Category:101 Standard Forms: Difference between revisions

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<div style="float: right; margin-left: 30px; margin-bottom: 30px;">__TOC__</div>
==   ==
=== ===
Standard forms organized by functional unit are accessible from this page. '''The files accessible by the links below are identical to those accessed through Word, Excel or other software application by MoDOT employees.''' Many of these file links are also contained in Engineering Policy Guide articles that refer to the forms.
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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">
EPG articles are not referenced as "sections" but as EPG XXX.X or as "articles" to avoid confusion with MoDOT specs (which are contractually binding).
</div>
Standard forms organized by functional unit are accessible from this page.</br>
'''The files accessible by the links below are identical to those accessed through Word, Excel or other software application by MoDOT employees.'''</br>
Many of these file links are also contained in Engineering Policy Guide articles that refer to the forms.
----
----
==Bridge==
==Bridge==
*[http://epg.modot.mo.gov/forms/BR/Bridge%20Division%20Memo.dot Bridge Division Memo]
[[image:101 Bridge.jpg|right|150px]]
 
*[http://epg.modot.mo.gov/forms/BR/Bridge%20Survey%20Memo.dot Bridge Survey Memo]
 
*[http://epg.modot.mo.gov/forms/BR/BridgeHydraulicsReport_English3-1-06.dot BridgeHydraulicsReport_English3-1-06]
 
*[http://epg.modot.mo.gov/forms/BR/Change%20Order.dot Change Order]
 
*[http://epg.modot.mo.gov/forms/BR/Constructability%20Questionnaire.dot Constructability Questioinnaire]
 
*[http://epg.modot.mo.gov/forms/BR/CulvertHydraulicsReport_English3-1-06.dot CulvertHydraulicsReport_English3-1-06]
 
*[http://epg.modot.mo.gov/forms/BR/Design%20Except%20to%20District.dot Design Except to District]


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


*[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Box).dot Design Layout (Box).dot]
<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">
*[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Grade).dot Design Layout (Grade).dot]
<div class="mw-collapsible-content">
 
* [https://epg.modot.org/forms/general_files/BR/BridgeDivisionMemo.dotx Bridge Division Memo]
*[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Stream).dot Design Layout (Stream)]
* [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]
*[http://epg.modot.mo.gov/forms/BR/Design%20Layout%20(Wall).dot Design Layout (Wall)]
* [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]
*[http://epg.modot.mo.gov/forms/BR/Floodplain%20Permit.dot Floodplain Permit]
* [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]
*[http://epg.modot.mo.gov/forms/BR/FloodplainDevelopmentPermit.ToDistrict.CoverLetter.dot Floodplain Development Permit To District Cover Letter]
* [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)]
*[http://epg.modot.mo.gov/forms/BR/Layout%20to%20District.dot Layout to District]
* [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)]
*[http://epg.modot.mo.gov/forms/BR/Layout%20to%20FHWA.dot Layout to FHWA]
* [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]]
*[http://epg.modot.mo.gov/forms/BR/Layout%20to%20Railroad.dot Layout to Railroad]
* [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]
*[http://epg.modot.mo.gov/forms/BR/Memo%20to%20Design,%20no%20Permit%20Required.dot Memo to Design, no Permit Required]
* [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]
*[http://epg.modot.mo.gov/forms/BR/Memo%20to%20Design,%20Permit%20Required.dot Memo to Design, Permit Required]
* [https://epg.modot.org/forms/general_files/BR/Request_for_Final_Soundings_for_Structures_Form.xlsx Request for Final Soundings for Structures Form]
 
* [https://epg.modot.org/forms/general_files/BR/Telefax.dotx Telefax]
*[http://epg.modot.mo.gov/forms/BR/Memo%20to%20District.dot Memo to District]
* [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]
*[http://epg.modot.mo.gov/forms/BR/Missouri-Illinois%20Border%20Bridge%20Clearinghouse%20Form.dot Missouri-Illinois Border Bridge Clearinghouse Form]
</div>
 
</div>
*[http://epg.modot.mo.gov/forms/BR/No-Rise%20Certificate.dot No-Rise Certificate.dot]
 
*[http://epg.modot.mo.gov/forms/BR/Request%20For%20Soil%20Properties.dot Request For Soil Properties]
 
*[http://epg.modot.mo.gov/forms/BR/Sounding%20Layout.dot Sounding Layout]
 
*[http://epg.modot.mo.gov/forms/BR/Sounding%20Request.dot Sounding Request]
 
*[http://epg.modot.mo.gov/forms/BR/Telefax.dot Telefax]
 
*[http://epg.modot.mo.gov/forms/BR/Transmittal%20Letter.dot Transmittal Letter]


</div>


==Construction and Materials==
==Construction and Materials==
*[http://epg.modot.mo.gov/forms/CO/30%20Day%20Reminder%20Final%20Invoice%20Letter.dot 30 Day Reminder Final Invoice Letter]
[[image:101CM.jpg|right|150px]]
 
*[http://epg.modot.mo.gov/forms/CO/3-Year%20Graduate%20Engr%20Training%20Checklist.dot 3-Year Graduate Engr Training Checklist]
 
*[http://epg.modot.mo.gov/forms/CO/60%20Day%20Final%20Acceptance%20Letter.dot 60 Day Final Acceptance Letter]
 
*[http://epg.modot.mo.gov/forms/CO/Affirmative%20Action%20Certification.dot Affirmative Action Certification]
 
*[http://epg.modot.mo.gov/forms/CO/Asphalt%20Roadway%20Report.dot Asphalt Roadway Report]
 
*[http://epg.modot.mo.gov/forms/CO/Bridge%20Clearance%20Report%20(C-239A).dot Bridge Clearance Report (C-239A).dot]
 
*[http://epg.modot.mo.gov/forms/CO/Bridge%20Fabrication%20Report.dot Bridge Fabrication Report]
 
*[http://epg.modot.mo.gov/forms/CO/Concrete%20Roadway%20Report.dot Concrete Roadway Report]
 
*[http://epg.modot.mo.gov/forms/CO/Construction%20and%20Materials%20Letterhead.dot Construction and Materials Letterhead]
 
*[http://epg.modot.mo.gov/forms/CO/Contingent%20Item.dot Contingent Item]
 
*[http://epg.modot.mo.gov/forms/CO/Contractor%20Affidavit%20(C-242).dot Contractor Affidavit (C-242)]
 
*[http://epg.modot.mo.gov/forms/CO/Contractor%20Performance%20Questionnaire%20Letter.dot Contractor Performance Questionnaire Letter]
 
*[http://epg.modot.mo.gov/forms/CO/Contractor%20Performance%20Questionnaire%20Signature%20Page.dot Contractor Performance Questionnaire Signature Page]
 
*[http://epg.modot.mo.gov/forms/CO/Daily%20Utility%20Report%20(C-9).dot Daily Utility Report (C-9).dot]
 
*[http://epg.modot.mo.gov/forms/CO/Documentation%20Record.dot Documentation Record]
 
