2/cgi-bin/cognosisapi.dll?b_action=cognosViewer&ui.action=run&ui.object=%2fcontent%2ffolder%5b%40name%3d%27AASHTOWARE%27%5d%2ffolder%5b%40name%3d%27Headquarters%27%5d%2ffolder%5b%40name%3d%27Contract%20-%20Administration%27%5d%2freport%5b%40name%3d%27C239_Final_Acceptance_Report_AWP%27%5d&ui.name=C239_Final_Acceptance_Report_AWP&run.outputFormat=PDF&run.prompt=true Final Acceptance Report (C-239), Cognos Report - AWP]
 
  
 
*[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_Acceptance_C_239.pdf Final Acceptance Report (C-239), pdf version]
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*[http://epg.modot.mo.gov/forms/CM/IRI_Inertial_Profiler_Report_with_Bonus.xlsm IRI Inertial Profiler Report with Bonus]
 
*[http://epg.modot.mo.gov/forms/CM/IRI_Inertial_Profiler_Report_with_Bonus.xlsm IRI Inertial Profiler Report with Bonus]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_Asphalt_Pavement_Repair.xlsm JOC 2019 Asphalt Pavement Repair]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/JOC_2020_Asphalt_Pavement_Repair.xlsm JOC 2020 Asphalt Pavement Repair]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_2020_Bridge_Repair_Spreadsheet.xlsm JOC 2019, 2020 Bridge Repair Spreadsheet]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/JOC_2021_Bridge_Repair_Spreadsheet.xlsm JOC 2021 Bridge Repair Spreadsheet]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_2020_Concrete_Pavement_Repair.XLSM JOC 2019, 2020 Concrete Pavement Repair]
  
 
*[http://epg.modot.mo.gov/forms/CM/JOC_2018_Rail_Cable_Fence_Spreadsheet.xlsx JOC 2018 Rail Cable Fence Spreadsheet]
 
*[http://epg.modot.mo.gov/forms/CM/JOC_2018_Rail_Cable_Fence_Spreadsheet.xlsx JOC 2018 Rail Cable Fence Spreadsheet]
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*[http://epg.modot.mo.gov/forms/CM/JOC_2019_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2019 Rail Cable Fence Spreadsheet]
 
*[http://epg.modot.mo.gov/forms/CM/JOC_2019_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2019 Rail Cable Fence Spreadsheet]
  
*[http://epg.modot.mo.gov/forms/CM/JOC_Asphalt_Pavement_Repair.xlsm JOC Asphalt Pavement Repair]
+
*[http://epg.modot.mo.gov/forms/CM/JOC_2020_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2020 Rail Cable Fence Spreadsheet]
 
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Bridge_Repair_Spreadsheet.xlsm JOC Bridge Repair Spreadsheet]
 
 
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Concrete_Pavement_Repair.xlsm JOC Concrete Pavement Repair]
 
  
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Lighting_Repair.xlsx JOC Lighting Repair]
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Lighting_Repair.xlsx JOC Lighting Repair]
Line 168: Line 172:
  
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Signal_and_Lighting_Repair.xlsm JOC Signal and Lighting Repair]
 
*[http://epg.modot.mo.gov/forms/CM/JOC_Signal_and_Lighting_Repair.xlsm JOC Signal and Lighting Repair]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/KC_Milestone_Memo.pdf Milestone Memo]
  
 
*[http://epg.modot.mo.gov/forms/CM/Milestone_Worksheet.pdf Milestone Worksheet]
 
*[http://epg.modot.mo.gov/forms/CM/Milestone_Worksheet.pdf Milestone Worksheet]
Line 192: Line 198:
  
 
*[http://epg.modot.mo.gov/forms/CM/Pile_Driving_Data_PDA.pdf Pile Driving Data PDA]
 
*[http://epg.modot.mo.gov/forms/CM/Pile_Driving_Data_PDA.pdf Pile Driving Data PDA]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/PODI_Bridge_Deck_Pour_Checklist.pdf PODI Bridge Deck Pour Checklist]
  
