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Most Requested Forms

Doing Business With MDOTBelow you will find a collection of the most requested forms necessary for doing business with MDOT.
You may also search the repository of MDOT online forms.
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Act 51

• 2067 - County Annual Certification of Employee Conditions PDF icon

• 2068 - City/Village Annual Certification of Employee Conditions PDF icon

• 2012 - Resolution for Designation of Street Administrator PDF icon

• 2008E - Additions/Deletions to County Local Road System PDF icon

• 2008D - Request for Change in Primary County Road System PDF icon

• 2008B - Additions/Deletions to City/Village Local Street System PDF icon

• 2008A - Request for Change in City/Village Major Street System PDF icon

• 2030 (2011) - Street Financial Report For Cities And Villiages


Bid Letting

• 1300EZ - Statement Of Current Contracts & Subcontracts PDF icon

• 1381 - Request for Eligibility to Bid PDF icon

• 1397 - Joint Venture Form PDF icon


Bridge Operations

• 1887 - Bridge Inspection Request For Action PDF icon


Disadvantaged Business Enterprise

• 0156A - DBE Educational/Training Program Reimburstment PDF icon

• 0168A - MDOT Vendor Availability Questionnaire PDF icon

• 0171 - Association Membership Reimbursement Request PDF icon

• 0173 - Subscription Services Reimbursement Request PDF icon

• 0174 - Enterprise Commercially Useful Function Complaint PDF icon

• 0178 - Disadvantaged Business Enterprise (DBE) Participation PDF icon

• 0195 - DBE Trucking Firm Information Sheet PDF icon

• 4101 - Heavy Construction Trucking Credit Worksheet PDF icon


Local Government

• 1626 - Project Evaluation Worksheet PDF icon

• 1627 - Safety Project Submittal Form PDF icon

• Program Application/Reimbursement Forms


Passenger Transportation

• Section 5310 Enhanced Mobility of Seniors and Individuals with Disabilities Program PDF icon

• Intercity Service Development (Operating) Project Proposal PDF icon

• Service Development and New Technology Program (SDNT) PDF icon

• Section 5311 Michigan Tribal Government Grant Program PDF icon

• Federal Transit Administration Drug and Alcohol MIS Reporting


Payments & Awards

• 1302A - Subcontract PDF icon

• 1304A - Certificate Of Insurance For Construction & Reconstruction PDF icon

• 1314 - Notice of Lien Claim PDF icon

• 1366 - Contractor's Affidavit PDF icon

• 1386 - Post Certification of Subcontract Compliance PDF icon


Permits

• Transport Permit Forms

• Sign Permit Forms

• Construction Permit Forms

• Utility Coordination Forms


Prequalification - Construction Contract

• 0168A - MDOT Vendor Availability Questionnaire PDF icon

• 1309 - Account Receivable Verification PDF icon

• 1310 - Bank Statement Verification PDF icon

• 1313 - Confidential Prequalification Application PDF icon

• 1313B - Straight line Depreciation Schedule PDF icon

• W-9 Request for Taxpayer ID Number PDF icon

• W-9 Request for Taxpayer ID Number and Instructions PDF icon


Prequalification - Service Contract

• Consultant Prequalification Application (Form 1242) and Instructions (2/19/14) PDF icon


Rail Loan Assistance

• 3052 - MiRLAP Application Form PDF icon

• 0106 - Title VI/EEO Compliance Application PDF icon


Title VI

• Form 0112A (Arabic)- اللقب السادس نموذج شكوى PDF icon

• Form 0113A (Arabic)

• Form 0106 - Sub-Recipient Application for Certification of Title VI and EEO Compliance and Assurances PDF icon

• Form 0112 - Title VI Complaint Form PDF icon

• Form 0112S (Spanish) - Formulario De Queja Titulo VI PDF icon

• Form 0113 - Title VI Complaint Procedures & Investigation Guidelines PDF icon

• Form 0179 - Title VI Sub-Recipient Annual Certification PDF icon

• Form 0189 - Internal Title VI Annual Report PDF icon

• Form 0198 - Complaint Consent/Release PDF icon

• Form 5400 - Public Involvement Survey PDF icon


Tribal Government

• 2207D - Performance Resolution for Tribal Governments PDF icon




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