*[http://epg.modot.org/forms/CO/Electronic%20Documentation%20Choice%20Request.dot Electronic Documentation Choice Request]
 
*[http://epg.modot.mo.gov/forms/CO/Erosion%20Control%20Inspection%20Record.dot Erosion Control Inspection Record]
 
*[http://epg.modot.mo.gov/forms/CO/Erosion%20Control%20Product%20Questionnaire.dot Erosion Control Product Questionnaire]
 
*[http://epg.modot.mo.gov/forms/CO/Erosion%20Inspection%20Report%20Summary.dot Erosion Inspection Report Summary]
 
*[http://epg.modot.mo.gov/forms/CO/Estimate%20Cover%20Letter.dot Estimate Cover Letter]
 
*[http://epg.modot.mo.gov/forms/CO/Estimate%20Summary%20Request.dot Estimate Summary Request]
 
*[http://epg.modot.mo.gov/forms/CO/Fax%20Cover.dot Fax Cover.dot]
 
*[http://epg.modot.mo.gov/forms/CO/Final%20Acceptance%20-%20Off%20System.dot Final Acceptance - Off System.dot]
 
*[http://epg.modot.mo.gov/forms/CO/Final%20Acceptance%20(C-239).dot Final Acceptance (C-239)]
 
*[http://epg.modot.mo.gov/forms/CO/Final%20Acceptance%20Checklist.dot Final Acceptance Checklist]
 
*[http://epg.modot.mo.gov/forms/CO/Final%20Plans%20Checklist.dot Final Plans Checklist]
 
*[http://epg.modot.mo.gov/forms/CO/Final%20Utility%20Report%20(C-13).dot Final Utility Report (C-13)]
 
*[http://epg.modot.mo.gov/forms/CO/FinalPlansCert.dot FinalPlansCert]
 
*[[media:137 Force Account Worksheet.xls|Force Account Worksheet]]
 
*[http://epg.modot.mo.gov/forms/CO/Inspectors%20Pay%20Qty%20Report%20(IPQR).dot Inspectors Pay Qty Report (IPQR)]
 
*[http://epg.modot.mo.gov/forms/CO/Internal%20MoDOT%20Product%20Form.dot Internal MoDOT Product Form]
 
*[http://epg.modot.mo.gov/forms/CO/Milestone%20Worksheet.dot Milestone Worksheet]
 
*[http://epg.modot.mo.gov/forms/CO/Mobile%20Mixer%20Verification%20Sheet.dot Mobile Mixer Verification Sheet]
 
*[http://epg.modot.mo.gov/forms/CO/MoDOT%20Quick%20Estimate%20Summary%20Request.dot MoDOT Quick Estimate Summary Request]
 
*[http://epg.modot.mo.gov/forms/CO/No%20Cost%20C-O%20Sig%20FHWA.dot No Cost C-O Sig FHWA]
 
*[http://epg.modot.mo.gov/forms/CO/No%20Cost%20C-O%20Sig.dot No Cost C-O Sig]
 
*[http://epg.modot.mo.gov/forms/CO/Nuclear%20Density%20(C-709ND).dot Nuclear Density (C-709ND)]
 
*[http://epg.modot.mo.gov/forms/CO/Nuclear%20Density%20of%20Plastic%20Portland%20Cement%20Concrete%20(C-710ND).dot Nuclear Density of Plastic Portland Cement Concrete (C-710ND)]
 
*[http://epg.modot.mo.gov/forms/CO/OJT-4%20Trainee%20Contact.dot OJT-4 Trainee Contact]
 
*[http://epg.modot.mo.gov/forms/CO/OJT-5%20Discrimination%20Complaint.dot OJT-5 Discrimination Complaint]
 
*[http://epg.modot.mo.gov/forms/CO/OJT-6%20Final%20Summary.dot OJT-6 Final Summary]
 
*[http://epg.modot.mo.gov/forms/CO/Order%20Record.dot Order Record]
 
*[http://epg.modot.mo.gov/forms/CO/Overdimension%20Restrict.dot Overdimension Restrict]
 
*[http://wwwi/intranet/cm/materials/documents/PTSSubmittalForm_000.doc Pavement Type Selection Submittal Information (PTS Submittal Form)]
 
*[http://epg.modot.mo.gov/forms/CO/Pay%20Quantity%20Cert.dot Pay Quantity Cert]
 
*[http://epg.modot.mo.gov/forms/CO/Pile%20Driving%20Data.dot Pile Driving Data]
 
*[http://epg.modot.mo.gov/forms/CO/Pore%20Pressure%20Report%20-%20Type%20A.dot Pore Pressure Report - Type A]
 
*[http://epg.modot.mo.gov/forms/CO/Pore%20Pressure%20Report%20-%20Type%20B.dot Pore Pressure Report - Type B]
 
*[http://epg.modot.mo.gov/forms/CO/PreCon%20Letter%20-%20Federal%20No%20Trainees.dot PreCon Letter - Federal No Trainees]
 
*[http://epg.modot.mo.gov/forms/CO/PreCon%20Letter%20-%20Federal.dot PreCon Letter - Federal]
 
*[http://epg.modot.mo.gov/forms/CO/PreCon%20Letter%20-%20State.dot PreCon Letter - State]
 
*[http://epg.modot.mo.gov/forms/CO/Producer-Supplier%20List.dot Producer-Supplier List]
 
*[http://epg.modot.mo.gov/forms/CO/Profilograph%20Report.dot Profilograph Report]
 
*[http://epg.modot.org/forms/CO/Railroad%20Crossing%20Inspection.dot Railroad Crossing Inspection]
 
*[http://epg.modot.mo.gov/forms/CO/RE%20Letterhead.dot RE Letterhead]
 
*[http://epg.modot.mo.gov/forms/CO/Material%20Transfer%20Request.dot Request for Transfer of Inspected Material]
 
*[http://epg.modot.mo.gov/forms/CO/Semi-annual%20Labor%20Compliance%20Report.dot Semi-annual Labor Compliance Report]
 
*[http://epg.modot.mo.gov/forms/CO/Semi-Final%20Inspection%20(C-236).dot Semi-Final Inspection (C-236)]
 
*[http://epg.modot.mo.gov/forms/CO/Subcontracts.dot Subcontracts]
 
*[http://epg.modot.mo.gov/forms/CO/Time%20Adj%20C-O%20Sig%20FHWA.dot Time Adj C-O Sig FHWA]
 
*[http://epg.modot.mo.gov/forms/CO/Time%20Adj%20C-O%20Sig.dot Time Adj C-O Sig]
 
*[http://epg.modot.org/forms/CO/Wage%20Interview%20(Form%20CR-1).dot Wage Interview (Form CR-1)]
 
*[http://epg.modot.mo.gov/forms/CO/Waste%20Disposal%20Agreement.dot Waste Disposal Agreement]
 
*[http://epg.modot.mo.gov/forms/CO/Weekly.dot Weekly]
 