 
*[http://epg.modot.mo.gov/forms/CM/Pore_Pressure_Report_Type_A.pdf Pore Pressure Report - Type A]
 
*[http://epg.modot.mo.gov/forms/CM/Pore_Pressure_Report_Type_A.pdf Pore Pressure Report - Type A]
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*[http://epg.modot.mo.gov/forms/CM/RE_Letterhead.pdf RE Letterhead]
 
*[http://epg.modot.mo.gov/forms/CM/RE_Letterhead.pdf RE Letterhead]
 +
 +
*[http://epg.modot.mo.gov/forms/CM/RE_Letterhead.dotx RE Letterhead – Word Format]
  
 
*[http://epg.modot.mo.gov/forms/CM/Retroreflectivity_Payment_Adjustment.xlsm Retroreflectivity Payment Adjustment]
 
*[http://epg.modot.mo.gov/forms/CM/Retroreflectivity_Payment_Adjustment.xlsm Retroreflectivity Payment Adjustment]
Line 244: Line 254:
 
*[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/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/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/Standard%20Compaction%20Test%20Blank.xls Standard Compaction Test Blank]
Line 251: Line 261:
  
 
*[http://epg.modot.mo.gov/forms/CM/Tank%20Capacity%202.0.xls Tank Capacity]
 
*[http://epg.modot.mo.gov/forms/CM/Tank%20Capacity%202.0.xls Tank Capacity]
 
+
<div id="Wage Interview"></div>
 
*[http://epg.modot.mo.gov/forms/CM/CR1_Wage_Rate_Interview.pdf Wage Interview (Form CR-1)]
 
*[http://epg.modot.mo.gov/forms/CM/CR1_Wage_Rate_Interview.pdf Wage Interview (Form CR-1)]
  
Line 306: Line 316:
  
 
:* [https://www.modot.org/media/12323 Request to Subcontract Work  (C-220)]
 
:* [https://www.modot.org/media/12323 Request to Subcontract Work  (C-220)]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/Request_to_Subcontract_C_220_Excel.xlsm Request to Subcontract Work  (C-220), Excel]
  
 
:* [http://epg.modot.org/forms/CM/Subcontractor_Certification_Regarding_Affirmative_Action.pdf Subcontractor Certification Regarding Affirmative Action]
 
:* [http://epg.modot.org/forms/CM/Subcontractor_Certification_Regarding_Affirmative_Action.pdf Subcontractor Certification Regarding Affirmative Action]
Line 364: Line 376:
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CM_Filters.doc AWP CM Filters]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CM_Filters.doc AWP CM Filters]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CM_Test_Equipment.doc AWP CM Test Equipment]
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_1ChangeOrderOverview.doc AWP CO 1 Change Order Overview]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_1ChangeOrderOverview.doc AWP CO 1 Change Order Overview]
Line 384: Line 398:
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Construction_Stockpiles.doc AWP CO Construction Stockpiles]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Construction_Stockpiles.doc AWP CO Construction Stockpiles]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Contract_Payment_Estimate_Exception_Override.doc AWP CO Contract Payment Estimate Exception Override]
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_ContractVendorAssets.doc AWP CO Contract Vendor Assets]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_ContractVendorAssets.doc AWP CO Contract Vendor Assets]
Line 396: Line 412:
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_DailyWorkReport.doc AWP CO Daily Work Report]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_DailyWorkReport.doc AWP CO Daily Work Report]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_DailyWorkReport_Deleting_Postings_and_Acceptance_Records.doc AWP CO Daily Work Report, Deleting DWR Postings and Acceptance Records]
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Disposition_Remarks_PAL_Material.doc AWP CO Disposition Remarks for PAL Material]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Disposition_Remarks_PAL_Material.doc AWP CO Disposition Remarks for PAL Material]
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:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Estimate.doc AWP CO Estimate]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Estimate.doc AWP CO Estimate]
 
