Forms

GENERAL MDT

Driveway Approach Application and Permit PDF | Word
Special Events Street Closure Permit

ADOPT-A-HIGHWAY

Adopter Group Safety Meeting
Application for Participation/Renewal
Terms and Conditions

AVIATION

Airport Courtesy Car Grant Application
Aircraft registration | instructions
Airport Loan and Grant Program Information
Airport Loan and Grant Program Application

COMMUNITY TRANSPORTATION ENHANCEMENT PROGRAM (CTEP)

Application
CTEP Project Application (Word) | PDF | Instructions
CTEP Project EZ Application (Word) | PDF

General Administration
CTEP Program Administrator
CTEP Project Status Report (Word)

Environmental Analysis
Environmental Certifying Official (Word)
Environmental Checklist (Word)
Categorical Exclusion C (Word)
Categorical Exclusion D (Word)
Re-evaluation letter (Word)

Consultant Services
Request for SOQ/RFP (Word)
SOQ/RFP Advertisement (Word) | PDF
Consultant Services Agreement (Word)

Right Of Way/Utilities
Right of Way Checklist (PDF)
Utilities Checklist (PDF)
Voluntary Acquisition File Checklist (Word)
Agreement For Appraisal Services (Acquisition) (Word)
Public Invitation For Acquisition of Real Property (Word)
Waiver Of Procedures (Word)
Voluntary Agreement (Word)

Project Manual (Bidding Document)
Project Manual Checklist (PDF)
Project Manual Coversheet (Word)
CTEP Proposal Form (Word)
MDT Proposal Form (Word)
DBE Requirements Form (Word) | PDF
EEO Affirmative Action Requirements (PDF)
FHWA-1273 Form (PDF)
CTEP Special Provisions (Word) | PDF
Request for Quotation (Word)
Contract Letting Checklist (PDF)
Preconstruction Checklist (PDF)

Bid Review Certification
LTG Bid Review Certification Form (Word) | PDF

Construction
Buy America Certification Form (Word) | PDF
CTEP Civil Rights Preconstruction Agenda (Word) | PDF
Construction Checklist (PDF)
Daily Inspection Report Form (Word)
EEO Labor Compliance Spot Check Form (Word) | PDF
EEO Worksite Meeting Topics
Engineer's Payroll Check Sheet (Word) | PDF
Equipment Rental Rate Form (Word)
LTG Force Account Form (Word)

Completion Certification
Project Certification Of Completion (Word)

Civil Rights - Title VI Review
CTEP Checklist (Word)

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COMMERCIAL MOTOR CARRIER SERVICES

IFTA Application
IFTA Decals - Additional
Special Fuel Users Application PDF | Word
SU Surety Bond PDF

International Registration Plan (IRP)
Schedule A & B
Schedule B & C
Schedule C & T
Signature Page

Permit
32K Bond
Application for Moving Large Objects (32J)
Commercial Motor Carrier Internet Permitting System
Vehicle Analysis
Red Route

CONTRACTING/CONSULTING

Contract Payments
Encroachment Permit PDF| Word | Addendum for permits within the City of Bozeman
Structure Encroachment Permit
W9

Design Consultants
Alignment and Grade Review Report (AGR)
Bridge - Rebar Weights Template
Certification of Indirect Costs
Combined Preliminary Field Review (PFR) and Scope of Work (SOW) Report
Comment Response Document
Commitment and Resolution Document
Consultant Proposal Estimate Spreadsheet
Design Exception Report - FHWA Oversight
Design Exception Report - Non-oversight
Final Plan Review (FPR) Report
Plan-in-Hand (PIH) Report
Preliminary Field Review Report (PFR)
Progress Report
Reconstruction Scope Justification
Sample Invoice
Scope of Work (SOW) Report
Split Project Report

Proof of Authority
Corporate Resolution
Limited Liability Company
Limited Liability Partnership
Limited Partnership
Partnership