===Forms for Contractor Use  ===
====Construction and Contractor Related====
 
:*[http://www.modot.org/business/materials/2008%20CPQ.doc 2008 Contractor Performance Questionnaire]
 
:*[http://www.modot.org/business/materials/Blank%202AA%20Sheet.pdf 2AA Sheet – Blank]
 
:*[http://www.modot.org/business/materials/example%202AA%20sheet.pdf 2AA Sheet – Example]
 
:*[http://www.modot.org/business/contractor_resources/documents/AffidavitforCompliancewithPrevailingWageLaw.pdf  Affidavit for Compliance with Prevailing Wage Law]
 
:*[http://www.modot.org/business/materials/Trainee%20Notification.pdf CAT Trainee Notification]
 
:*[http://www.modot.org/business/materials/Project%20Conflict%20Resolution%20Flowchart.pdf Conflict Resolution Flowchart]
 
:*[http://epg.modot.mo.gov/forms/CO/Contractor%20Affidavit%20(C-242).dot Contractor's Affidavit Regarding Settlement of Claims  (C-242), 2008 version]
 
:*[http://www.modot.org/pdf/business/Contractor%20Affidavit%20Regarding%20Settlement%20of%20Claims%20(C-242).pdf Contractor's Affidavit Regarding Settlement of Claims  (C-242), 2000 version]
 
:*[http://www.modot.org/business/contractor_resources/documents/Contractor_Questionnaire.pdf Contractor Questionnaire]
 
:*[http://www.modot.org/business/materials/contractor%27s%20Monthly%20Trainee%20Report.pdf Contractor's Monthly Trainee Report]
 
:*[http://www.modot.org/pdf/business/DBE.pdf DBE Program Submittal]
 
:*[http://www.modot.org/business/materials/Estimate%20Summary%20Request.dot Estimate Summary Request Form]
 
:*[http://www.modot.org/business/materials/Trainee%20Example%20Letter.pdf Example Letter to Trainee to be used by Contractor]
 
:*[http://www.modot.org/business/contractor_resources/documents/PCQForm.pdf Prequalification Contractor Questionnaire]
 
:*[http://www.modot.org/business/materials/Request%20to%20Subcontract%20Work%20(C-220).pdf Request to Subcontract Work  (C-220)]
 
:*[http://www.modot.org/ValueEngineering/documents/VECPFormC104.doc Value Engineering Change Proposal (C-104)]
 
:*[http://www.modot.org/business/materials/PreCon%20Flow%20Chart%20-%20Federal.pdf Wage Flowchart for Federal Jobs – Precon]
 
:*[http://www.modot.org/business/materials/PreCon%20Flow%20Chart%20-%20State.pdf Wage Flowchart for State Jobs – Precon]
 
:*[http://www.modot.org/business/materials/welder%20qualification%20form.pdf Welder Qualification Form]
 
:*[http://www.modot.org/business/materials/Waste%20Disposal%20Agreement.pdf Waste Disposal Agreement]
 
====Materials  Related====
:*[http://www.modot.org/business/materials/Aggregate%20Quality%20Control%20Plan.pdf Aggregate Quality Control Plan]
 
:*[http://www.modot.org/business/materials/asphpayfactor.xls Asphalt Inspectors Worksheets: QA Pay Factor v5.01]
 
:*[http://www.modot.mo.gov/business/materials/AsphPlantInsp.xls Asphalt Inspectors Worksheets:    Plant Inspection v4.10]
 
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS017F2.pdf CMP, RCP, Precast Drainage Units and Precast Box Culvert Shipping Report Form]
 
:*[http://www.modot.mo.gov/business/materials/Concrete%20Mix%20Design%20Submittal%20Form.xls Concrete Mix Design Submittal Form]
 
:*[http://www.modot.mo.gov/business/materials/Missouri%20CoreLok%20Aggregate%20Workbook.xls CoreLok Aggregate Workbook]
 
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS013F2.pdf  Fabricator’s PAL Receival Form]
 
:*[http://www.modot.mo.gov/business/materials/New%20Product%20Evaluation%20Form.pdf New Product Evaluation Form]
 
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS013F4.pdf PAL Program Inclusion Certifications and Guarantee Statement]
 
:*[http://www.modot.mo.gov/business/materials/Producer-Supplier%20List.pdf Producer/Supplier List]
 
:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS017F1.pdf PVC & HDPE Pipe Shipping Report Form]
 
:*[http://www.modot.mo.gov/business/documents/MaterialTransferRequest_0304.pdf Request for Transfer of Inspected Materials]


:*[http://www.modot.mo.gov/business/materials/pdf/vol_1/GS013F3.pdf Shipper’s PAL Transmittal Form]
<div style="margin-left: 30px;">


====Posters, Federal Aid====
===Forms for MoDOT Use ===
<div class="mw-customtoggle-CM1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] General Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM1">
<div class="mw-collapsible-content" style="margin-bottom:15px;">


:*[http://www.modot.org/business/materials/discrimination%20in%20employment.pdf Discrimination in Employment]
<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://www.modot.org/business/materials/EEO%20Policy%20Example%20Letter.pdf EEO Policy Letter Example Letter]
----
* [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/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/general_files/BR/Pile_Driving_Set_Calculator.xlsx Pile Driving Set Calculator]
* [https://epg.modot.org/forms/CM/Pile_Driving_Data.pdf Pile Driving Data]
* [https://epg.modot.org/forms/CM/Pile_Driving_Data_PDA.pdf Pile Driving Data PDA]
* [https://epg.modot.org/forms/CM/PODI_Bridge_Deck_Pour_Checklist.pdf PODI Bridge Deck Pour Checklist]
* [https://epg.modot.org/forms/CM/Pore_Pressure_Report_Type_A.pdf Pore Pressure Report - Type A]
* [https://epg.modot.org/forms/CM/Pore_Pressure_Report_Type_B.pdf Pore Pressure Report - Type B]
* [https://epg.modot.org/forms/CM/PreCon_Letter_Federal.pdf PreCon Letter - Federal]
* [https://epg.modot.org/forms/CM/PreCon_Letter_State.pdf PreCon Letter - State]
* [https://epg.modot.org/forms/CM/Prestress_Deficiency_Report.pdf Prestress Deficiency Report (1029-01)]
* [https://epg.modot.org/forms/CM/Price_Verification.xlsx Price Verification]
* [https://epg.modot.org/forms/CM/Railroad_Crossing_Inspection.pdf Railroad Crossing Inspection]
* [https://epg.modot.org/forms/CM/RE_Letterhead.pdf RE Letterhead]
* [https://epg.modot.org/forms/CM/RE_Letterhead.docx RE Letterhead – Word Format]
* [https://epg.modot.org/forms/CM/Retroreflectivity_Payment_Adjustment.xlsm Retroreflectivity Payment Adjustment]
* [https://epg.modot.org/forms/CM/Retroreflectometer_Request.xlsm Retroreflectometer Request]
* [https://epg.modot.org/forms/CM/RoCap_Test_Form_Long_Bolts.pdf RoCap Test Form - Long Bolts]
* [https://epg.modot.org/forms/CM/RoCap_Test_Form_Short_Bolts.pdf RoCap Test Form - Short Bolts]
* [https://epg.modot.org/forms/CM/Semi_Annual_Labor_Compliance_Report.dotx Semi-annual Labor Compliance Report]
* [https://www.modot.org/contractor-pay Contractor Payment Schedule]
* [https://epg.modot.org/forms/CM/Standard%20Compaction%20Test%20Blank.xls Standard Compaction Test Blank]
* [https://epg.modot.org/forms/CM/Survey%20Calculator.xlsx Survey Calculator]
* [https://epg.modot.org/forms/CM/Tank%20Capacity%202.0.xls Tank Capacity]
* [https://epg.modot.org/forms/CM/Tension_Log_Form.xlsx Tension Log Form]
* [https://epg.modot.org/forms/CM/CR1_Wage_Rate_Interview.pdf Wage Interview (Form CR-1)]
* [https://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://www.modot.org/business/materials/Equal%20Employment%20Opportunity.pdf Equal Employment Opportunity] (also available [http://www.modot.org/business/materials/Equal%20Oppurtunity%20is%20the%20Law%20(Spanish).pdf en español])
<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://www.modot.org/business/materials/Important%20Wage%20Rate%20Info%20FHWA-1495.pdf Important Wage Rate Info FHWA-1495] (also available [http://www.modot.org/business/materials/Important%20Wage%20Rate%20Infor%20FHWA1495a%20(Spanish).pdf en español])
<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>