+
<div id="AWP CO Estimate Final"></div>
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Estimate_Final.doc AWP CO Estimate Final]
 +
<div id="AWP CO Item Adjustments"></div>
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Item_Adjustments.doc AWP CO Item Adjustments]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_CO_Item_Adjustments.doc AWP CO Item Adjustments]
 
<div id="CO Milestones"></div>
 
<div id="CO Milestones"></div>
Line 424: Line 444:
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Generating_Contract_SampleChecklist.doc AWP MA Generating Contract Sample Checklist]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Generating_Contract_SampleChecklist.doc AWP MA Generating Contract Sample Checklist]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_IAS_Lab_Audit.doc AWP MA I.A.S. Lab Audit]
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_PAL_Plant_Inspection_Record.doc AWP MA PAL Plant Inspection Record]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_PAL_Plant_Inspection_Record.doc AWP MA PAL Plant Inspection Record]
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_ReGenerating_Contract_Lines_For_Original_Materials_And_Acceptance_Actions.doc AWP MA Regenerating Contract Lines for Original Materials and Acceptance Actions]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_ReGenerating_Contract_Lines_For_Original_Materials_And_Acceptance_Actions.doc AWP MA Regenerating Contract Lines for Original Materials and Acceptance Actions]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_Acceptance_By_Certification.docx AWP MA Sample Record Acceptance By Certification]
 +
 +
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_Changing_Material_Code_Source_or_SampleType.docx AWP MA Sample Record Changing Material Code Source or Sample Type]
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_General.docx AWP MA Sample Record, General]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_General.docx AWP MA Sample Record, General]
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_General_IAS_Audit_Record.docx AWP MA Sample Record, General IAS Audit Record]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_General_IAS_Audit_Record.docx AWP MA Sample Record, General IAS Audit Record]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sample_Record_Acceptance_By_Certification.docx AWP MA Sample Record Acceptance By Certification]
 
  
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sampling_and_Testing_Status_Report.docx AWP MA Sampling and Testing Status Report]
 
:* [http://epg.modot.mo.gov/forms/CM/AWP_MA_Sampling_and_Testing_Status_Report.docx AWP MA Sampling and Testing Status Report]
Line 496: Line 520:
  
 
:* [http://epg.modot.mo.gov/forms/CM/Key_Dates.docx Key Dates]
 
:* [http://epg.modot.mo.gov/forms/CM/Key_Dates.docx Key Dates]
<div id="Line Item Adjustments"></div>
+
 
 
:* [http://epg.modot.mo.gov/forms/CM/Line_Item_Adjustments.docx Line Item Adjustments]  
 
:* [http://epg.modot.mo.gov/forms/CM/Line_Item_Adjustments.docx Line Item Adjustments]  
 
<div id="Liquidated Damage Adjustments"></div>
 
<div id="Liquidated Damage Adjustments"></div>
Line 537: Line 561:
 
:* [[media:101 Land Disturbance Deficiencies QRG 2019.pdf|Land Disturbance Deficiencies]]
 
:* [[media:101 Land Disturbance Deficiencies QRG 2019.pdf|Land Disturbance Deficiencies]]
  
:* [[media:101 Land Disturbance Storm Water Database Closeout Procedure QRG 2019.pdf|Land Disturbance Storm Water Database Closeout Procedure]]
+
:* [[media:101 Land Disturbance Storm Water Database Closeout Procedure QRG 2020.pdf|Land Disturbance Storm Water Database Closeout Procedure]]
  
:* [[media:101 Land Disturbance Storm Water Database Initial Setup for Construction Projects 2019.pdf|Land Disturbance Storm Water Database Initial Setup for Construction Projects]]
+
:* [[media:101 Land Disturbance Storm Water Database Initial Setup for 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 2019.pdf|Land Disturbance Storm Water Database Initial Setup for Maintenance 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 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 2019.pdf|Storm Water Land Disturbance Erosion Reporting]]
+
:* [[media:101 Storm Water Land Disturbance Erosion Reporting QRG Dec 2020.pdf|Storm Water Land Disturbance Erosion Reporting]]
  
 
==Design==
 
==Design==
Line 573: Line 597:
 