Highway Contractors
Bid Bond
Bid Documentation Inventory Affidavit (CSB103_09A)
Bid Documentation Escrow Agreement (CSB103_09B)
Proposed Aggregate Source PDF | Word (ARRA contracts)
Proposed Aggregate Source (PAS-1 ) PDF | Word (All other contracts)
Electronic Bid Bond Verification
Bid Package Order Form - 100 Series | 200 Series
Bid Withdrawal
Highway Contractor/Construction Forms (organized by form description)
Material Certifications
DBE Good Faith Effort (CRB102_07)

Qualified Products List Qualification
Extension Form
Product Name Change
Product Location or Company Name Change
Request Form

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DISADVANTAGED BUSINESS ENTERPRISE

Annual Eligibility Update
Certification of Final Payment PDF | Word
Contract Payments
DBE Application Request
DBE Online Application (complete application) | Financial Statement | Instructions
DBE Commercially Useful Function (CUF) PDF | Word
DBE Bidder Survey
DBE Good Faith Effort (CRB102_07)
DBE Quote Request
Request for Training Reimbursement

EMPLOYMENT

MDT Scholarship Program Application
Online Job Application

ENVIRONMENTAL

Environmental Checklist (Approach Permits, Encroach/Occupany (inc. Utility) & Maint Projects)
Environmental Checklist Help Sheet
Initial Site Assessment PDF | Word

Stormwater
Joint Application for Proposed Work in Streams, Lakes and Wetlands in MT
Stormwater Permit - Project Close-out Checklist
Stormwater Permit - Winterization Checklist
SWPPP Inspection Report - CSB208 PDF | Word
DEQ Storm Water Permit Forms

EQUAL EMPLOYMENT OPPORTUNITY (EEO)

EEO Contractor Supervisor Training (video)
EEO FHWA 1391 Annual Workforce Report | Instructions Submit it Online!
EEO-7A OJT Monthly Training
EEO Bulletin Board Checklist Submit it Online!
EEO Labor Compliance Spot Check PDF)
EEO Worksite Meeting Topics

EEO Required Bulletin Board Materials
Dual Employment Notice
EEO Affirmative Action Requirements on Federal and Federal-Aid Construction Projects
EEO is the Law
EEO Annual Submission | Instructions Submit it Online!
Employee Rights Under the Davis-Bacon Act
False Statements Notice
FHWA 1273 - Required Contract Provisions
FMLA – If 50 or more employees
OSHA – It's the Law
Polygraph – Employee Polygraph Protection Act
US Department of Transportation Hotline Information Regarding DBE Frauds
Wage Rate Information Federal-Aid Highway Project
Whistleblowers - Know Your Rights
Your Rights Under USERRA

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FUEL TAX

Informal Review Request
Report Accidental Dyed Fuel Use
Power of Attorney
Address & Tax ID Number
Sample Invoice

CNG & LPG Forms
CNG Dealer License Application
LPG Dealer License Application
CNG Quarterly Tax Report
LPG Quarterly Tax Report

IFTA (International Fuel Tax Agreement) Forms
IFTA Application
IFTA Decals - Additional
IFTA Surety Bond
IFTA Tax Return
IFTA Fuel Purchase Summary Report

Motor Fuel Tax Refund Forms
Affidavit Form (use when original invoices are lost)
Biodiesel Fuel Tax Refund Application
Biodiesel Producers' Tax Incentive Application

Forms and Instructions for Refund of Diesel, Gasoline or Gasohol Tax
Agricultural Standard
Application for Refund of Heating Fuel Tax
Application for Refund of Refrigerator Fuel Tax
Form for Federal, State, Local Governments and School Districts
Off-Road
PTO

Motor Fuels Distributor Forms
Application for Gasoline/Special Fuel Distributor License
Bad Debt Credit Application for Motor Fuels Tax
Bad Debt Credit Supplemental for Motor Fuels Tax Release Statement
Supplemental - Application for Gasoline/Special Fuel Distributor License
Surety Bond - Gasoline/Special Fuel Distributor License

