Category:101 Standard Forms: Difference between revisions

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<div style="float: right; margin-left: 30px; margin-bottom: 30px;">__TOC__</div>
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<div style="float: right; margin-right:0px; width:520px; background-color: #f5f5f5; padding: 0.3em; border: 1px solid #cccccc; text-align:left;">
<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 <u>not</u> referenced as "sections" but as EPG XXX.X (example: EPG 401.3) to avoid confusion with MoDOT specs (which are contractually binding).
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>
</div>
Standard forms organized by functional unit are accessible from this page.</br>
Standard forms organized by functional unit are accessible from this page.</br>
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<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-BR1">
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-BR1">
<div class="mw-collapsible-content">
<div class="mw-collapsible-content">
* [https://epg.modot.org/forms/BR/Bridge%20Division%20Memo.dot Bridge Division Memo]
* [https://epg.modot.org/forms/general_files/BR/BridgeDivisionMemo.dotx Bridge Division Memo]
* [[media:101_Bridge_Hydraulics_Report_Feb_2022.dotx|Bridge Hydraulics Report]]
* [https://epg.modot.org/forms/general_files/BR/101_Bridge_Hydraulics_Report_Feb.dotx Bridge Hydraulics Report]
* [https://epg.modot.org/forms/BR/Change%20Order.dot Change Order]
* [https://epg.modot.org/forms/general_files/BR/ChangeOrder.dotx Change Order]
* [https://epg.modot.org/forms/BR/Constructability%20Questionnaire.dot Constructability Questionnaire]
* [https://epg.modot.org/forms/general_files/BR/ConstructabilityQuestionnaire.dotx Constructability Questionnaire]
* [[media:Culvert_Hydraulics_Report-dec_2022.docx|Culvert Hydraulics Report]]
* [https://epg.modot.org/forms/general_files/BR/Culvert_Hydraulics_Report.docx Culvert Hydraulics Report]
* [[media:131.1 Design Exception 2020.docx|Design Exception Information]]
* [https://epg.modot.org/forms/general_files/BR/131.1_Design_Exception.docx Design Exception Information]
* [https://epg.modot.org/forms/BR/Design%20Except%20to%20District.dot Design Except to District]
* [https://epg.modot.org/forms/general_files/BR/DesignExceptToDistrict.dotx Design Except to District]
* [[media:101 Design Layout Box 2014.docx|Design Layout (Box)]]
* [https://epg.modot.org/forms/general_files/BR/101_Design_Layout_Box.docx Design Layout (Box)]
* [https://epg.modot.org/forms/BR/Design%20Layout%20(Grade).dot Design Layout (Grade)]
* [https://epg.modot.org/forms/general_files/BR/DesignLayout-Grade.dotx Design Layout (Grade)]
* [[media:101 Design Layout Stream 2014.docx|Design Layout (Stream)]]
* [https://epg.modot.org/forms/general_files/BR/101_Design_Layout_Stream.docx Design Layout (Stream)]
* [https://epg.modot.org/forms/BR/Design%20Layout%20(Wall).dot Design Layout (Wall)]
* [https://epg.modot.org/forms/general_files/BR/DesignLayout-Wall.dotx Design Layout (Wall)]
* [[media:101 Floodplain Development Permit Application 2019.pdf|Floodplain Development Permit/Application]]
* [https://epg.modot.org/forms/general_files/BR/101_Floodplain_Development_Permit_Application.pdf Floodplain Development Permit/Application]
* [[media:101 Floodplain Development Permit To District Cover Letter.docx|Floodplain Development Permit To District Cover Letter]]
* [https://epg.modot.org/forms/general_files/BR/101_Floodplain_Development_Permit_To_District_Cover_Letter.docx Floodplain Development Permit To District Cover Letter]]
* [https://epg.modot.org/forms/BR/Layout%20to%20FHWA.dotx Layout to FHWA]
* [https://epg.modot.org/forms/general_files/BR/LayouttoFHWA.dotx Layout to FHWA]
* [https://epg.modot.org/forms/BR/Layout%20to%20Railroad.dot Layout to Railroad]
* [https://epg.modot.org/forms/general_files/BR/LayoutToRailroad.dotx Layout to Railroad]
* [https://epg.modot.org/forms/BR/Missouri-Illinois%20Border%20Bridge%20Clearinghouse%20Form.dot Missouri-Illinois Border Bridge Clearinghouse Form]
* [https://epg.modot.org/forms/general_files/BR/Missouri-IllinoisBorderBridgeClearinghouseForm.dotx Missouri-Illinois Border Bridge Clearinghouse Form]
* [[media:101 No Rise Certificate 2020.pdf|No-Rise Certificate]]
* [https://epg.modot.org/forms/general_files/BR/101_No_Rise_Certificate.pdf No-Rise Certificate]
* [[media:751.1.2.20 Request Apr 2021.xlsx|Request for Final Soundings for Structures Form]]
* [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/BR/Telefax.dot Telefax]
* [https://epg.modot.org/forms/general_files/BR/Telefax.dotx Telefax]
* [https://epg.modot.org/forms/BR/Transmittal%20Letter.dot Transmittal Letter]
* [https://epg.modot.org/forms/general_files/BR/TransmittalLetter.dotx Transmittal Letter]
* [[media:131.1 Vertical Clearance Coord Form Jul 2018.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]]
* [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>
</div>
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<div class="mw-collapsible-content" style="margin-bottom:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">