*[[media:747 Bridge Survey Checklist.xlsx|Bridge Survey Checklist]]
 
*[[media:747 Bridge Survey Checklist.xlsx|Bridge Survey Checklist]]
  
*[[media:747 Bridge Survey Location Request 2019.docx|Bridge Survey Location Request]]
+
*[[media:747 Bridge Survey Location Request Dec 2019.docx|Bridge Survey Location Request]]
  
 
*[[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]]
 
*[[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]]
  
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Copy%20of%20751.1.3.5_Structural_Rehabilitation_Checklist.xlsm Structural Rehabilitation Checklist (Excel)]
+
*[http://sp/sites/br/Review/RehabChecklist/Structural%20Rehabilitation%20Checklist.xlsm Structural Rehabilitation Checklist (Excel)]
  
 
*[[media:131.1 Vertical Clearance Coord Form Jul 2018.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]]
 
*[[media:131.1 Vertical Clearance Coord Form Jul 2018.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]]
Line 617: Line 641:
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/4R%20PAVEMENT%20REHABILITATION%20ANALYSIS%20DATA%20AND%20CONCEPTUAL%20STUDY%20REPORT.dot 4R Pavement Rehabilitation Analysis Data and Conceptual Study Report]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/4R%20PAVEMENT%20REHABILITATION%20ANALYSIS%20DATA%20AND%20CONCEPTUAL%20STUDY%20REPORT.dot 4R Pavement Rehabilitation Analysis Data and Conceptual Study Report]
  
*[http://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/Aerial%20Mosiac%20Submittal%20for%20Recon%20Study.dot Aerial Mosaic 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%20Blank.dot Commission Backup Form Blank]
Line 631: Line 655:
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/D-28.doc D-28 Sign Design Order Form]
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/D-28.doc D-28 Sign Design Order Form]
  
*[[media:131.1 Design Exception.docx|Design Exception Information]]
+
*[[media:131.1 Design Exception 2020.docx|Design Exception Information]]
  
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Equipment%20and%20Materials%20List.dot Equipment and Materials List]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Equipment%20and%20Materials%20List.dot Equipment and Materials List]
Line 707: Line 731:
  
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/STRUCT.dot STRUCT]
 
*[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===
 
===Materials===
Line 753: Line 768:
  
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Turning%20Movement%20Traffic%20Count%20Request.dot Turning Movement Traffic Count Request]
 
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Turning%20Movement%20Traffic%20Count%20Request.dot Turning Movement Traffic Count Request]
 +
 +
===Public Involvement===
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Notice%20of%20Formal%20Public%20Hearing.dot Notice of Formal Public Hearing]
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Open-House%20Public%20Hearing.dot Open House Public Hearing]
 +
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Public%20Hearing%20Statement%20Form.dot Public Hearing Statement Form]
 +
*[https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Letter%20Advertising%20a%20Public%20Hearing.docx Sample Letter Advertising a Public Hearing]
 +
*[https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%204f.docx Sample Notice 4F]
 +
*[https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%20of%20Public%20Hearing.docx Sample Notice of Public Hearing]
 +
*[https://epg.modot.org/forms/DE/Public%20Involvement/Sample_Opportunity_for_Public_Hearing.doc Sample Opportunity for a Public Hearing/Meeting Notice]
 +
*[https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Public%20Involvement%20Plan.docx Sample Public Involvement Plan or Communication Plan]
 +
*[https://epg.modot.org/forms/DE/Public%20Involvement/SampleRequestforApprovelofLocationorDesigntoStateDesignEngineer.docx Sample Request for Approval of Location and/or Design of Highways to State Design Engineer]
 +
*[https://epg.modot.org/forms/DE/Public%20Involvement/SampleRequestforApprovelofLocationorDesigntotheCommission.docx Sample Request for Approval of Location to the Commission]
 +
*[https://epg.modot.org/forms/DE/Public%20Involvement/SampleTranscript.pdf Sample Transcript]
  
