? MDOT E-mail
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All MDOT forms can be located at the MDOT Forms homepage located at: MDOT - WebForms (state.mi.us) [ [link removed] ]
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MDOT users can view a listing of all forms that have been updated for the last 3 months by going to the MDOT Sharepoint Forms [ [link removed] ]?Intranet webpage and clicking on New/Revised Forms on the left side of the screen in the navigational bar.?
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The following forms were created, modified, or made fillable last month.? All forms are available electronically at Inside MDOT Forms Management Page and the public website as appropriate:
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*REVISIED*
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*Form*
*Number*
*Form Name*
*Division*
*Name*
*Form*
* Revision*
*Date*
0267
DETAILED BEAMS, Survey Report (Bridge Layout ORIENTATION Sheet)
BOBS-Structure Preservation and Management
3/10/23
0193
Disadvantaged Business Enterprise (DBE) Supplier Participation Affidavit
Office of Business Development
3/6/23
0386
Heat Straightening Program General Information
BOBS-Structural Fabrication Unit
3/14/23
0411
State Trunkline Maintenance Materials Report
BFS-Transportation Systems Management Operations
3/7/23
0420
Summary of Maintenance Charges
BFS-Transportation Systems Management Operations
3/27/23
0431
Maintenance Worker Work Experience Evaluation
BFS-Transportation Systems Management Operations
3/20/23
0431A
Maintenance Work Element Program Progress Evaluation
BFS-Transportation Systems Management Operations
3/13/23
0431B
Maintenance Work Element Program Exam Schedule
BFS-Transportation Systems Management Operations
3/13/23
0514A
Soil Boring Log
BOBS-Geotechnical Services
3/1/23
0564
Worksheet for Sand Patch Test
BFS-Construction Field Services
3/13/23
0677
Relocation Claim Business/Non-Profit/Farm
DSD-Relocation
3/20/23
1386
Post Certification of Subcontract Compliance
BFS-Construction Field Services
3/15/23
1459
Structure Installation Inspection Request
BOBS-Structure Preservation and Management
3/308/23
2744A
CTRAK Application Access Request
Financial Operations Division (FOD)
3/23/23
2744B
Phase Initiator (PI) Application Access Request
Financial Operations Division (FOD)
3/23/23
3891
Michigan Design and Build Bridge Challenge Reimbursement Form
Superior Region
3/22/23
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*NEW*
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*Form*
*Number*
*Form Name*
*Division*
*Name*
*New Form*
*Create*
*Date*
3594
MDOT Aggregate Source Identification Request
BFS-Construction Field Services
3/15/23
3596
Checklist for Riprap
BOBS-Geotechnical Service
3/31/23
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1871 ? Requesting Type II Noise Abatement
1028 - Traffic Signal Strain Pole Inspection Report
Area change: from
BFS-Construction Field Services TO BOBS-Structure Preservation and Management
0511 ? Activity Report (Geoenvironmental Unit)
0986 - Sewage Disposal System Events Claim Information
Area change: from
BFS-Construction Field Services TO Environmental
5606 - Transfer of Portable Nuclear Density Gauges - Superior Region
Area change: from
BFS-Construction Field Services TO Superior Region
5606 - Transfer of Portable Nuclear Density Gauges - Bay Region
Area change: from
BFS-Construction Field Services TO Bay Region
5607 - Transfer of Portable Nuclear Density Gauges - North Region
Area change: from
BFS-Construction Field Services TO North Region
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*_Obsolete Forms:_*
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0074 - Special Placement in the Engineering Technician Work Element Program - Special Selection
???????*???*Element Certification Form
0075 - Special Placement in the Engineering Technician Work Element Program - Special
???????????Selection Waiver
0080 - Checklist for on Boarding Process for New Employees and Transfers from Other State Agencies
0084 - Religious Accommodation Request Form
0506 - Report of Sign Inspection
0555 - CPE, PPP and CPV Pipe Installation and Mandrel Testing Results - Sewers
0563 - CPE, PPP and CPV Pipe Installation and Mandrel Testing Results - Culverts
0633N - Restricted Use Appraisal Report
0645A - Attachment - Option for Purchase of Land
0937 - Working Out of Class Pay Adjustments Request
0980 - MSEA Employee Grievance - Step 1
0980A - MSEA Step 2 Appeal/Response (Labor & Trades, Safety & Regulatory)
1028 - Traffic Signal Strain Pole Inspection Report
1100 - Recommendation/Auth.: Changes/Extra/Extension/Adj. Contract
1129 - Transp. Engineer IV, V, VI Construction Trainee Record
1135 - Monthly Personnel Report
1162 - Winter Concrete Temperature Record
1168 - Force Account Worksheet for Equipment 1990 Specifications
1175 - Post Final Construction Estimates
1836 - Chain of Custody Record
1871 - Requesting Type II Noise Abatement
1872 - Concrete Pavement Cores (Worksheet)
1922 - Shipment of Tested Stock Report
1957 - Employee Request for Engineering Technician Work Element Certification**
1958 ? Engineering Technician Work Element Certification Form
1992 - DBE Trucker Project Site Review
5616 - Pre and Post Pour Inspection Checklist
CONEBLK - One Point Michigan Cone Test Chart Black
T-99BLK - One Point T-99 Test Chart Black
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"The Michigan Department of Transportation:?"
"Providing the highest quality integrated transportation services for economic benefit and improved quality of life.?"
"www.michigan.gov/mdot [ [link removed] ]??| ?www.michigan.gov/drive [ [link removed] ]? | ?contact MDOT [ [link removed] ]?
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