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Having trouble viewing this email? View it as a Web page.
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All MDOT forms can be located at the MDOT Forms homepage located at: MDOT - WebForms (state.mi.us)
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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?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 |
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0267 |
DETAILED BEAMS, Survey Report (Bridge Layout ORIENTATION Sheet) |
BOBS-Structure Preservation and Management |
3/10/23 |
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0193 |
Disadvantaged Business Enterprise (DBE) Supplier Participation Affidavit |
Office of Business Development |
3/6/23 |
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0386 |
Heat Straightening Program General Information |
BOBS-Structural Fabrication Unit |
3/14/23 |
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0411 |
State Trunkline Maintenance Materials Report |
BFS-Transportation Systems Management Operations |
3/7/23 |
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0420 |
Summary of Maintenance Charges |
BFS-Transportation Systems Management Operations |
3/27/23 |
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0431 |
Maintenance Worker Work Experience Evaluation |
BFS-Transportation Systems Management Operations |
3/20/23 |
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0431A |
Maintenance Work Element Program Progress Evaluation |
BFS-Transportation Systems Management Operations |
3/13/23 |
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0431B |
Maintenance Work Element Program Exam Schedule |
BFS-Transportation Systems Management Operations |
3/13/23 |
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0514A |
Soil Boring Log |
BOBS-Geotechnical Services |
3/1/23 |
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0564 |
Worksheet for Sand Patch Test |
BFS-Construction Field Services |
3/13/23 |
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0677 |
Relocation Claim Business/Non-Profit/Farm |
DSD-Relocation |
3/20/23 |
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1386 |
Post Certification of Subcontract Compliance |
BFS-Construction Field Services |
3/15/23 |
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1459 |
Structure Installation Inspection Request |
BOBS-Structure Preservation and Management |
3/308/23 |
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2744A |
CTRAK Application Access Request |
Financial Operations Division (FOD) |
3/23/23 |
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2744B |
Phase Initiator (PI) Application Access Request |
Financial Operations Division (FOD) |
3/23/23 |
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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 |
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3594 |
MDOT Aggregate Source Identification Request |
BFS-Construction Field Services |
3/15/23 |
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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 |
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0511 ? Activity Report (Geoenvironmental Unit) 0986 - Sewage Disposal System Events Claim Information |
Area change: from BFS-Construction Field Services TO Environmental |
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5606 - Transfer of Portable Nuclear Density Gauges - Superior Region |
Area change: from BFS-Construction Field Services TO Superior Region |
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5606 - Transfer of Portable Nuclear Density Gauges - Bay Region |
Area change: from BFS-Construction Field Services TO Bay Region |
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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 |
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0075 - Special Placement in the Engineering Technician Work Element Program - Special ???????????Selection Waiver |
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0080 - Checklist for on Boarding Process for New Employees and Transfers from Other State Agencies |
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0084 - Religious Accommodation Request Form |
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0506 - Report of Sign Inspection |
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0555 - CPE, PPP and CPV Pipe Installation and Mandrel Testing Results - Sewers |
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0563 - CPE, PPP and CPV Pipe Installation and Mandrel Testing Results - Culverts |
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0633N - Restricted Use Appraisal Report |
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0645A - Attachment - Option for Purchase of Land |
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0937 - Working Out of Class Pay Adjustments Request |
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0980 - MSEA Employee Grievance - Step 1 |
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0980A - MSEA Step 2 Appeal/Response (Labor & Trades, Safety & Regulatory) |
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1028 - Traffic Signal Strain Pole Inspection Report |
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1100 - Recommendation/Auth.: Changes/Extra/Extension/Adj. Contract |
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1129 - Transp. Engineer IV, V, VI Construction Trainee Record |
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1135 - Monthly Personnel Report |
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1162 - Winter Concrete Temperature Record |
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1168 - Force Account Worksheet for Equipment 1990 Specifications |
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1175 - Post Final Construction Estimates |
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1836 - Chain of Custody Record |
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1871 - Requesting Type II Noise Abatement |
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1872 - Concrete Pavement Cores (Worksheet) |
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1922 - Shipment of Tested Stock Report |
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1957 - Employee Request for Engineering Technician Work Element Certification |
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1958 ? Engineering Technician Work Element Certification Form |
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1992 - DBE Trucker Project Site Review |
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5616 - Pre and Post Pour Inspection Checklist |
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CONEBLK - One Point Michigan Cone Test Chart Black |
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T-99BLK - One Point T-99 Test Chart Black |
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