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


:*[http://www.modot.org/business/materials/Job%20Safety%20&%20Health%20OSHA%203165.pdf Job Safety and Health OSHA] (also available [http://www.modot.org/business/materials/Job%20Safety%20&%20Health%20OSHA%20%20Spanish%203167.pdf en español])
<div class="mw-customtoggle-CM5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Concrete Inspection Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM5">
<div class="mw-collapsible-content" style="margin-bottom:15px;">


:*[http://www.modot.org/business/materials/Job%20Site%20Bulletin%20Board%20Checklist.pdf Jobsite Bulletin Board Checklist]
<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://www.modot.org/business/materials/Letter%20Appt%20EEO%20Officer.pdf Letter Appt EEO Officer]
----
* [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://www.modot.org/business/materials/Minimum%20Wage%201088%20English.pdf Minimum Wage 1088] (also available [http://www.modot.org/business/materials/Minimum%20Wage%201088%20Spanish.pdf en español])
===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/Mobilization_Payments_Calculator.xlsx Mobilization Payments Calculator]
* [https://epg.modot.org/forms/CM/NCR_Non_Conformance_Report.pdf Nonconformance Report (NCR)]
* [https://epg.modot.org/forms/general_files/BR/Pile_Driving_Set_Calculator.xlsx 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://www.modot.org/business/materials/Notice%20FHWA%201022.pdf Notice FHWA 1022]
<div class="mw-customtoggle-CM8" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Materials Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM8">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/Asphalt_Mix_Design.xlsm Asphalt Mix Design Submittal]
* [https://epg.modot.org/forms/CM/CERTIFICATE_OF_MATERIALS_ORIGIN.pdf Buy America Materials of Origin]
* [https://epg.modot.org/forms/CM/CERTIFICATE_OF_MATERIALS_ORIGIN_NONIRON_STEEL.pdf Buy America Materials of Origin Non-Iron/Steel (PDF)]
* [https://epg.modot.org/forms/CM/Concrete%20Mix%20Design%20Submittal%20Form.xls Concrete Mix Design Submittal Form]
* [https://epg.modot.org/forms/CM/Missouri%20CoreLok%20Aggregate%20Workbook.xls Corelok Aggregate Workbook]
* [https://epg.modot.org/forms/CM/Durable%20Aggregate%20Calculation.xls Durable Aggregate Calculation]
* [https://epg.modot.org/forms/CM/Illinois_Flexibility_Index_Test.pdf Illinois Flexibility Index Test]
* [https://epg.modot.org/forms/CM/NewProductEvaluationForm.pdf New Product Evaluation Form]
* [https://epg.modot.org/forms/CM/GS013F4.pdf PAL Program Inclusion Certifications and Guarantee Statement]
* [https://epg.modot.org/forms/CM/GS013F2.pdf PAL Fabricators Receival Form]
* [https://epg.modot.org/forms/CM/GS013F3.pdf PAL Shippers Transmittal Form]
* [https://epg.modot.org/forms/CM/PipeShippingReportForm2.pdf CMP, RCP, Pipe Shipping Submittal Form: Precast Drainage Unit and Precast Box Culvert Shipping Report Form]
* [https://epg.modot.org/forms/CM/PipeShippingReportForm_Thermoplastic.pdf Pipe Shipping Submittal Form: Thermoplastic]
* [https://epg.modot.org/forms/CM/Producer_Supplier_List.pdf Producer Supplier Listing Form]
* [https://epg.modot.org/forms/CM/RecycleBinderContribution.xls Recycle Binder Contribution v2.12]
* [https://epg.modot.org/forms/CM/RecycleBinderContribution_401.xls Recycle Binder Contribution v2.20]
* [https://epg.modot.org/forms/CM/Section1040,1043,1044_Inclusion_Certification.pdf Section 1040, 1043 and 1044 Inclusion Certification Statement]
* [https://epg.modot.org/forms/CM/Section1040,1043,1044_Shipping_Report_Form_Fillable.pdf Section 1040, 1043 and 1044 Shipping Report Form]
* [https://epg.modot.org/forms/CM/Request_to_Transfer_Inspected_Matl.pdf Transfer Request of Inspected Material]
</div>
</div>


:*[http://www.modot.org/business/materials/Notice%20Polygraph%20English%20WH%201462.pdf Notice Polygraph WH 1462]  (also available [http://www.modot.org/business/materials/Notice%20Polygraph%20Spanish%20WH%201462.pdf en español])
<div class="mw-customtoggle-CM9" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Civil Rights Related Forms and Posters</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9">
<div class="mw-collapsible-content" style="margin-bottom:15px;">


:*[http://www.modot.org/business/materials/Notice%20to%20Employees%20Davis%20Bacon%201321.pdf Notice to Employees Davis Bacon 1321]
<div class="mw-customtoggle-CM9a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] DBE Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9a" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/DBE_and_non_DBE_Subcontractor_Reporting_Form.pdf DBE and non DBE Subcontractor Reporting Form]</br>
* [https://epg.modot.org/forms/CM/DBE_Change_Form.pdf DBE Change Form]</br>
* [https://epg.modot.org/forms/CM/DBE_Contractor_Project_Trucker_Equipment_List_Form.pdf DBE Contractor/Subcontractor Project Trucker and Equipment List]</br>
* [https://epg.modot.org/forms/CM/DBE_Contractor_Subcontractor_Project_Trucker_Form_Instructions.pdf DBE Contractor/Subcontractor Project Trucker and Equipment List - Instructions]</br>
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_MoDOT_Excel.xlsm DBE Identification Submittal Form (Excel)]</br>
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_LPA_Excel.xlsm DBE Identification Submittal Form LPA (Excel)]</br>
* [https://epg.modot.org/forms/CM/DBE_Final_Payment_Form.xlsm DBE Final Payment Form]</br>
* [https://epg.modot.org/forms/CM/DBE_Termination_Form.pdf DBE Termination Form]
</div>
</div>


