? 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*
0196
DBE Removal/Substitution Request
Office of Business Development
5/30/23
0197
Project Worker Interview Form
Office of Business Development
5/30/23
0397
Work Zone Audit Report
BFS-Construction Field Services
5/22/23
0437B
Maintenance Work Element Time Record
BFS-Transportation Systems Management Operations
5/15/23
0500
Coring Request
BFS-Construction Field Services
5/22/23
0580
Concrete Plant Equipment Inspection Report
BFS-Construction Field Services
5/10/23
0580A
Concrete Plant Inspection
BFS-Construction Field Services
5/30/23
0631A
Donation Waiver of Compensation
DSD-Acquisition
5/2/23
0633K
Certificate of Appraiser
DSD-Appraisal
5/2/23
0723
Appraisal Review Report
DSD-Appraisal
5/4/23
0802A
Airport Sponsor Reimbursement Request
Aeronautics
5/22/23
1004
Request For Purchase of Materials, Supplies, Services
BFS-Construction Field Services
5/2/23
1022N
New Materials Product Evaluation Request Form
BFS-Construction Field Services
5/30/23
1022Q
Qualified Products Evaluation Request Form
BFS-Construction Field Services
5/30/23
1116
Weekly Statement of Working Days Charged
BFS-Construction Field Services
5/22/23
1117
Project Record Certification
BFS-Construction Field Services
5/30/23
1178
Transfer of Tested Materials Report
BFS-Construction Field Services
5/24/23
1156-T1
Minimum Wage Rate Interview Sheet
Tier 1
BFS-Construction Field Services
5/11/23
1568
Approval for Project Staging or Excess Material Locations on MDOT ROW
BFS-Construction Field Services
5/16/23
1901
Mechanical Analysis Report
BFS-Construction Field Services
5/11/23
1920
Field Report for Concrete Pipe
BFS-Construction Field Services
5/24/23
1945
Report of Test
BFS-Construction Field Services
5/24/23
1964
Local Agency Project Field Review
BFS-Construction Field Services
5/30/23
2073
Railroad Contact Form
Office of Rail
5/1/23
2074
MDOT Office of Railroad Authority Contact Form
Office of Rail
5/1/23
3145
Price Analysis
Passenger Transportation-Procurement Forms
5/22/23
4106R
Michigan Small Business Program Annual Affidavit
Office of Business Development
5/17/23
DE26
Design Exception Request ? Trunkline
Design Division
5/30/23
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*NEW*
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*Form*
*Number*
*Form Name*
*Division*
*Name*
*New Form*
*Create*
*Date*
2744-MSG
MDOT Grant System (MGS) Access Request Form
Office of Economic Development
5/12/23
2744E
Application Access Request
BFS-Transportation Systems Management Operations
5/24/23
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3134B - Box Culvert
3134C ? Circular Culvert
3134E ? Elliptical Culvert
3134P ? Pipe Arch Culvert
3134S ? Slab Culvert
Area changed: from DSD-Permits-Construction TO
Design Division
1928 - Adhesive Anchoring System Proof Test
Area changed: from BOBS-Bridge Construction TO
BOBS-Structural Fabrication Unit
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*_Obsolete Forms:_*
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1994D - Stake Request Form
1996 - Traffic Control Report Form
1998 - Mobility Report
0528A - Report of Test on Daily Asphalt Cement - Original
0528B - Report of Test on Daily Asphalt Cement - Recovered
0582A - Density Retest Record
1100B - Recommendation & Authorization For: (Continuation Sheet)
1108A - Rainfall Record
1112D - Record of Contract Modifications
1168-93 - Force Account Worksheet for Equipment 1993 Spec. Provisions
1817D - Asphaltic Material - Plant Samples - Worksheet
1820C - Bituminous Mixture Analysis - Worksheet
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________________________________________________________________________
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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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[email protected] using GovDelivery Communications Cloud on behalf of: Michigan DOT ? 425 W. Ottawa St. ? Lansing, MI 48909 ? 517-373-2090
