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*
 
0370
 
ADA Statement of Accessibility Constraints
 
Design Division
 
12/19/23
 
0166A-Additional
 
DBE Certification Additional Information Required (Use if sending to MDOT)
 
Office of Business Development
 
12/7/23
 
0509
 
Independent Assurance Density Tests
 
BFS-Construction Field Services
 
12/7/23
 
0930
 
Employee's Leave Record
 
Human Resources
 
12/7/23
 
0936
 
Alternate Work Schedule Request
 
Human Resources
 
12/19/23
 
0974
 
MDOT Welcome Center Vendor Information Updates Form
 
Financial Operations Division (FOD)
 
12/8/23
 
1105A
 
Final Estimate Submittal Form
 
BFS-Construction Field Services
 
12/20/23
 
1246
 
Travel Log
 
Financial Operations Division (FOD)
 
12/20/23
 
1435
 
School Bus Driver's Report of Railroad Crossing Concern
 
Office of Rail
 
12/7/23
 
1999
 
Concrete Field Cylinders Test Results
 
BFS-Construction Field Services
 
12/18/23
 
4004
 
Application for Michigan Aircraft Registration Required by Act 327
 
Aeronautics
 
12/11/23
 
5100C
 
Score Sheet
 
Contract Services Division
 
12/18/23
 
5100C-BV
 
Best Value Score Sheet
 
Contract Services Division
 
12/18/23
 
5100C-MP
 
Score Sheet
 
Contract Services Division
 
12/18/23
 
5105P
 
CSD Contract Request
 
Contract Services Division
 
12/18/23
 
5323
 
Local Agency Environmental Clearance Form
 
DSD-Local Agency Program
 
12/18/23
 
 
*NEW*
 
 
 
*Form*
*Number*
 
*Form Name*
 
*Division*
*Name*
 
*New Form*
*Create*
*Date*
 
1575
 
Michigan Aircraft Registration Transfer Form
 
Aeronautics
 
12/20/23
 
2534G
 
Region/Bureau Funded Equipment Request
 
BFS-Transportation Systems Management Operations
 
12/6/23
 
4015
 
Air Service with FRF (Fiscal Relief Fund) Application
 
Aeronautics
 
12/14/23
 
5021D
 
Final Project Accounting - Category D Direct Disbursement
 
Office of Economic Development
 
12/20/23
 
 
 
 
* *
  
 
  
________________________________________________________________________
 
"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 · 517-241-2400