:*[http://www.modot.org/business/materials/Notice%20to%20Workers%20Disability%20WH%201284.pdf Notice to Workers with Disability WH 1284]
<div class="mw-customtoggle-CM9b" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] On the Job Training Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9b" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/OJT_1_Trainee_Notification.pdf OJT 1, Training Notification]</br>
* [https://epg.modot.org/forms/CM/OJT_2_Contractor_Monthly_Trainee_Report.pdf OJT 2, Contractor Monthly Trainee Report]</br>
* [https://epg.modot.org/forms/CM/OJT_3_Training_Completion.pdf OJT 3, Training Completion Report]</br>
* [https://epg.modot.org/forms/CM/OJT_4_Trainee_Contact.pdf OJT 4, Trainee Contact]</br>
* [https://epg.modot.org/forms/CM/OJT_5_Discrimination_Complaint.pdf OJT 5, Discrimination Complaint]</br>
* [https://epg.modot.org/forms/CM/OJT_6_Final_Trainee_Summary.pdf OJT 6, Training Summary]
</div>
</div>


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


:*[http://www.modot.org/business/materials/Your%20Rights%20FMLA%20WH%201420.pdf Your Rights FMLA WH 1420]
<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>


====Posters, State Aid====
<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>
:*[http://www.modot.org/business/contractor_resources/documents/DiscrmininationinPublicAccomdationMCHR-07-ai.pdf Discrimination in Public Accommodations MCHR-07]
<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://www.modot.org/business/materials/stormwater%20sign.doc Stormwater Permit Sign]
</div>
</div>


:*[http://www.modot.org/business/contractor_resources/documents/UnemploymentBenefitsLaws.pdf Unemployment Benefits Laws]
<div class="mw-customtoggle-CM10" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Permit Forms for Working on Right of Way</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM10">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://www6.modot.mo.gov/ElectronicPermitting/ElectronicPermitting.html Permit for Work on Right of Way]
* [https://www.modot.org/notice-intent MoDOT Notice of Intent to Perform Work]
</div>
</div>


:*[http://www.modot.org/business/contractor_resources/documents/WorkersCompensationWC106English.pdf Workers Compensation WC 106] (also available [http://www.modot.org/business/contractor_resources/documents/WorkersCompensationWC106Spanish.pdf en español])
===Quick Reference Guides (QRGs)===
<div class="mw-customtoggle-CM11" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] AASHTOWare Project</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM11">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* '''[https://epg.modot.org/forms/CM/AWP_QRG_Revision_Dates.xlsx AWP QRG Revision Dates]'''
* [https://epg.modot.org/forms/CM/AWP_CM_AASHTOWARE_Project_Terminology.docx AWP CM AASHTOWARE Project Terminology]
* [https://epg.modot.org/forms/CM/AWP_CM_Certified_Testers.doc AWP CM Certified Testers]
* [https://epg.modot.org/forms/CM/AWP_CM_Filters.doc AWP CM Filters]
* [https://epg.modot.org/forms/CM/AWP_CM_Filters_for_Sample_Records_or_Acceptance_Actions.doc AWP CM Filters for Sample Records or Acceptance]
* [https://epg.modot.org/forms/CM/AWP_CM_Test_Equipment.doc AWP CM Test Equipment]
* [https://epg.modot.org/forms/CM/AWP_CO_1ChangeOrderOverview.doc AWP CO 1 Change Order Overview]
* [https://epg.modot.org/forms/CM/AWP_CO_2ChangeOrderAddingNewItemorOverrunUnderrunExisting.doc AWP CO 2 Change Order Adding New Item or Overrun/Underrun of Existing Items]
* [https://epg.modot.org/forms/CM/AWP_CO_3ChangeOrderTimeExtension.doc AWP CO 3 Change Order Time Extension]
* [https://epg.modot.org/forms/CM/AWP_CO_4ChangeOrderValueEngineering.doc AWP CO 4 Change Order Value Engineering]
* [https://epg.modot.org/forms/CM/AWP_CO_5ChangeOrderNoCostContractModification.doc AWP CO 5 Change Order, No Cost Contract Modification]
* [https://epg.modot.org/forms/CM/AWP_CO_7ChangeOrderApproval.doc AWP CO 7 Change Order Approval]
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Codes.doc AWP CO Change Order Codes]
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Reports.doc AWP CO Change Order Reports]
* [https://epg.modot.org/forms/CM/AWP_CO_CUF_Entry.doc AWP CO Commercially Useful Function (CUF) Review Date Entry]
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form)]
* [https://epg.modot.org/forms/CM/AWP_CO_Construction_Stockpiles.doc AWP CO Construction Stockpiles]
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Payment_Estimate_Exception_Override.doc AWP CO Contract Payment Estimate Exception Override]
* [https://epg.modot.org/forms/CM/AWP_CO_ContractVendorAssets.doc AWP CO Contract Vendor Assets]
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Adjustments.doc AWP CO Contract Adjustments]
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Times.doc AWP CO Contract Times]
* [https://epg.modot.org/forms/CM/AWP_CO_DailyDiary.doc AWP CO Daily Diary]
* [https://epg.modot.org/forms/CM/AWP_CO_DailyDiaryAdjustments.doc AWP CO Daily Diary Adjustments]
* [https://epg.modot.org/forms/CM/AWP_CO_DailyWorkReport.doc AWP CO Daily Work Report]
* [https://epg.modot.org/forms/CM/AWP_CO_DailyWorkReport_Deleting_Postings_and_Acceptance_Records.doc AWP CO Daily Work Report, Deleting DWR Postings and Acceptance Records]
* [https://epg.modot.org/forms/CM/AWP_CO_Disposition_Remarks_PAL_Material.doc AWP CO Disposition Remarks for PAL Material]
* [https://epg.modot.org/forms/CM/AWP_CO_Documentation_Records.docx AWP CO Documentation Records]
* [https://epg.modot.org/forms/CM/AWP_CO_EmergencyContacts.doc AWP CO Emergency Contacts]
* [https://epg.modot.org/forms/CM/AWP_CO_Estimate.doc AWP CO Estimate]
* [https://epg.modot.org/forms/CM/AWP_CO_Estimate_Final.doc AWP CO Estimate Final]
* [https://epg.modot.org/forms/CM/AWP_CO_Item_Adjustments.doc AWP CO Item Adjustments]
* [https://epg.modot.org/forms/CM/AWP_CO_Milestones.doc AWP CO Milestones]
* [https://epg.modot.org/forms/CM/AWP_CO_Signal_Maintenance.doc AWP CO Signal Maintenance]
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Reason_Codes_for_SL_Time_Extension_Change_Orders.doc AWP CO SL District Reason Codes for Time Extension Change Orders]
* [https://epg.modot.org/forms/CM/AWP_CO_Subcontract.doc AWP CO Subcontract]
* [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>


