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0372

SPEC Book Year ____ FUSP Request Form

Design Division

10/13/25

0930

Employee's Leave Record

Human Resources

10/20/25

1033-RTF

Rural Task Force and Small Urban Program Assistance

Transportation Planning

10/10/25

1050

Attendance Sheet

BFS-Transportation Systems Management Operations

10/27/25

1515all

Transportation Work Authorization

Grand Region

10/13/25

1993

Onsite Group Meal Requests

Contract Services Division

10/22/25

2664

Local Agency Programs Project Certification

DSD-Local Agency Program

10/16/25

2670

Small Business Program Supplier (SBP) Participation Declaration

Office of Business Development

10/21/25

3003

Notice of Cancellation of Insurance

Passenger Transportation

10/13/25

3119

Report of New Equipment

BFS-Transportation Systems Management Operations

10/27/25

3162A

Construction Less Than $250,000

Passenger Transportation-Procurement Forms

10/27/25

3164

Materials and Supplies Less than $250,000

Passenger Transportation-Procurement Forms

10/27/25

3174

MDOT Review of Procurements

Passenger Transportation-Procurement Forms

10/3/25

4106

MDOT Small Business Program Application

Office of Business Development

10/21/25

2495

Acknowledgment of Land Owner to Accompany Sign Permit Application – Form 2223

DSD-Permits-Construction

10/15/25

5108L

Small Business Program (SBP) Supplier Participation Declaration

DSD-Local Agency Program

10/20/25

NEW

Form

Number

Form Name

Division

Name

New Form

Create

Date

1082

Temporary Helicopter Field Permit Application

Aeronautics

10/10/25

2668

SBP Contractor Good Faith Efforts

Contract Services Division

10/16/25

2668D

SBP Good Faith Efforts - Commitment Confirmation for SBE Subcontractors

Contract Services Division

10/16/25

5035

OPT Audit Finding Management Decision

Passenger Transportation

10/27/25

5638

AASHTOWare Project Construction Materials (APCM) Material Set Requirement Form

Design Division

10/1/25

3194 - Project Wise Payment Form

3197 - Transportation Alternatives Program and Safe Routes to School Program

3201 - MiTRIP Name Change Request

3202 - Budget Adjustment

3203 - Chemical Storage Facility Replacement Funding Request Form

3273 - MDOT Review of Payment/Compliance

3274 - FY 20__ Service Initiatives Application

3304 - MDOT Partial Tuition Reimbursement

3536 - Compliance Certification Form for LAP Projects with Federal Aid Highway Program (FAHP) Funding

3568 - New Vehicle Delivery & Inspection Form

3574 - Vehicle Purchase Specification Certification

3590 - Invoice Summary Sheet

3591 - ARPA Reimbursement Request Form

3593 - Lane Closure and Oversize/Over Width Restriction Request

3594 - MDOT Aggregate Source Identification Request

3595 - Contractor Quality Control Anchor Bolt Pretension Record

3596 - Checklist for Riprap

3597 - ProjectWise New User Registration

3600 - Claim Of Damages Less Than $1,000

3650 - Vehicle Disposal/Transfer Request Form

3651 - Equipment Disposal/Transfer Request Form

3652 - Rolling Stock More than $150,000

3653 - Rolling Stock Less Than $150,000

3701 - Overview/Introduction of Trenchless Installation within MDOT ROW

3702 - Trenchless Installation Application Requirements

3703A - Special Conditions for Horizontal Directional Drilling (HDD)

3703B - Special Conditions for Auger Boring (HAB)

3703C - Special Conditions for Pipe Jacking (PJ)

3703D - Special Conditions for Pipe Ramming (PR)

3703E - Special Conditions for Pipe Bursting (PB)

3703F - Special Conditions for Microtunneling (MT)

3704A - Inspection Guide for Horizontal Directional Drilling (HDD)

3704B - Inspection Guide for Auger Boring (HAB)

3704C - Inspection Guide for Pipe Jacking (PJ)

3704D - Inspection Guide for Pipe Ramming (PR)