 
===Right of Way===
 
===Right of Way===
Line 809: Line 837:
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Right%20of%20Way%20Checklist.dot Right of Way Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Right%20of%20Way%20Checklist.dot Right of Way Checklist]
  
*[http://epg.modot.org/forms/DE%202017%20Forms/DELiaison/Traffic%20Checklist.dot Traffic Checklist]
+
*[http://sp/sites/de/Team/New%20folder/DE%20eProjects%20Forms/DE%20Liaison/Traffic%20Checklist.dot Traffic Checklist]
  
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Utilities%20Checklist.dot Utilities Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Utilities%20Checklist.dot Utilities Checklist]
  
 
===Survey===
 
===Survey===
*[[media:747 Bridge Survey Location Request 2019.docx|Bridge Survey Location Request]]
+
*[[media:747 Bridge Survey Location Request Dec 2019.docx|Bridge Survey Location Request]]
  
 
*[http://epg.modot.mo.gov/forms/DE-Survey/Center%20Line%20Staking%20-%20Letter%20to%20Property%20Owner.dot Center Line Staking - Letter to Property Owner]
 
*[http://epg.modot.mo.gov/forms/DE-Survey/Center%20Line%20Staking%20-%20Letter%20to%20Property%20Owner.dot Center Line Staking - Letter to Property Owner]
Line 839: Line 867:
  
 
==External Civil Rights==
 
==External Civil Rights==
*[[media:101 Contractor's Monthly New Employee Report.pdf|Contractor's Monthly New Employee Report]]
 
  
*[[media:101 Sample Company Workforce Diversity Job Special Provision Action Plan.docx|Sample Company Workforce/Diversity Job Special Provision Action Plan]]
+
===DBE===
 +
:*[http://epg.modot.mo.gov/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form]
 +
 
 +
:*[https://www.modot.org/media/26953 DBE and Non-DBE Subcontractor Report Form]
 +
 
 +
:*[https://www.modot.org/media/245 DBE Contractor/Subcontractor Project Trucker and Equipment List]
 +
 
 +
:*[http://epg.modot.org/files/5/57/101_DBE_Identification_Submittal_Form.pdf DBE Identification Submittal Form]
 +
 
 +
:*[http://epg.modot.mo.gov/forms/CM/DBE_Substitution_Form.pdf DBE Substitution Form]
 +
 
 +
===OJT===
 +
:*[https://www.modot.org/media/14124 OJT-1, Trainee Notification]
 +
 
 +
:*[https://www.modot.org/media/331 OJT-2, Contractor Monthly Trainee Report]
 +
 
 +
:*[https://www.modot.org/media/14125 OJT-3, Trainee Completion Report]
 +
 
 +
:*[https://www.modot.org/media/14126 OJT-4, Trainee Contact]
 +
 
 +
:*[https://www.modot.org/media/332 OJT-5, Trainee Discrimination Complaint]
 +
 
 +
:*[https://www.modot.org/media/12141 OJT-6, Training Summary]
 +
 
 +
===Workforce Diversity JSP===
 +
:*[[media:101 Contractor's Monthly New Employee Report.pdf|Contractor's Monthly New Employee Report]]
 +
 
 +
:*[https://www.modot.org/media/12336 MoDOT Cumulative Workforce Hours Report (Workforce Monthly Report)]
 +
 
 +
:*[https://www.modot.org/sites/default/files/documents/WF-1_New_Hire_Notification.pdf New Hire Notification]
  
* [http://epg.modot.mo.gov/forms/CM/DBE_Substitution_Form.pdf DBE Substitution Form]
+
:*[[media:101 Sample Company Workforce Diversity Job Special Provision Action Plan.docx|Sample Company Workforce/Diversity Job Special Provision Action Plan]]
  
*[[media:101 Workforce Pilot Program Employee Notification.pdf|Workforce Pilot Program Employee Notification]]
+
:*[https://www.modot.org/media/12337 Workforce Pre-Construction Diversity Plan Report]
  
 
==Financial Services==
 
==Financial Services==
Line 851: Line 907:
  