====Utility or Right of Way  Related====  
<div class="mw-customtoggle-CM12" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Digital Signatures</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM12">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/Digital_Signatures_using_Adobe_DC_Reader_Pro.docx Digital Signatures using Adobe DC Reader/Pro]
* [https://epg.modot.org/forms/CM/Digital_Signatures_using_Bluebeam_Revu.pdf Digital Signatures using Bluebeam Revu]
</div>
</div>


:*[http://www.modot.mo.gov/asp/intentToWork.shtml Notice of Intent to Perform Work Process]
<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://www.modot.mo.gov/business/contractor_resources/documents/permit_external.pdf Permit for Work on Right of Way]
</div>


==Design==
==Design==
===Bridge===
*[http://epg.modot.mo.gov/forms/DE-Bridge/404%20Permits.dot 404 Permits]


*[http://epg.modot.mo.gov/forms/DE-Bridge/BridgeSurvey%20Report%20Form%20-%20English.dot Bridge Survey Report Form]
<div style="margin-left: 30px;">


*[http://epg.modot.mo.gov/forms/DE-Bridge/Structural%20Rehab%20Checklist.xlt Structural Rehab 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>


<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]]
* [https://epg.modot.org/forms/general_files/DE/Project_Review_Checklist.pdf Project Review Checklist]
* [https://epg.modot.org/forms/RW/Chapter%2013_Designing%20Right%20of%20Way%20Plans/Right%20Way%20Plans%20Checklist%20Form%20236.13.7.docx Right of Way Plan Review Check List]
</div>
</div>


===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.mo.gov/forms/DE-Checklist/Design%20Progress%20Check%20List.dot Design Progress Check List]
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE3">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [[media:District_Award.dotx|District Award]]
* [http://www.modot.org/business/standards_and_specs/documents/ComputerDeliverableContractPlans.pdf Computer Deliverable Contract Plans 2005]
* [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]]
* [[media:Sample_Scope_of_Services_Design.dotx|Sample Scope of Services Design]]
</div>
</div>


*[http://epg.modot.mo.gov/forms/DE-Checklist/District%20Final%20Design%20Checklist%20-%20D12.dot District Final Design Checklist - D12]
<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: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]]
* [[Job_Special_Provisions|Roadway Job Special Provision Formatting Guide]]
* [https://modotgov.sharepoint.com/sites/DE/JSP/Forms/JSPByTitle.aspx Roadway Job Special Provision Instructions (MoDOT access only)]
* [[Job_Special_Provisions|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.mo.gov/forms/DE-Checklist/Preliminary%20Plans%20Check%20List.dot Preliminary Plans Check List]
<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.mo.gov/forms/DE-Checklist/Right%20of%20Way%20Check%20List.dot Right of Way Check List]
<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>


<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>


===Computer===
<div class="mw-customtoggle-DE7" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Planning</div>
*[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]
<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://epg.modot.org/forms/general_files/TP/Road_User_Costs_Request_Form.pdf Road User Costs Request Form]
* [https://epg.modot.org/forms/general_files/TP/Traffic_Forecast_Request_Form.pdf Traffic Forecast Request Form]
* [[media:101_Turning_Movement_Traffic_Count_Request.dotx|Turning Movement Traffic Count Request]]
</div>
</div>


*[http://epg.modot.mo.gov/forms/DE-Computer/MicroStation%20Computer%20Drawings%20Log%20Sheet%20-%20D96.dot MicroStation Computer Drawings Log Sheet - D96]
<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>


<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>


===Contracts===
<div class="mw-customtoggle-DE9" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Scoping</div>
*[http://epg.modot.mo.gov/forms/DE-Contracts/Award.dot Award]
<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://www.modot.org/business/standards_and_specs/documents/ComputerDeliverableContractPlans.pdf Computer Deliverable Contract Plans 2005]
<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://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Consultant Services Contract - State Funded (MoDOT Users)]
</div>


*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot De1]
==Financial Services==


*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot DE11]
<div style="margin-left: 30px;">


*[http://epg.modot.mo.gov/forms/DE-Contracts/Sample%20Scope%20of%20Services%20-%20Location%20and%20Environment.dot Sample Scope of Services - Location and Environment]
<div class="mw-customtoggle-FS1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Financial Services Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-FS1">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [[media:235 Agreements Checklist.doc|Agreements Checklist]]
</div>
</div>


*[http://epg.modot.mo.gov/forms/DE-Contracts/Sample%20Scope%20of%20Services%20Design.dot Sample Scope of Services Design]
</div>


==Highway Safety & Traffic==


===Design Forms===
<div style="margin-left: 30px;">
*[http://epg.modot.mo.gov/forms/DE-DEForms/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]
<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>


*[http://epg.modot.mo.gov/forms/DE-DEForms/Aerial%20Mosiac%20Submittal%20for%20Recon%20Study.dot Aerial Mosiac Submittal for Recon Study]
</div>


*[http://epg.modot.mo.gov/forms/DE-DEForms/Commission%20Backup%20Form%20Blank.dot Commission Backup Form Blank]
==Maintenance==
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Commission%20Backup%20Form%20Instructions.dot Commission Backup Form Instructions]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Conceptual%20Study%20Report.dot Conceptual Study Report]
 
*[http://epg.modot.org/forms/DE-DEForms/Consultant%20Rating%20Form.dot Consultant Rating Form]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Cultural%20Resource%20Assessment%20Letter.dot Cultural Resource Assessment Letter]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/D-28%20Sign%20Design%20Order%20Form.dot D-28 Sign Design Order Form]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/DESIGN%20EXCEPTION%20INFORMATION.dot 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/Highway%20Lighting%20Warrants%20D21.dot Highway Lighting Warrants D21]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Inquiry%20Report.dot Inquiry Report]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Job%20Special%20Provisions%20Stylesheet.dot Job Special Provisions Stylesheet]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Location%20Study%20Report.dot Location Study Report]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Pavement%20Distress%20Log%20Form%20-%20Asphalt%20-%2011x17.dot Pavement Distress Log Form - Asphalt - 11x17]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Pavement%20Distress%20Log%20Form%20-%20Concrete%2011x17.dot Pavement Distress Log Form - Concrete 11x17]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Pavement%20Repair%20Log.dot Pavement Repair Log]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Preliminary%20Plans%20Proposal%20Review.dot Preliminary Plans Proposal Review]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Preliminary%20Signal%20Plan%20Submittal.dot Preliminary Signal Plan Submittal]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/PROJECT%20ASSIGNMENTS%20AND%20COMPLETION%20DATES.dot Project Assignments and Completion Dates]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/PROJECT%20CORE%20TEAM%20CERTIFICATION_D13.dot Project Core Team Certification D13]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Project%20Data%20for%20BAMS.dot Project Data for BAMS]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Project%20Initialization%20Estimate%20Form.dot Project Initialization Estimate Form]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Submittal%20to%20Professional%20Services%20Committee.dot Submittal to Professional Services Committee]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Suggested%20Revision%20to%20a%20CADD%20Standard.dot Suggested Revision to a CADD Standard]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Test-Cultural%20Resource%20Assessment%20Letter.dot Test-Cultural Resource Assessment Letter]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Traffic%20Signal%20Warrants,%20Form%20D22.dot Traffic Signal Warrants, Form D22]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Utility%20Print%20Submittal%20Letter.dot Utility Print Submittal Letter]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/Utility%20Print%20Submittal%20letter_Revised%20Plans.dot Utility Print Submittal letter_Revised Plans]
 