<div class="mw-customtoggle-CM1a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Final Plans Forms</div>
<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 mw-collapsed" id="mw-customcollapsible-CM1a" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom: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/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/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_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_Certification.pdf Final Plans Certification]
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* [https://epg.modot.org/forms/CM/Change%20Order.XLS Change Order]
* [https://epg.modot.org/forms/CM/Change%20Order.XLS Change Order]
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form]
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form]
* [https://epg.modot.org/forms/CM/CUF_Determination_Form_Contracts_Let_After_03_2021.pdf Commercially Useful Function (CUF) Determination Form (for contracts let after March 2021)]
* [https://epg.modot.org/forms/CM/Compressive%20Strength%20for%20Forney.xls Compressive Strength for Forney]
* [https://epg.modot.org/forms/CM/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/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_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/Contractor_Performance_Evaluation_Signature_Page.pdf Contractor Performance Evaluation Signature Page]
* [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/C9_Daily_Utility_Report.pdf Daily Utility Report (C-9)]
* [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/Dimensions%20To%20Tons%20Converter.xlsx Dimensions To Tons Converter]
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* [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/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/Inspectors_Pay_Qty_Report_IPQR.pdf Inspectors Pay Qty Report (IPQR)]
* [https://epg.modot.org/forms/CM/Internal_MoDOT_Product_Form.pdf Internal MoDOT Product Form]
* [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/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/Job_Site_Bulletin_Board_Checklist_fillable.pdf Job Site Bulletin Board Checklist]
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* [https://epg.modot.org/forms/CM/Milestone_Worksheet.pdf Milestone Worksheet]
* [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_Calibration.xlsx Mobile Mixer Calibration]
* [[media:101 Mobile Mixer Verification.pdf|Mobile Mixer Verification Sheet]]
* [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/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_C709ND.pdf Nuclear Density (C-709ND)]
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* [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/Pavement_Type_Selection_Submittal.pdf Pavement Type Selection Submittal Information (PTS Submittal Form)]
* [https://epg.modot.org/forms/CM/Payroll_Log.xltx Payroll Log Form]
* [https://epg.modot.org/forms/CM/Payroll_Log.xltx Payroll Log Form]
* [https://epg.modot.org/forms/CM/Pile%20Driving%20Chart2.xls Pile Driving Chart]
* [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.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/Pile_Driving_Data_PDA.pdf Pile Driving Data PDA]
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* [https://epg.modot.org/forms/CM/Tension_Log_Form.xlsx Tension Log Form]
* [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://epg.modot.org/forms/CM/CR1_Wage_Rate_Interview.pdf Wage Interview (Form CR-1)]
* [http://sharepoint/systemdelivery/TR/mo/travinfoitsworkzonemanagment/workzones/Shared%20Documents/Inspections/WorkZone_Inspection-form%202014.pdf Work Zone Inspection Form]
* [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>
</div>
</div>
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* [https://epg.modot.org/forms/CM/JOC_2022_Asphalt_Pavement_Repair.xlsm JOC 2022 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_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_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_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_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_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_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_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_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_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_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_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_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_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_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_Microsurfacing_Spreadsheet.xlsx JOC Microsurfacing Spreadsheet]
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<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM5">
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM5">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [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]
* [https://epg.modot.org/forms/CM/CIW_Mainline_Paving.xls Concrete Inspection Worksheet – Mainline QC/QA Paving]
* [https://epg.modot.org/forms/CM/Concrete_Roadway_Report.pdf Concrete Roadway Report]
</div>
</div>


<div class="mw-customtoggle-CM6" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Ready Mix Forms</div>
<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-CM6">
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM5a" style="margin-left:15px;">
<div class="mw-collapsible-content" style="margin-bottom: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_200.dotx RM Aggregate Scale Calibration - 200]
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</div>
</div>


<!-- NOTE: FORMS FOR CONTRACTOR USE SHOULD MATCH WHAT IS OUT ON https://www.modot.org/forms-contractor-use -->
----
* [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>