3704E - Inspection Guide for Pipe Bursting (PB)

3704F - Inspection guide for Microtunneling (MT)

3714 - Grooming Snowmobile Trails Agreement

3715 - Snowmobile Trail Structures Agreement

3717 - Flowable Fill Special Provision for Utility Permits

3718 - Storm Drainage System Tap-Ins Checklist

3726 - Information for License Agreements

3727 - Context Sensitive Solutions for Adopt-A-Landscape

3727A - Context Sensitive Solutions for Adopt-A-Landscape Community Support Document

3728 - Adopt-A-Landscape Instructions

3732 - Mobility Policy Requirements

3735 - Adopt-A-Landscape Program Safety Requirement/Acknowledgement

3737 - Adopt-a-Landscape Site Plan Checklist

3738 - Adopt-A-Landscape Vegetation Management and Work Plan Checklist

3739 - Adopt-A-Landscape Context Sensitive Solutions Checklist

3740 - Adopt-A-Landscape Maintenance Plan Checklist

3748 - Adopt-a-Landscape Interest form

3749 - Adopt-a-Landscape Instructions for Master Gardener Clubs

3755 - Special Conditions for Survey Activities

3756 - Special Conditions for Earthwork Grading Activities

3760 - Environmental License Agreement

3760A - Instructions for Institutional Control License Agreement

3760B - License Agreement Conditions

3760C - Instructions for Technical Summary Report of Environmental Conditions

3760D - Special Conditions for Institutional Control Permit Marker

3761 - MDOT Archaeological Short Report

3764A - Special Conditions for Authorized ORV Connector Routes on State Trunkline Highways

3764B - Context Sensitive Solutions for Off-road Vehicle Connector Routes

3767 - Road Safety Audit Request Form

3768 - Supplemental Warranty Lien Bond

3769 - Michigan Rail Enhancement Grant Program

3890 - Design & Build Bridge Challenge

3891 - TRAC Program Eligible Expense Reimbursement Form

3896 - MDOT Application and Agreement for Remote Work

3917 - Appendix A - Prohibition of Discrimination in State Contracts

4002 - License Application for Airport Manager and Assistant Manager

4004 - Application for Michigan Aircraft Registration Required by Act 327

4004A - Application for Michigan Dealer Aircraft Registration

4006 - Michigan Aircraft Registration Exemption Application

4009 - Application for Flight School License

4015 - 2025 Air Service Revitalization Application

4018 - Air Service Grant Program Application

4021 - Application for Michigan Aircraft Dealer License

4045 - Trend Monitoring Program Supplement

4076 - Air Transportation Request

4077 - Aircraft Accident Report

4086 - Temporary Field Permit Application

4087 - Aeronautical Facility License Application

4088 - Hospital Heliport/Helistop and Manager License Application

4100 - DBE Trucking Compliance Report

4101 - DBE Heavy Construction Trucking Credit Worksheet

4104 - On The Job Training (OJT) Program Trainee Reimbursement Request

4106 - Small Business Program Application

4106R - Michigan Small Business Program Annual Declaration of Eligibility

4109 - Commercially Useful Function (CUF) Review

4109T - Disadvantaged Business Enterprise (DBE) Annual Project Review

4111 - DBE Trucking Lease Agreement

5010 - Pre-Project Site Visit – Roadway

5011 - Pre-Project Site Visit – Development

5019 - Transportation Economic Development Fund Category A - Post Grant Report

5020 - Match Certification

5021 BF - Final Project Accounting - Category B/F Direct Grant

5021A - Final Project Accounting - Category A Direct Grant

5021D - Final Project Accounting - Category D Direct Disbursement

5026 - Direct Grant Program Application - Transportation Economic Development Fund - Road and Bridge Projects

5027 - Development Information Form

5030 - Direct Grant Program Application Transportation Economic Development Fund Category B – Project

5031 - Request for Payment

5034 - Property Request

5100B - Checklist to Designate Areas of Evaluation for Proposal

5100B-R - Checklist to Designate Areas of Evaluation for Proposal - Research Administration Only