*[http://epg.modot.mo.gov/forms/DE-DEForms/WORK%20DAY%20STUDY%20-%20124.dot Work Day Study - 124]
 
===Environmental and Cultural===
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Categorial%20Exclusion%20Form.dot Categorical Exclusion Form]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Categorial%20Exclusion%20For%20Hardships%20Determined.dot Categorical Exclusion Determination for Hardships]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Categorial%20Exclusion%20Form.dot Cultural Resource Assessment Letter]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Cultural%20Resource%20Structure%20Log.dot Cultural Resource Structure Log]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/DNR%20Land%20Survey%20Request.dot DNR Land Survey Request]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Farmland%20Conversion%20IMpact%20Rating%20(Site).dot Farmland Conversion Impact Rating (Corridor)]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Farmland%20Conversion%20Impact%20Rating%20(Corridor).dot Farmland Conversion Impact Rating (Site)]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Fig%202-06-9,%20Farmland%20Conversion%20Impact%20Rating.dot Fig 2-06-9, Farmland Conversion Impact Rating]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Initial%20Site%20Assessment%20Form.dot Initial Site Assessment Form]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/Request%20for%20Environmental%20Studies.dot Request for Environmental Studies]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/RES%20Instruction%20sheet.doc RES Instruction sheet]
 
*[http://epg.modot.mo.gov/forms/DE-Env&Cultural/STRUCT.dot STRUCT]
 
===Hearings===
*[http://wwwi/intranet/cc/contracts.asp?f=DE&nav=modot Generic Meeting Sign-Up Sheet]
 
*[http://epg.modot.mo.gov/forms/DE-Hearings/Notice%20of%20Formal%20Public%20Hearing.dot Notice of Formal Public Hearing]
 
*[http://epg.modot.mo.gov/forms/DE-Hearings/Open-House%20Public%20Hearing.dot Open-House Public Hearing]
 
*[http://epg.modot.mo.gov/forms/DE-Hearings/Public%20Hearing%20Statement%20Form.dot Public Hearing Statement Form]
 
 
===Materials===
*[http://epg.modot.mo.gov/forms/DE-Materials/Hazardous%20Waste%20Removal%20Bid%20Information.dot Hazardous Waste Removal Bid Information]
 
*[http://epg.modot.mo.gov/forms/DE-Materials/Itemized%20Proposal%20-%20Demolition,%20Asbestos,%20UST%20Removal.dot Itemized Proposal - Demolition, Asbestos, UST Removal]
 
*[http://epg.modot.mo.gov/forms/DE-Materials/Materials%20Suppliers,%20Source%20and%20Location.dot Materials Suppliers, Source and Location]
 
*[http://epg.modot.mo.gov/forms/DE-Materials/Request%20for%20Asphalt%20Cement%20%25%20Grade.dot Request for Asphalt Cement % Grade]
 
*[http://epg.modot.mo.gov/forms/DE-Materials/Soil%20Info%20Request.dot Soil Info Request]
 
*[http://epg.modot.mo.gov/forms/DE-Materials/Soil%20Survey%20Request.dot Soil Survey Request]
 
 
===Photo===
*[http://epg.modot.mo.gov/forms/DE-Photo/Aerial%20Photography%20Requisition.dot Aerial Photography Requisition]
 
*[http://epg.modot.mo.gov/forms/DE-Photo/Microfilm-Print%20Billing%20Form.dot Microfilm-Print Billing Form]
 
*[http://epg.modot.mo.gov/forms/DE-Photo/Prints%20of%20Previous%20Photography%20Requistion.dot Prints of Previous Photography Requistion]
 
*[http://epg.modot.mo.gov/forms/DE-Photo/Request%20for%20Color%20Copies.dot Request for addition to flight program]
 
*[http://epg.modot.mo.gov/forms/DE-Photo/Request%20for%20addition%20to%20flight%20program.dot Request for Color Copies]
 
 
===Planning===
*[http://epg.modot.mo.gov/forms/DE-Planning/ARAN%20Report%20Request.dot ARAN Report Request]
 
*[http://epg.modot.mo.gov/forms/DE-Planning/Conceptual%20Study%20Traffic%20Count%20Request.dot Conceptual Study Traffic Count Request]
 
*[http://epg.modot.mo.gov/forms/DE-Planning/Fis%20Formc.dot Fis Formc]
 
*[http://epg.modot.mo.gov/forms/DE-Planning/Turning%20Movement%20Traffic%20Count%20Request.dot Turning Movement Traffic Count Request]
 
 
===Right of Way===
*[http://epg.modot.mo.gov/forms/DE-ROW/3-4.1a.dot Request for Federal Funding - Limited Acquisition Authority (Form 3-4.1a)]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/3-4.1b.dot Request for Limited Acquisition Authority (Form 3-4.1b)]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/3-4.2a.dot Request for Federal Funding - Acquisition Authority (Form 3-4.2a)]
 
*[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%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%20Apr%20Condemnation%20Required%20.dot RW Apr Condemnation Required]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Change%20Information%20for%20Microfilming.dot RW Change Information for Microfilming]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Plans%20-%20Commission%20Certification%20(Amended).dot RW Plans - Commission Certification (Amended)]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Plans%20-%20Commission%20Certification.dot RW Plans - Commission Certification]
 
*[http://epg.modot.mo.gov/forms/DE-ROW/RW%20Plans%20Approval%20-%20Letter%20of%20Certification.dot RW Plans Approval - Letter of Certification]
 
===Scoping===
*[http://epg.modot.mo.gov/forms/DE-Scoping/Bridge%20Checklist.dot Bridge Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Construction%20and%20Materials%20Checklist.dot Construction and Materials Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Design%20Checklist.dot Design Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Draft%20Project%20Scoping%20Memorandum.dot Draft Project Scoping Memorandum]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Environmental%20Checklist.dot Environmental Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/FHWA%20Checklist.dot FHWA Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Maintenance%20Checklist.dot Maintenance Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Major%20Project%20Scope%20or%20Estimate%20Change.dot Major Project Scope or Estimate Change]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Non-Major%20Project%20Scope%20or%20Estimate%20Change.dot Non-Major Project Scope or Estimate Change]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Planning%20Checklist.dot Planning Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Development%20Liaison%20Checklist.dot Project Development Liaison Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Estimate%20Quality%20Assurance%20Report.dot Project Estimate Quality Assurance Report]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Scoping%20Checklist.dot Project Scoping Checklist]
 
