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] ]
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.
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:
*REVISIED*
*Form*
*Number*
*Form Name*
*Division*
*Name*
*Form*
* Revision*
*Date*
0501
Materials Source List
BFS-Construction Field Services
4/20/23
0549
Radiological Safety Quality Assurance (RSQA)
BFS-Construction Field Services
4/20/23
0562
Portable Nuclear Density Gauge - Incident Report Form
BFS-Construction Field Services
4/20/23
0976
MDOT - Human Resources Onboarding Checklist
Human Resources
4/13/23
1022Q
Qualified Products Evaluation Request Form
BFS-Construction Field Services
4/6/23
1100A
Extension Of Contract Time-Request Number
BFS-Construction Field Services
4/11/23
1120
Final Inspection/Acceptance
BFS-Construction Field Services
4/11/23
1449
Work Zone Enforcement Agreement with Michigan State Police and MDOT
BFS-Construction Field Services
4/6/23
1842
Independent Assurance
BFS-Construction Field Services
4/19/23
1965
Prevailing Wage Quality Assurance Review Checklist
BFS-Construction Field Services
4/19/23
1990
Cofferdam Installation, Piling Placement, and Tremie Pour Inspector's Checklist
BFS-Construction Field Services
4/26/23
1999
Concrete Field Cylinders Test Result
BFS-Construction Field Services
4/26/23
2044
Engineering Reimbursement
FOD-Act 51
4/18/23
2324
Information Technology Acceptable Use Acknowledgment
Human Resources
4/14/23
3138
Method of Procurement Decision Matrix
Passenger Transportation-Procurement Forms
4/13/23
3139
Certification of Compliance with Federal Contract Clauses
Passenger Transportation-Procurement Forms
4/10/23
3140
Written Record of Procurement History Checklist
Passenger Transportation-Procurement Forms
4/12/23
3143
Quotations
Passenger Transportation-Procurement Forms
4/13/23
3150
Proposal Tabulation
Passenger Transportation-Procurement Forms
4/17/23
3182
Procurement Guidelines-For Grantees Receiving Federal Transit Funds Via MDOT
Passenger Transportation
4/19/23
3322
MDOT Education Support Supervisory Approval Form
Office of Organizational Development (OOD)
4/4/23
3327
MDOT Retirement Letter and Picture Request
Office of Organizational Development (OOD)
4/25/23
5634
Third Party Contract
Passenger Transportation-Procurement Forms
4/6/23
*NEW*
*Form*
*Number*
*Form Name*
*Division*
*Name*
*New Form*
*Create*
*Date*
0802A
Airport Sponsor Reimbursement Request
Aeronautics
4/4/23
3595
Contractor Quality Control Anchor Bolt Pretension Record
BOBS-Structural Fabrication Unit
4/11/23
DV26-LA - Design Variance Request - Local Agency
Area change: from
Design Division TO DSD-Local Agency Program
" "
*_Obsolete Forms:_*
* *
1994D - Stake Request Form
1996 - Traffic Control Report Form
1998 - Mobility Report
2924 - Management Review Checklist
* *
* *
________________________________________________________________________
"The Michigan Department of Transportation: "
"Providing the highest quality integrated transportation services for economic benefit and improved quality of life. "
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