From Michigan Dept of Transportation <[email protected]>
Subject October 2022 MDOT Electronic Forms Update
Date November 1, 2022 8:23 PM
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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 and 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*



0033



Discriminatory Harassment Complaint Form



Executive Office



10/128/22



0267



Detailed Beams Survey Report (Bridge Layout ORIENTATION Sheet)



BOBS-Structure Preservation and Management



10/17/22



0502



Pavement Core Record



BFS-Construction Field Services



10/20/22



1105A



Final Estimate Submittal Form



BFS-Construction Field Services



10/4/22



1432



Request for an Inspection Regarding Alleged Unsafe Working Conditions



Office of Rail



10/20/22



1437



Alleged Unsafe Working Conditions Inspection Form



Office of Rail



10/19/22



1481



TIP Transit Project Data Sheet



Passenger Transportation



10/20/22



1797



Rural Task Force Transit Project Data Sheet Transit Job



Passenger Transportation



10/20/22



1942



Fabrication Inspection File Checklist



BOBS-Structural Fabrication Unit



10/4/22



2653



Contractor DBE Commitment



Contract Services Division



10/6/22



2926



Federal Aid Buyout Program Exchange Request Form



Transportation Planning



10/6/22



3141



Fair and Reasonable Price Determination



Passenger Transportation



10/5/22



3190



Public Notice - Applicant Name Proposed State and Federal Application for Operating and/or Capital Assistance



Passenger Transportation



10/19/22



3327



MDOT Retirement Letter and Picture Request



Office of Organizational Development (OOD)



10/26/22



3604



Membership Dues and Subscription Authorization



Executive Office



10/17/22



4087



Aeronautical Facility License Application



Aeronautics



10/10/22



4088



Hospital Heliport/Helistop and Manager License Application



Aeronautics



10/10/22



0194



Final Quantities of Liquid Asphalt Cement Supplied



Office of Business Development



9/19/22



0196



DBE Removal/Substitution Request



Office of Business Development



9/13/22



0420



Summary of Maintenance Charges



BFS-Transportation Systems Management Operations



9/19/22



0421



Trunkline Maintenance Expenditures



BFS-Transportation Systems Management Operations



9/28/22



0495



Water Use & Phosphate & Chlorination Operation Report



BFS-Transportation Systems Management Operations



9/12/22



0495A



Rest Area Water Usage



BFS-Transportation Systems Management Operations



9/12/22



1366



Contractor's Affidavit of Indebtedness



Contract Services Division



9/16/22



2008A



Request for Change in the Major Street System



Transportation Planning



9/27/22



2008B



Additions and Deletions to City or Village Local Street System



Transportation Planning



9/27/22



2008D



Request for Change in County Primary Road System



Transportation Planning



9/27/22



2008E



Additions and Deletions to County Local Road Systems



Transportation Planning



9/22/22



2018A



Office Review of Annual Report



Transportation Planning



9/27/22



2018B



Office Review of Act 51 County Annual Report



Transportation Planning



9/27/22



2047



Project Agreement Checklist



Development Services Division



9/22/22



2534



Automotive/Equipment Request



BFS-Transportation Systems Management Operations



9/15/22



2665



Local Agency Programs Pre-Award Self-Compliance Checklist



DSD-Local Agency Program



9/9/22



2744C



MiCars Security Access Form



Accounting Service Center



9/6/22



3079



FY 20_ FTA Certifications and Assurances



Passenger Transportation



9/13/22



DE26_Instructions



Design Exception Request - Trunkline -INSTRUCTIONS



Design Division



9/1/22



5105



Contract Request



Contract Services Division



9/16/22



5174



Check Sheet for OCA Cost Review



Contract Services Division



9/16/22



5185P



Project Authorization for Agency to Proceed



Contract Services Division



9/16/22

         

 

*NEW***



 



*Form*

*Number*



*Form Name*



*Division*

*Name*



*New Form*

*Create*

*Date*



3581



Subcontractor Certification of Payment in Full



Contract Services Division



9/16/22



 

 

0669 - Property Tax Information



Area change:

DSD-Appraisal to DSD- Acquisition 



2665 - Local Agency Programs Pre-Award Self-Compliance Checklist



Area change:

DSD-Administration to DSD-Local Agency Program



" "

*_Obsolete Forms:_*

* *

3118 - Bureau of Highways Personnel Transaction Request/Approval



3205 - Checklist for Selection Packets**



* *

* *

 

________________________________________________________________________

 

"The Michigan Department of Transportation: "
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"

 

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