 
==Maintenance==
 
==Maintenance==
*[[media:101 Maintenance - Deer Death Report Form and Map.xls|Deer Death Report Form and Map (Excel)]]
+
*[[media:127.29.9 FRCP.pdf|Facility Runoff Control Plans (FRCP)]]
  
 
*[http://sharepoint/systemdelivery/TR/mo/travinfoitsworkzonemanagment/workzones/Shared%20Documents/Inspections/WorkZone_Inspection-form%202014.pdf Work Zone Inspection Form]
 
*[http://sharepoint/systemdelivery/TR/mo/travinfoitsworkzonemanagment/workzones/Shared%20Documents/Inspections/WorkZone_Inspection-form%202014.pdf Work Zone Inspection Form]
Line 892: Line 948:
  
 
==Motor Carrier Services==
 
==Motor Carrier Services==
*[http://epg.modot.mo.gov/forms/MCS/Accounting%20Payment%20Error%20Notice.dot Accounting Payment Error Notice]
+
*[https://www.modot.org/HazWaste Hazardous Waste Transport Forms]
  
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Altered%20Temporary.dot IRP Altered Temporary]
+
*[https://www.modot.org/HHGoods Household Goods Transport Forms, Tariff Information, ''Moving in Missouri'' brochure]
  
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Outstanding%20Temporaries.dot IRP Outstanding Temporaries]
+
*[https://www.modot.org/IFTA International Fuel Tax Agreement Forms]
  
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Surrendering%20Plates.dot IRP Surrendering Plates]
+
*[https://www.modot.org/IRP International Registration Plan Forms]
  
*[http://epg.modot.mo.gov/forms/MCS/IRP%20Suspension.dot IRP Suspension]
+
*[https://www.modot.org/MOPA Missouri Operating Authority Forms]
  
*[http://epg.modot.mo.gov/forms/MCS/IRP-IFTA%20Reject%20Letters.dot IRP-IFTA Reject Letters]
+
*[https://www.modot.org/OSOW Oversize Overweight Permitting Forms]
  
*[http://epg.modot.mo.gov/forms/MCS/MCS%20MoDOT%20Letterhead.dot MCS MoDOT Letterhead]
+
*[https://www.modot.org/SC Missouri Intrastate Skill Performance Evaluation for Medical Exemption Forms]
  
 +
*[https://www.modot.org/WasteTire  Waste Tire Transporter Forms]
  
 
==Planning==
 
==Planning==

Latest revision as of 12:32, 22 January 2021

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

Contents

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


Bridge

101 Bridge.jpg

Construction and Materials

101CM.jpg

Forms for Contractor Use

Construction and Contractor Related

Materials Related

Posters, Federal Aid

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

Posters, State Aid

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

Utility or Right of Way Related

Quick Reference Guides (QRGs)

AASHTOWare Project Quick Reference Guides (QRGs)

SiteManager Quick Reference Guides (QRGs) Bulldozer.jpg

Storm Water Database Quick Reference Guides (QRGs)

Design

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

Bridge

Checklist

Computer

Contracts

Design Forms

Engineering Professional Services

Environmental and Cultural

Materials

Photo

Planning

Public Involvement

Right of Way

Scoping

101 survey.jpg

Survey

External Civil Rights

DBE

OJT

Workforce Diversity JSP

Financial Services

Maintenance

Chip Seal Forms

Bridge Maintenance

Snow & Ice Control

Rest Areas

Commuter Lots

Disasters

Performance Indicators

Pavement Management

Motor Carrier Services

Planning

Right of Way

General Information

Right of Way Organization and Personnel

Administration

Description Writing and Titles

Property Management

Appraisal and Appraisal Review

Negotiation

Relocation Assistance Program

Asbestos Abatement-Removal of Building Improvement

Right Of Way Condemnation

Mediation

Quality Assurance Reviews

Designing Right of Way Plans

Change in Route Status Report

Requests from Cities for Annexations

Outdoor Advertising

Junkyards

Local Public Agency Land Acquisition

101 bottom.jpg