From Michigan Dept of Transportation <[email protected]>
Subject December 2022 MDOT Electronic Forms Update
Date January 3, 2023 6:33 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] ]

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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 [ [link removed] ]?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 and 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*



0380



Request for Payment Exhibit-A Local Agency Programs



DSD-Local Agency Program



12/15/22



0420



Summary of Maintenance Charges



BFS-Transportation Systems Management Operations



12/6/22



0772



Application to Use MDOT Controlled Freight Railroad Property



Office of Rail



12/19/22



1029



Initial Acceptance for Pavement Warranty Work



BFS-Construction Field Services



12/15/22



1246



Travel Log



BFS-Transportation Systems Management Operations



12/27/22



1313EZ



Statement of Current Contracts and Subcontracts



Contract Services Division



12/29/22



1485



Nonmotorized Traffic Survey Request



Transportation Planning



12/13/22



1501



General Application for Guide Signing



BFS-Transportation Systems Management Operations



12/15/22



2008D



Request for Change in County Primary Road System



Transportation Planning



12/13/22



2926-23



Federal Aid Buyout Program Exchange Request - FY 2023



Transportation Planning



12/13/22



3178



Facility Project Information



Passenger Transportation-Project Verification



12/20/22



3194



Project Wise Payment Form



Passenger Transportation



12/29/22



3722



Rental Rate Determination



DSD-Appraisal



12/6/22



3760



Environmental License Agreement



DSD-Permits-Construction



12/15/22



3768



Supplemental Warranty Lien Bond



BFS-Construction Field Services



12/7/22



DE26



Design Exception Request ? Trunkline



Design Division



12/15/22



T-2



Information on the Movement of Oversize or Overweight Vehicles and Loads



DSD-Permits-Transport



12/20/22



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*NEW*



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*Form*

*Number*



*Form Name*



*Division*

*Name*



*New Form*

*Create*

*Date*



3769



Michigan Rail Enhancement Grant Program



Office of Rail



12/21/22



2642



Dispute Review Board (DRB) Agreement



BFS-Construction Field Services



12/21/22



5637



Construction Contractor?s Designated Contact



Contract Services Division



12/29/22



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3160 - Professional and A & E More Than $150,000

3162A - Construction Less Than $150,000

3163 - Construction More Than $150,000

3164 - Materials and Supplies Less than $150,000

3165 - Materials and Supplies More than $150,000

3166 - Operations and Management Less Than $150,000

3167 - Operations and Management More Than $150,000

3168 - Professional and A & E Less Than $150,000

3169 - Professional Services Less Than $150,000

3170 - Professional Services Over $150,000

3652 - Rolling Stock Less Than $150,000

3653 - Rolling Stock Clauses Less Than $150,000

5634 - Third Party Contract



Passenger Transportation

TO

Passenger Transportation-Procurement Forms



1518 - Advisory Curve Speed Study

1519 - Travel Expense Voucher - Michigan Traffic Safety Summit

1531 - Electrical Devices Installation Completion Date

1629 - Road Diet Checklist

1585 - Pavement Marking Material Verification Checklist



Area Name Change from

Design Division

TO

BFS-Transportation Systems Management Operations



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*_Obsolete Forms:_*

*?*

0402 - Freeway Lighting Maintenance Record



0416 - Freeway Lighting Damage Record



*?*

*?*

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________________________________________________________________________

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"The Michigan Department of Transportation:?"
"Providing the highest quality integrated transportation services for economic benefit and improved quality of life.?"
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