5100C - Score Sheet

5100C-BV - Best Value Score Sheet

5100C-MP - Score Sheet

5100D - Request for Proposal Cover Sheet

5100G - Changes to Key Personnel

5100J - Consultant Data and Signature Sheet

5100K - Second Tier As-Needed Selection Form

5101B-LAP - Derivation of Prime Consultant Costs

5101C-LAP - Derivation of Subconsultant Costs

5101LN - Limited Notice to Proceed

5102 - Documentation of Changes to the MDOT Scope of Services

5105 - Contract Request

5105R - DSD Contract Request

5106R - Service Vendor Performance Evaluation

5107 - Construction Prequalification Reference Form

5108 - Certification of Overhead Rate

5108L - Certificate of Overhead Cost Rate

5109 - Transfer Request Cover Sheet

5189 - Overhead Submittal Intent

5191 - Municipality Snow Hauling Calculation Form

5203 - Prepaid Commercial Toll Account Application Form

5300 - MDOT Underground Infrastructure Staking Request Form

5306 - Research Administration Project Change Request

5316 - Deliverables Table

5319 - Research Proposal Budget Form Worksheet

5323 - Local Agency Environmental Clearance Form

5400 - Demographic Data Collection at Public Meetings

5400-LA - Demographic Data Collecting at Public Meetings for Local Agencies

5600 - Statement of Digital Electronic Signature Validation

5601 - MDOT Core Log and Chain of Custody

5602 - Sworn Statement

5611 - Partial Conditional Waiver of Lien

5612 - Full Conditional Waiver

5613 - Full Unconditional Waiver

5614 - Partial Unconditional Waiver of Lien

5617 - Fabrication Inspection Report

5618 - Welder Certification Program

5619 - Welder Certification Program Checklist

5620 - Welder Certification Test Report

5621 - Longitudinal Joint Core Location Worksheet

5622 - HMA Sample Identification

5623 - Core Sample Identification Worksheet

5624 - Mainline Core Location worksheet

5625 - STA - HMA Accumulation & Random Tonnage Worksheet

5626 - PWL - HMA Accumulation & Random Tonnage Worksheet

5627 - Pile Welding Quality Control Plan

5628 - Pile Welding Splice Record

5629 - Pile Welding Correction Record

5632 - Open Ditch 3R/4R Freeway Work Zone Width Variance Request

5634 - Third Party Contract

5635 - Official Entry Form - MDOT ACEC Partnership Charter Award

5636 - Request for Information

5637 - Construction Contractor's Designated Contact

CONEBLU - One Point Michigan Cone Test Chart Blue

CP-347 - Certified Payroll

CP-347Instructions - Instructions for Completion of CP-347 MDOT Certified Payroll

DE26 - Design Exception Request – Trunkline

DE26-LA - Design Exception Request - Local Agency

DE26_Instructions - Design Exception Request - Trunkline -INSTRUCTIONS-

DV26 - Design Variance Request – Trunkline

DV26-LA - Design Variance Request - Local Agency

FA-1 - Flight Approval Request

FC33 - Junkyard Survey

PA-01 - Utility Cuts, Trenches and Pavement Replacement Permit Attachment

PA-02 - Commercial Driveway Uncurbed Trunkline Specification Sheet Permit Attachment

PA-03 - Commercial Driveway Uncurbed Trunkline Specification Sheet Permit Attachment

PA-04 - Commercial Driveway Uncurbed Trunkline Specification Sheet Permit Attachment

PA-05 - Commercial Driveway Uncurbed Trunkline Specification Sheet Permit Attachment

PA-06 - Commercial Driveway Curbed Trunkline Specification Sheet Permit Attachment

PA-07 - Typical Driveway Profile and Highway Frontage Permit Attachment

PA-08 - Commercial Driveway Uncurbed Trunkline Driveway Specification Sheet Permit Attachment

PA-09 - Permit Plan for Rural and Urban Residential Driveways Permit Attachment