Chapter 17: Forms and Documents
Anchor: #BACBCECESection 1: Forms and Guidance Documents
Anchor: #b160001List of Forms
This manual references the following forms and examples of forms.
|
Name of Form/Example |
Link (on-line only) or Contact |
No. of Pages |
|---|---|---|
|
TxDOT Administrative documents, including Administrative Orders and Circulars |
N/A |
|
|
TxDOT Form 168, Pile Record |
Form168** |
1 |
|
TxDOT Form 181, Test Pile Data |
Form181** |
1 |
|
TxDOT Form 599, Traffic Control Devices Inspection Checklist |
2 |
|
|
TxDOT Form 1276, Drilled Shaft Record |
Form1276** |
1 |
|
TxDOT Form 269, Monthly Record of Material Received |
1 |
|
|
TxDOT Form 316, Daily Report of Force Account Work |
Form316 (instructions included) |
2 |
|
TxDOT Form 1257, Work Report |
1 |
|
|
TxDOT Form 1258, Summary of Work Performed |
1 |
|
|
TxDOT Form 202, Identification of Material Samples |
2 |
|
|
TxDOT Form 517, Sample Tag |
Contact CST-Materials & Pavements Section |
1 |
|
TxDOT Form 2118, Construction Storm Water Pollution Prevention Plan Field Inspection & Maintenance Report |
2 |
|
|
*FHWA-47, Statement of Materials and Labor used by Contractors on Highway Construction involving Federal Funds |
FHWA-47 (instructions included) |
4 |
|
*FHWA-1273, Required Contract Provisions Federal-aid Construction Contracts |
21 |
|
|
*FHWA-1391, Federal-aid Highway Construction Contractors Annual EEO Report |
1 |
|
|
*FHWA-1392, Federal-aid Highway Construction |
FHWA1392 (instructions included) |
2 |
|
*Form 2235, Final Inspection of Federal-Aid Project (replacing Form FHWA-1446C) |
1 |
|
|
*FHWA-1494, For Projects Subject to the Davis Bacon and Related Acts |
FHWA1494 (instructions included) |
2 |
|
WH-347, Payroll (DOL) |
5 |
|
|
TCEQ Form 20022, Notice of Intent (NOI) for Storm Water Discharges Associated with Industrial Activity Under a TPDES Permit |
Electronic submittal |
2 |
|
TCEQ Form 20023, Notice of Termination (NOT) of Coverage Under a TPDES General Permit for Storm Water Discharges Associated with Industrial Activity |
Electronic submittal |
2 |
|
Temporary Suspension of Work Letter (Example) |
1 |
|
|
Resumption of Work Letter (Example) |
1 |
|
|
Supplemental Agreement (SA) Form |
1 |
|
|
Example of Supplemental Agreement |
2 |
|
|
Change Orders:
|
Form 2146, Change Order (Contract Items pg 5, pg 6) Form 2146, Change Order (pg 7) |
1 2 1 |
|
Change Order Reason(s) Code Chart |
Form 2146, Change Order (Code Chart, pg 3) |
1 |
|
Change Order Checklist |
Form 2146, Change Order (CO Checklist, pg 2) |
1 |
|
TxDOT Form 2201, Contractor OJT Enrollment Request Form |
1 |
|
|
TxDOT Form 2202, OJT Weekly Reporting Form |
1 |
|
|
Time Extension Letter (Example) |
1 |
|
|
Certification of Materials Used Letter (Example) |
1 |
|
|
TxDOT Form 2220, Labor Standards Review |
1 |
|
|
Ten (10) Days Warning Letter (Example) |
1 |
|
|
Surety Letter (Example) |
1 |
|
|
No Surety Letter (Example) |
1 |
|
|
Additional Classification and Wage Rate Request |
1 |
|
|
Example of Statement of Contingencies & Force Account Items |
1 |
|
|
Final Acceptance Letter (Example) |
1 |
|
|
Public Interest Determination Letter (Example) |
1 |
|
|
Contractor’s Assurance |
1 |
|
|
TDLR Request for Inspection Form |
1 |
|
|
FHWA & TxDOT Oversight Project Review Plan |
1 |
|
|
ENV – Cultural Resource Management Emergency Discovery Guidelines |
2 |
|
|
ENV – Hazardous Materials Management Technical Guidelines for Removal of UST’s Encountered During Construction |
4 |
|
|
ENV - Environmental Commitment Checklist for Construction, Maintenance and Facilities Projects |
5 |
|
|
Subcontracting & Payroll Requirements |
1 |
|
|
2004 Construction Specification Required Shop/Working Drawing Submittal (for pre-construction meeting use) |
2 |
|
|
Shop/Working Drawing Submittal Form |
2 |
|
|
Shop Drawing Flow Diagrams |
- |
|
|
*Required by FHWA for federally funded projects. **Available through the TxDOT intranet only. |
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