===Forms for Contractor Use ===
===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-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 mw-collapsed" id="mw-customcollapsible-CM7">
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* [https://epg.modot.org/forms/CM/CPRQuestionnaire.pdf Contractor Performance Questionnaire]
* [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/Contractor_Questionnaire.pdf Contractor Questionnaire]
* [https://epg.modot.org/forms/CM/CUF_Determination_Form_Contracts_Let_After_03_2021.pdf CUF Determination Form]
* [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_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_FA_Project_Notification.pdf Lead Abatement MoDOT FA Project Notification Must be Filled out by RE]
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* [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_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/Lead_Abatement_Program_Contact_Info.pdf Lead Abatement Program Contact Info]
* [https://epg.modot.org/forms/CM/Pile%20Driving%20Chart2.xls Pile Driving Set Calculator]
* [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/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.pdf Request to Subcontract Work (C-220)]
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* [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_Contractor_Subcontractor_Project_Trucker_Form_Instructions.pdf DBE Contractor/Subcontractor Project Trucker and Equipment List - Instructions]</br>
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_MoDOT_Excel.xlsm DBE Identification Submittal Form (Excel)]</br>
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_MoDOT_Excel.xlsm DBE Identification Submittal Form (Excel)]</br>
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_MoDOT.pdf DBE Identification Submittal Form (PDF)]</br>
* [https://epg.modot.org/forms/CM/DBE_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]
* [https://epg.modot.org/forms/CM/DBE_Termination_Form.pdf DBE Termination Form]
</div>
</div>
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* [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_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_5ChangeOrderNoCostContractModification.doc AWP CO 5 Change Order, No Cost Contract Modification]
* [https://epg.modot.org/forms/CM/AWP_CO_6ChangeOrderMobilizationAndContractBond.doc AWP CO 6 Change Order, Mobilization and Contract Bond]
* [https://epg.modot.org/forms/CM/AWP_CO_7ChangeOrderApproval.doc AWP CO 7 Change Order Approval]
* [https://epg.modot.org/forms/CM/AWP_CO_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_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_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/AWP_CO_CUF_Entry.doc AWP CO Commercially Useful Function (CUF) Review Date Entry]
* [https://epg.modot.org/forms/CM/CUF_Determination_Form_Contracts_Let_After_03_2021.pdf Commercially Useful Function (CUF) Determination Form (for contracts awarded after March 2021)]
* [https://epg.modot.org/forms/CM/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_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_Contract_Payment_Estimate_Exception_Override.doc AWP CO Contract Payment Estimate Exception Override]
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* [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_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]
* [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>
</div>
</div>
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<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM12">
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM12">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [https://epg.modot.org/forms/CM/Digital_Signature_for_Adobe_Reader_DC_or_Pro_DC.docx Digital Signatures using Adobe DC Reader/Pro]
* [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/Creating_Digital_IDs_in_Bluebeam_Revu.pdf Digital Signatures using Bluebeam Revu]
* [https://epg.modot.org/forms/CM/Digital_Signatures_using_Bluebeam_Revu.pdf Digital Signatures using Bluebeam Revu]
</div>
</div>
</div>
</div>
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* [[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]]
* [[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]]
* [[media:751.1.3.2_Structural_Rehabilitation_Checklist.xlsm|Structural Rehabilitation Checklist (Excel)]]
* [[media:751.1.3.2_Structural_Rehabilitation_Checklist.xlsm|Structural Rehabilitation Checklist (Excel)]]
* [[media:131.1 Vertical Clearance Coord Form Jul 2018.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]]
* [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>
</div>
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<div class="mw-collapsible-content" style="margin-bottom:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [[media:124.2.4 Design Progress Check list.docx|Design Progress Check List]]
* [[media:124.2.4 Design Progress Check list.docx|Design Progress Check List]]
* [[media:D-12_May_2022.pdf|District Final Design Checklist - D-12]]
* [https://epg.modot.org/forms/general_files/DE/D-12-form.pdf District Final Design Checklist - D-12]
* [[media:124.2.4 Check List for Preliminary Plans.docx|Preliminary Plans Check List]]
* [[media:124.2.4 Check List for Preliminary Plans.docx|Preliminary Plans Check List]]
* [[media:124.2.4 Project Reviewing Checklist.docx|Project Reviewing Checklist]]
* [https://epg.modot.org/forms/general_files/DE/Project_Review_Checklist.pdf Project Review Checklist]
