Chapter 17: Forms and Documents
Anchor: #BACBCECESection 1: Forms and Guidance Documents
Anchor: #b160001List of Forms
This manual references the following forms. Most TxDOT forms can be found through the E-Forms link on Crossroads.
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Description of Form |
Form Name/Number |
Location |
|---|---|---|
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Bridge – Piling Report (used for production piles) |
TxPlng.xlsm |
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|
Test Pile Data (used for Test Piles) |
Form 181 |
BRG – Field Operations (internal access only) |
|
Traffic Control Devices Inspection Checklist |
E-Forms |
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BRG – Drill Shaft Report |
TxDrlShft.xlsm |
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Daily Report of Force Account Work |
Form 316 |
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Daily Report of Law Enforcement Force Account Work (Original Form is kept by TxDOT) |
Form 318 |
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Identification of Material Samples |
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Construction Storm Water Pollution Prevention Plan Field Inspection & Maintenance Report |
E-Forms |
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Environmental Management System Policy Memo |
EMS SharePoint page (internal access only) |
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* Required Contract Provisions Federal-aid Construction Contracts (Also required on all Subcontracts) |
FHWA 1273 (Federal Highway Administration) |
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* Contractors Annual EEO Report |
FHWA 1391 (Federal Highway Administration) |
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* Federal-aid Highway Construction Contracts Annual EEO Report |
FHWA 1392 (Federal Highway Administration) |
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* Semiannual Labor Compliance Enforcement Report (Sent out every six months by CST) |
(Federal Highway Administration) |
Issued by CST |
|
Payroll |
WH-347 (Department of Labor) |
EPRS/ LCP Tracker |
|
Request for Payment of Materials on Hand Summary Page |
E-Forms |
|
|
Request for Payment of Material on Hand |
From 1915 |
E-Forms |
|
Prompt Payment Certification/Audit Form |
Form 2177 |
E-Forms |
|
Prompt Payment Acknowledgment Sample Letter |
Prompt Payment Acknowledgment Sample Letter |
CST website |
|
Storm Water Discharges Associated with Construction Activities Under a TPDES General Permit (TXR150000) Permit (NOI, NOC, NOT, CSN) |
(Texas Commission on Environmental Quality) |
TCEQ Website |
|
Supplemental Agreement (SA) Form |
For alternations to the contract not covered by Change Order |
Contact CST-Construction Support |
|
Example of Supplemental Agreement |
Prime Contractor is bought out by another contractor; Change in Surety; etc. |
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|
Change Orders:
|
E-Forms |
|
|
Federal On-The-Job (OTJ) Training Program Enrollment Form-Civil Rights Division sends form directly to Contractor, Form is available for districts on E-Forms |
Form 2201 |
E-Forms |
|
Federal On-The-Job (OTJ) Training Program Monthly Reporting Form-Civil Rights Division sends form directly to Contractor, Form is available for districts on E-Forms |
Form 2202 |
E-Forms |
|
Summary Materials Received and Used; may be used to Aid MOH |
Form 1259 |
E-Forms |
|
Material Verification Report - (CIS 26) used for verifying Prefabricated Structural items. |
Material Verification Report - (CIS 26) |
|
|
Labor Standards Review |
Form 2220 |
E-Forms |
|
Templates:
|
Letter Templates |
(internal access only) |
|
Additional Classification and Wage Rate Request |
Form CST-C-1 |
E-Forms |
|
Final Acceptance Memo |
Form 2323 |
E-Forms |
|
Materials Certification Letters; Final certification of testing sent to FHWA and MTD |
Materials Certification Letter |
|
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Public Interest Finding Request- For proprietary items |
Form 2325 |
E-Forms |
|
Public Interest Finding Request- For Extending Project Limits or Change in Scope Request |
Contact CST-Construction Section |
CST-Construction Section |
|
TDLR Request for Inspection Form 2523 |
(internal access only) |
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FHWA & TxDOT Oversight Project Review Plan |
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ENV – Removal of Underground Storage Tanks Encountered During Construction |
www.txdot.gov |
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EPIC (Environmental, Permits, Issues, and Commitment) |
Project Plans |
|
|
Construction Stage Gate Checklist |
E-Forms |
|
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Flow chart Aid for Subcontractor Approval |
Subcontracting & Payroll Requirements |
(internal access only) |
|
2014 Construction Specification Required Shop/Working Drawing Submittal |
www.txdot.gov |
|
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PreCon Agenda Example |
(internal access only) |
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Shop Drawing Process |
www.txdot.gov |
|
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Development and Update of TxDOT Project Management Plans and Financial Plans for alternative delivery projects |
(internal access only) |
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Major Project Financial Plan Guidance |
FHWA Website |
|
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Response to Surety regarding contract status - template |
(internal access only) |
Contact CST - Construction Support |
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*Required by FHWA for federally funded projects. |
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