*[http://epg.modot.mo.gov/forms/DE-Scoping/Project%20Scoping%20Memorandum.dot Project Scoping Memorandum]


*[http://epg.modot.mo.gov/forms/DE-Scoping/Public%20Information%20and%20Outreach%20Checklist.dot Public Information and Outreach Checklist]
<div style="margin-left: 30px;">


*[http://epg.modot.mo.gov/forms/DE-Scoping/Railroad%20Checklist.dot Railroad Checklist]
<div class="mw-customtoggle-MT1" 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-MT1">
<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>


*[http://epg.modot.mo.gov/forms/DE-Scoping/Right%20of%20Way%20Checklist.dot Right of Way Checklist]
<div class="mw-customtoggle-MT2" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Chip Seal Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT2">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [http://wwwi/maintenance/Forms/App%20Adjust%20Form.pdf Application Adjustment Factor Form]
* [http://wwwi/maintenance/Forms/Traffic%20Eval%20Factor.pdf Traffic Evaluation Factor (TEF) for Asphalt Application Adjustment]
</div>
</div>


*[http://epg.modot.mo.gov/forms/DE-Scoping/Traffic%20Checklist.dot Traffic Checklist]
<div class="mw-customtoggle-MT3" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Commuter Lots</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT3">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [[media:101 Maintenance - Commuter Lot Inspection Form.xls|Commuter Lot Inspection (Excel)]]
* [[media:101 Maintenance - Commuter Lot Survey.pdf|Commuter Lot Survey]]
</div>
</div>


*[http://epg.modot.mo.gov/forms/DE-Scoping/Utilities%20Checklist.dot Utilities Checklist]
<div class="mw-customtoggle-MT4" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Disasters</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT4">
<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>


<div class="mw-customtoggle-MT5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Miscellaneous Forms</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT5">
<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>


===Survey===
<div class="mw-customtoggle-MT6" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Rest Areas</div>
*[http://epg.modot.mo.gov/forms/DE-Survey/Center%20Line%20Staking%20-%20Letter%20to%20Property%20Owner.dot Center Line Staking - Letter to Property Owner]
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT6">
<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>


*[http://epg.modot.mo.gov/forms/DE-Survey/Center%20Line%20Staking.dot Center Line Staking]
<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">
*[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]
<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)]]
*[http://epg.modot.mo.gov/forms/DE-Survey/Permanent%20RW%20Marker%20Settings.dot Permanent RW Marker Settings]
* [[media:101 Maintenance - Chemical Requirements.xls|Chemical Requirements (Excel)]]
 
* [[media:101 Maintenance - Salt Storage.xls|Salt Storage (Excel)]]
*[http://epg.modot.mo.gov/forms/DE-Survey/Preliminary%20Surveying%20-%20letter%20to%20property%20owner%201.dot Preliminary Surveying - letter to property owner 1]
</div>
 
</div>
*[http://epg.modot.mo.gov/forms/DE-Survey/Preliminary%20Surveying%20-%20letter%20to%20property%20owner.dot Preliminary Surveying - letter to property owner]
 
*[http://epg.modot.mo.gov/forms/DE-Survey/Preliminary%20Surveying.dot Preliminary Surveying]
 
*[http://epg.modot.mo.gov/forms/DE-Survey/RW%20Marker%20Setting.dot RW Marker Setting]
 
*[http://epg.modot.mo.gov/forms/DE-Survey/Survey%20Request%20Form.dot Survey Request Form]
 
 
==Maintenance==
 
===Bridge Maintenance===
*[[media:101 Maintenance - blankinspreport.pdf|Blank Inspection Report]]
*[[media:101 Maintenance - maintmatlusage.xls|Maintenance Material Usage (Excel)]]
*[[media:101 Maintenance - paintdatareportformblank.xls|Paint Data Report (Excel)]]
*[[media:101 Maintenance - Maintenance Recommendation Report.pdf|Maintenance Recommendation Report]]
*[[media:101 Maintenance - bridgemaintenancerepairreport.xls|Bridge Maintenance Repair Report (Excel)]]
*[[media:101 Maintenance - Photo Log.xls|Photo Log Sheet (Excel)]]
*[[media:101 Maintenance - Follow-up Action Required-Written form.doc|FAR (Follow-Up Action Required)]]
*[[media:101 Maintenance - CIF - Written form.dot|CIF (Critical Inspection Finding)]]
 
===Snow & Ice Control===
*[[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)]]
 
===Rest Areas===
*[[media:101 Maintenance - Rest Area Truck Parking.xls|Rest Area Truck Parking (Excel)]]
*[[media:101 Maintenance - REST AREA inspection_2005.doc|Rest Area Inspection]]
 
===Commuter Lots===
*[[media:101 Maintenance - Commuter Lot Inspection Form.xls|Commuter Lot Inspection (Excel)]]
*[[media:101 Maintenance - Commuter Lot Survey.pdf|Commuter Lot Survey]]
 
===Disasters===
*[[media:101 Maintenance - DDIR.xls|Detailed Damage Inspection Report (Excel)]]
*[[media:101 Maintenance - Non Federal Aid Route DDIR.xls|FEMA Detailed Damage Inspection Report (Excel)]]
 
===Performance Indicators===
 
===Pavement Management===


</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]
<div style="margin-left: 30px;">


<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>


==Planning==
</div>
*[http://epg.modot.mo.gov/forms/MCS/MCS%20MoDOT%20Letterhead.dot MTFC Letterhead]


[[image:101 bottom.jpg|center|1025px]]


==Right of Way==
[[Category:100_GENERAL]]
*[http://epg.modot.mo.gov/forms/RW/RW%20Mortgage%20Analyzer.xlt RW Mortgage Analyzer (Excel)]

Latest revision as of 11:48, 12 December 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

[+/-] Bridge Forms

Construction and Materials

Forms for MoDOT Use

[+/-] General Forms
[+/-] Project Closeout and As-Built Plans
[+/-] Job Order Forms
[+/-] AC Index Price and Fuel Adjustment Forms
[+/-] Asphalt Inspection Forms
[+/-] Concrete Inspection Forms

Forms for Contractor Use

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

Quick Reference Guides (QRGs)

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

Design

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

Financial Services

[+/-] Financial Services Forms

Highway Safety & Traffic

[+/-] Highway Safety & Traffic Forms

Maintenance

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

Motor Carrier Services

[+/-] Bridge Maintenance

Retrieved from "https://epgtest3.modot.org/index.php?title=Category:101_Standard_Forms&oldid=54465"