* [[media:124.2.4 Check List for RW Plans.docx|Right of Way Check List]]
* [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>
</div>
</div>
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* [[media:134.2.2.5.1 May 2017.doc|Consultant Rating Form]]
* [[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/DE%202017%20Forms/DELiaison/D-28.doc D-28 Sign Design Order Form]
* [[media:131.1 Design Exception 2020.docx|Design Exception Information]]
* [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]]
* [[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]
* [https://epg.modot.org/forms/DE/SWPPP_Project_Specific_Form_806.8.2.pdf Form 806.8.2, Project-Specific SWPPP Information]
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* [[media:Project_Data_for_BAMS.dotx|Project Data for BAMS]]
* [[media:Project_Data_for_BAMS.dotx|Project Data for BAMS]]
* [[media:Project Initialization Estimate Form.dotx|Project Initialization Estimate Form]]
* [[media:Project Initialization Estimate Form.dotx|Project Initialization Estimate Form]]
* [https://spexternal.modot.mo.gov/sites/de/_layouts/15/WopiFrame.aspx?sourcedoc=%7bC825A659-7DD3-4CF3-8F3D-284E3BFF6E39%7d&file=JSP-Formatting-Guide.doc&action=default Roadway Job Special Provision Formatting Guide]
* [[Job_Special_Provisions|Roadway Job Special Provision Formatting Guide]]
* [https://spexternal.modot.mo.gov/sites/de/_layouts/15/WopiFrame.aspx?sourcedoc=%7b01675DEF-ADDD-465C-AF8F-868B9CF5DBE2%7d&file=Roadway%20JSP%20Instructions.docx&action=default Roadway Job Special Provision Instructions]
* [https://modotgov.sharepoint.com/sites/DE/JSP/Forms/JSPByTitle.aspx Roadway Job Special Provision Instructions (MoDOT access only)]
* [https://spexternal.modot.mo.gov/sites/de/_layouts/15/WopiFrame.aspx?sourcedoc={5D551D7A-2FA3-4777-BB7E-829D7D83CA92}&file=Roadway_JSP_Template.doc&action=default Roadway Job Special Provision Template]
* [[Job_Special_Provisions|Roadway Job Special Provision Template]]
* [[media:134.2.2.2 2019.docx|Submittal to Professional Services Committee]]
* [[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:Suggested_Revision_to_a_CADD_Standard.dotx|Suggested Revision to a CADD Standard]]
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* [[media: 127.11 Farmland Conversion Impact Rating Site.pdf| Farmland Conversion Impact Rating (Site)]]
* [[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://www6.modot.mo.gov/EnvironmentalRequest/Pages/Login.aspx Request for Environmental Services (RES) Form]
* [[media:2023-03-6_RES_Instruction_Manual.docx|Instructions for the 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]]
* [[media:Property_Permission_Letter_E-HP_sample-07-23.docx| Sample letter requesting permission]]
</div>
</div>
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* [[media:101_Conceptual_Study_Traffic_Count_Request.dotx|Conceptual Study Traffic Count Request]]
* [[media:101_Conceptual_Study_Traffic_Count_Request.dotx|Conceptual Study Traffic Count Request]]
* [[media:101_Fis_Formc.dotx|Fis Formc]]
* [[media:101_Fis_Formc.dotx|Fis Formc]]
* [https://modotgov.sharepoint.com/:b:/r/sites/tp/Shared%20Documents/Traffic%20Collection/Request%20Forms%20-%20Traffic%20Forecast%20-%20Road%20User%20Costs/Road%20User%20Costs%20Request%20Form.pdf?csf=1&web=1&e=lrKK8d Road User Costs Request Form]
* [https://epg.modot.org/forms/general_files/TP/Road_User_Costs_Request_Form.pdf Road User Costs Request Form]
* [https://modotgov.sharepoint.com/:b:/r/sites/tp/Shared%20Documents/Traffic%20Collection/Request%20Forms%20-%20Traffic%20Forecast%20-%20Road%20User%20Costs/Traffic%20Forecast%20Request%20Form.pdf?csf=1&web=1&e=G0Npik Traffic Forecast Request Form]
* [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]]
* [[media:101_Turning_Movement_Traffic_Count_Request.dotx|Turning Movement Traffic Count Request]]
</div>
</div>
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</div>
</div>


<div class="mw-customtoggle-MT5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Rest Areas</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 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>
<div class="mw-customtoggle-MT6" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Rest Areas</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT6">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
<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 Truck Parking.xls|Rest Area Truck Parking (Excel)]]
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</div>
</div>


<div class="mw-customtoggle-MT6" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Snow and Ice Control</div>
<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-MT6">
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT7">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
<div class="mw-collapsible-content" style="margin-bottom:15px;">
* [[media:101 Maintenance - Snow and Ice Control Equipment Inventory.xls|Snow and Ice Control Equipment Inventory (Excel)]]
* [[media:101 Maintenance - Snow and Ice Control Equipment Inventory.xls|Snow and Ice Control Equipment Inventory (Excel)]]
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</div>
</div>
</div>
</div>
----
* [[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>
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[[image:101 bottom.jpg|center|1025px]]
[[image:101 bottom.jpg|center|1025px]]
[[Category:100_GENERAL]]

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