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All MDOT forms can be located at the MDOT Forms homepage located at: MDOT - WebForms (state.mi.us)
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.
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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0167A |
Disadvantaged Business Enterprise (DBE) - Annual Declaration of Eligibility (DOE) |
Office of Business Development |
4/15/25 |
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0749 |
Possession and Use Agreement |
DSD-Acquisition |
4/28/25 |
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0976 |
MDOT - Human Resources Onboarding Checklist |
Human Resources |
4/22/25 |
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1039 |
Interstate Certification Declaration of Eligibility (DOE) |
Office of Business Development |
4/15/25 |
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2142 |
Category B: Community Service Infrastructure Fund Application |
Office of Economic Development |
4/11/25 |
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3119 |
Report of New Equipment |
BFS-Transportation Systems Management Operations |
4/18/25 |
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3146 |
Cost Analysis for A&E Services |
Passenger Transportation-Procurement Forms |
4/17/25 |
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NEW |
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Form Number |
Form Name |
Division Name |
New Form Create Date |
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1033-BywaysWP |
Pure Michigan Byways Annual Work Plan |
Michele Klein |
4/29/25 |
Obsolete Forms:
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1561 - Project Information Sheet for Horizontal and Vertical Map |
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1561-ATC - Project Information Sheet for Horizontal and Vertical Map (Alternative Technical Concepts) |
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2913 - Plan Review Material Submittal Order |
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0213 - Letter of Transmittal |
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0377- Certification & Acceptance - Type 4 |
ADA Compliant Updated Forms:
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0096 - Out-of-State Applicant Affidavit of Certification |
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0103E - Equal Opportunity Contract Compliance Data Form |
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0103F - MDOT EEO Officer Notification |
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0112 - Title VI - Complaint Form |
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0112A - Title VI - Complaint Consent Forms (Arabic) |
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0112B - Title VI - Complaint Consent Forms (Bengali) |
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0112S - Title VI - Complaint Consent Forms (Spanish) |
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0113 - Title VI Complaint Procedure & Investigation Guidelines |
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0113A - Title VI Complaint Procedure & Investigation Guidelines - Arabic |
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0113S - Procedimiento Para Levantar Una Queja Y Guia De Investigacion Por Titulo VI |
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0125 - Trainee Monthly Report, On-the-Job Training (OJT) Program |
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0147 - Work Classification Request |
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0148 - Work Experience Resume (Template) |
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0156 - DBE Educational/Training Program Application |
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0156A - DBE Reimbursement Request |
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0162 - Consultant Services Program Application |
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0163 - Consultant Services Program Reimbursement Request |
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0166A - Additional - DBE Certification Additional Information Required (Use if sending to MDOT) |
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0167A - Disadvantaged Business Enterprise (DBE) - Annual Declaration of Eligibility (DOE) |
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0168 - MDOT Vendor Availability Questionnaire |
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0170 - DBE Program Association Membership Program |
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0171 - DBE Association Membership Reimbursement Request |
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0172 - DBE Program Subscription Services Program Application |
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0173 - DBE Program Subscription Services Reimbursement Request |
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0179 - Title VI Sub-Recipient Annual Certification Form |
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0181 - On-The-Job Training (OJT) Program Contractor Yearly Training Plan |
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0182 - Disadvantaged Business Enterprise (DBE) Participation (Service) |
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0183 - Application to Use Joint Checks |
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0190 - Request for On-the-Job Trainee Approval, On-the-Job Training (OJT) Program |
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0191 - On-The-Job Training (OJT) Program Trainee Interview Form |
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0192 - Petroleum Company Account(s) Information and Liquid Asphalt Cement Tractors and Trailers Information |
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0193 - Disadvantaged Business Enterprise (DBE) Supplier Participation Affidavit |
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0194 - Final Quantities of Liquid Asphalt Cement Supplied |
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0196 - Disadvantaged Business Enterprise (DBE) Removal/Substitution Request |
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0197 - Project Worker Interview Form |
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0198 - MDOT Complaint Consent/Release Form |
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0198A - MDOT Complaint Consent/Release Form (Arabic) |
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0198B - MDOT Complaint Consent/Release Form (Bengali) |
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0198S - MDOT Complaint Consent/Release Form (Spanish) |
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0203 - Engineer's Estimate |
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0204 - General Computation |
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0205 - Engineering Calculations |
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0222 - Survey Notes Receipt & Transmittal |
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0222P - Photogrammetric Information: Receipts & Transmittal |
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0223 - Utility Charge Estimate |
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0226 - Survey / Mapping Action Request |
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0258 - Program Application for Local Agency Projects - Bridge Projects |
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0259 - Program Application for Local Agency Projects Transportation Alternative Funds Enhancement and Safe Routes to Schools |
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0260 - Program Application for Local Agency Projects - Road and Safety Projects |
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0268 - Project Cost Estimating Checklist |
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0291 - Revision of Plans |
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0304 - Proprietary Item Certification (PIC) and Public Interest Finding (PIF) |
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0333 - Michigan Interstate Vertical Clearance |
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0343 - Contractor Allocation Waiver Request, On-the-Job Training (OJT) Program |
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0344 - On-The-Job Training (OJT) Program - Trainee Warehouse Order Form |
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0345 - Commercially Useful Function Issue Report |
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0347 - Training or Event Reimbursement, On-The-Job Training (OJT) Program |
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0348 - Mitigation Follow-up Summary Form for EA/EIS Project Contract |
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0349 - Mitigation Follow-up Sign-Off Form for EA/EIS Project Contract |
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0363 - Local Contracting Certification & Conditions for Local Contract Development & Administration |
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0364 - Proposal Certification |
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0365 - Request to Advertise |
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0366 - Certification of Contractor Selection & Request to Award |
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0369 - Local Agency Work Zone Safety & Mobility Determination Worksheet |
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0370 - ADA Statement of Accessibility Constraints |
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0372 - FUSP Request Form |
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