ODOT Forms

Maintenance

Form No.	Name / Description	Contact
N/A	Mowing Statute & Commission References	Maintenance Div.
M-50	ODOT Mowing Agreement	Maintenance Div.
M-60	ODOT Vegetation Clearing Agreement	Maintenance Div.

Form No.	Name / Description	Contact
N/A	ADA - Checklist for Recipients and Subrecipients	Contract Compliance
T1-01	ADA - Title I Complaint form	Contract Compliance
RA-01	ADA - Title I Reasonable Accommodation Request form	Contract Compliance
T2-504	ADA - Title II/Section 504 Complaint form	Contract Compliance
508-01	ADA - Section 508 - Rehabilitation Act of 1973 Complaint form	Contract Compliance
FTA-ADA	ADA-FTAComplaint form	Contract Compliance
N/A	Contract Compliance - Public Meeting (Chinese)	Contract Compliance
N/A	Contract Compliance - Public Meeting (English)	Contract Compliance
N/A	Contract Compliance - Public Meeting (Spanish)	Contract Compliance
N/A	Contract Compliance - Public Meeting (Vietnamese)	Contract Compliance
N/A	Title VI - Checklist for Recipients and Subrecipients	Contract Compliance
N/A	Title VI - Complaint form (FHWA)	Contract Compliance
N/A	Title VI - Complaint form (FMCSA)	Contract Compliance
N/A	Title VI - Complaint form (FTA)	Contract Compliance
N/A	Title VI - Complaint form (Spanish)	Contract Compliance
N/A	Title VI - Complaint form (Traditional Chinese)	Contract Compliance
N/A	Title VI - Complaint form (Vietnamese)	Contract Compliance
N/A	Title VI -Welder Certification Demographic Form	Contract Compliance
R/W1805	Right-of-Way Title VI Form	Contract Compliance
N/A	Title VII - Complaint form	Contract Compliance

Form No.	Name / Description	Contact
N/A	Bulletin Board Postings	Contract Compliance
N/A	CUF(Commercially Useful Function)	Contract Compliance
N/A	EEO Interview Form - English	Contract Compliance
N/A N/A	EEO Interview Form - Spanish OJT Monthly Report	Contract Compliance
N/A	Prework EEO Checklist	Contract Compliance
N/A	Prompt Payment Complaint Form- Construction	Contract Compliance
N/A	Prompt Payment Complaint Form - Consultant	Contract Compliance
N/A	FHWA 1391 Form	Contract Compliance
N/A	SF 1444	Contract Compliance

Form No.	Name / Description	Contact
DBE 2	Prime Contractor - Monthly Payment Log (DBE Form 2)	Contract Compliance
DBE 2	Prime Consultant - Monthly Payment Log (DBE Form 2)	Contract Compliance
DBE 3A	Prime Contractor - Final Payment Report (DBE Form 3A)	Contract Compliance
DBE 3A	Prime Consultant - Final Payment Report (DBE Form 3A)	Contract Compliance
DBE 4	Prime Contractor - Notification Change of DBE Participant (DBE Form 4)	Contract Compliance
DBE 4	Prime Consultant - Notification Change of DBE Participant (DBE Form 4)	Contract Compliance
DBE 5	Prime Contractor - Good Faith Efforts (DBE Form 5)	Contract Compliance
DBE 5	Prime Consultant - Good Faith Efforts (DBE Form 5)	Contract Compliance
FTA DBE 5T	Federal Transit Administration - Good Faith Efforts (DBEForm 5T)	Contract Compliance
DBE 6	Prime Contractor - Confirmation of Intent to Subcontract Federal-Aid Projects (DBE Form 6)	Contract Compliance
DBE 6	Prime Consultant - Confirmation of Intent to Subcontract Federal-Aid Projects (DBE Form 6)	Contract Compliance
N/A	DBE Training Grant Requirement Form	Contract Compliance
N/A	DBE Website Reimbursement Form	Contract Compliance
N/A	UCA - Uniform Certification Application (DBE/ACDBE Application)	Contract Compliance

Form No.	Name / Description	Contact
AP 100	Application for Sign Registration & Permit	R/W & Utilities
AP-L 100	Application for Highway Advertising License	R/W & Utilities
AP-LR 100	Application for License Renewal	R/W & Utilities
AP-JY 200	Application for Highway Beautification Clearance for Junk / Salvage Yards or Metal Processing Facilities	R/W & Utilities

Form No.	Name / Description	Contact
N/A	Request for surplus right-of-way interest and access rights packet	Facilities Mgt.

Form No.	Name / Description	Contact
	ONLINE UTILITY PERMITS: This Portal is to request a Utility Permit to place Utilities within ODOT Right-of-Way.	R/W & Utilities
M 4	Utility Permit for Federal or State Highways: Will be generated using On-Line Utility Permitting	Maintenance
M 4-a	Utility Permit for Interstate Freeways (Controlled Access Highways): Will be generated using On-Line Utility Permitting	Maintenance
N/A	90 Day Permit for Temporary Conveyance of Water	R/W & Utilities
RW 305	Utility Relocation Agreement	R/W & Utilities
RW 309	Certification of Consultant or Land Surveyor	R/W & Utilities
RW 311	Special Provisions for the Installation of Underground Steel Pipelines Crossing State and Federal Rights-of-Way without the use of Conduit: Will be generated using On-Line Utility Permitting	R/W & Utilities

Form No.	Name / Description	Contact
N/A	Geotechnical Property Owner Permission Form	ContractAdmin

Form No.	Name / Description	Contact
N/A	Tie-Bid Break Form