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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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0196 |
DBE Removal/Substitution Request |
Office of Business Development |
5/30/23 |
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0197 |
Project Worker Interview Form |
Office of Business Development |
5/30/23 |
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0397 |
Work Zone Audit Report |
BFS-Construction Field Services |
5/22/23 |
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0437B |
Maintenance Work Element Time Record |
BFS-Transportation Systems Management Operations |
5/15/23 |
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0500 |
Coring Request |
BFS-Construction Field Services |
5/22/23 |
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0580 |
Concrete Plant Equipment Inspection Report |
BFS-Construction Field Services |
5/10/23 |
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0580A |
Concrete Plant Inspection |
BFS-Construction Field Services |
5/30/23 |
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0631A |
Donation Waiver of Compensation |
DSD-Acquisition |
5/2/23 |
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0633K |
Certificate of Appraiser |
DSD-Appraisal |
5/2/23 |
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0723 |
Appraisal Review Report |
DSD-Appraisal |
5/4/23 |
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0802A |
Airport Sponsor Reimbursement Request |
Aeronautics |
5/22/23 |
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1004 |
Request For Purchase of Materials, Supplies, Services |
BFS-Construction Field Services |
5/2/23 |
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1022N |
New Materials Product Evaluation Request Form |
BFS-Construction Field Services |
5/30/23 |
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1022Q |
Qualified Products Evaluation Request Form |
BFS-Construction Field Services |
5/30/23 |
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1116 |
Weekly Statement of Working Days Charged |
BFS-Construction Field Services |
5/22/23 |
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1117 |
Project Record Certification |
BFS-Construction Field Services |
5/30/23 |
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1178 |
Transfer of Tested Materials Report |
BFS-Construction Field Services |
5/24/23 |
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1156-T1 |
Minimum Wage Rate Interview Sheet Tier 1 |
BFS-Construction Field Services |
5/11/23 |
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1568 |
Approval for Project Staging or Excess Material Locations on MDOT ROW |
BFS-Construction Field Services |
5/16/23 |
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1901 |
Mechanical Analysis Report |
BFS-Construction Field Services |
5/11/23 |
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1920 |
Field Report for Concrete Pipe |
BFS-Construction Field Services |
5/24/23 |
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1945 |
Report of Test |
BFS-Construction Field Services |
5/24/23 |
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1964 |
Local Agency Project Field Review |
BFS-Construction Field Services |
5/30/23 |
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2073 |
Railroad Contact Form |
Office of Rail |
5/1/23 |
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2074 |
MDOT Office of Railroad Authority Contact Form |
Office of Rail |
5/1/23 |
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3145 |
Price Analysis |
Passenger Transportation-Procurement Forms |
5/22/23 |
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4106R |
Michigan Small Business Program Annual Affidavit |
Office of Business Development |
5/17/23 |
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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 |
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2744-MSG |
MDOT Grant System (MGS) Access Request Form |
Office of Economic Development |
5/12/23 |
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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 |
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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 |
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1996 - Traffic Control Report Form |
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1998 - Mobility Report |
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0528A - Report of Test on Daily Asphalt Cement - Original |
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0528B - Report of Test on Daily Asphalt Cement - Recovered |
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0582A - Density Retest Record |
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1100B - Recommendation & Authorization For: (Continuation Sheet) |
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1108A - Rainfall Record |
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1112D - Record of Contract Modifications |
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1168-93 - Force Account Worksheet for Equipment 1993 Spec. Provisions |
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1817D - Asphaltic Material - Plant Samples - Worksheet |
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1820C - Bituminous Mixture Analysis - Worksheet |
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