Gasoline/Special Fuel Distributor License - Tax Report
Gasoline/Special Fuel Distributor License - Schedule of Receipts
Gasoline/Special Fuel Distributor License - Schedule of Disbursements

Motor Fuels Bulk Dealer Forms
Bulk Dealer Report
Bulk Dealer's Schedule of Disbursements
Bulk Dealer's Schedule of Receipts

Motor Fuels Retailer Forms
Retailer State Fuel Tax Remittance
Retailer's Fuel Report (Quarterly report for Reservations)

Personal Use Forms
Alternative Special Fuel Producer/User Registration
Alternative Special Fuel Tax Remittance
Biodiesel & Vegetable Oil Producers State Fuel Tax Remittance

Special Fuel User - Aviation
Application for Special Aviation Fuel User Permit
Special Aviation Fuel User Tax Return
Special Aviation Fuel User - Surety Bond

Special Fuel Users - Contractors
Application
Fuel Purchase Summary
Special Fuel (Diesel) Use Tax Return | instructions
Special Fuel (Diesel) Use Tax Return - Suppl. Contractor's Report (MF15) | instructions
Surety Bond

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LABOR

Additional Classification
Engineer's Payroll Check Sheet PDF | Word
Labor Complaint Form PDF | Word
Payroll Form WH347 | Instructions | Video

OUTDOOR ADVERTISING

Special Applications
On Premise Sign Recognition Application
Permit Tag Replacement Request
Permit Transfer
Permit Relinquishment Request
Relocation Application
Upgrade Application

Sign Application Packet
Application Form RW-A1
Unzoned Commercial/Industrial Qualification Activity Checklist
Unzoned Commercial/Industrial Qualification Checklist
Local Zoning Certification for Outdoor Advertising
Detailed Drawing of Proposed Sign Site
Fee Schedule

Site Clearing Packet
Site Clearing Application
Site Clearing Requirements
Pruning Standards
Tree Pruning Formula Sheet

RESEARCH

Research Project Statement
Register to Receive Information (RFPs, Project Solicitation, Newsletters)/Become a Library Patron
Research Topic Solicitation

RIGHT OF WAY - DESIGN

Blue Sheet Revision Memorandum (Word)
Checklist for Final Plans PDF | Word
Exhibit Checklist PDF | Word
Route Description (Word)

RIGHT OF WAY - UTILITIES

Certification and Inspection
Change Order Form for Additional Work
Common Use Agreement
Encroachment Permit | Addendum for permits within the City of Bozeman
Exhibit D
Fast Process Agreement
Statement of Utility Property Interest
Structure Encroachment Permit
Utility Occupancy and Location Agreement
Waiver of Liability

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SAFETY

Court Order Referral Form PDF | Word
Highway Safety Grant Application PDF | Word
Grant Application Matrix (for use in preparing grant application) PDF | Word
Subgrantee Contract Management Manual

Selective Traffic Enforcement Programs (STEP)

STEP Application PDF | Word

The following FFY 2012 STEP forms are included in the below Excel spreadsheets:

Exhibit D – FFY 2012 STEP Plan
Exhibit E – Shift Log
Exhibit F – Quarterly Reports
Exhibit G – Mobilization Reports – Memorial Day & Labor Day
Exhibit H, Part 1 – Year End Report

STEP Forms.xlsx | STEP Forms.xls

Exhibit H, Part 2 is a Word document:

Exhibit H Part 2 - Sustained Enforcement Plan.docx
Exhibit H Part 2 - Sustained Enforcement Plan.doc

STATEWIDE AND URBAN PLANNING

Local Projects Report

SURVEY
Calibration Base Line User Reports (Excel files)
CBL Form CBL Adjustment Date
Belgrade NGS 2003 (Re-measure)
Butte NGS 2002 (Re-measure)
Great Falls NGS 2003 (Re-measure)
Havre NGS 2002 (Re-measure)
Helena NGS 2002 (New)
LaSalle NGS 2002 (Re-measure)
Laurel MDT 2003 (Re-measure)
Lewistown NGS 2002 (Re-measure)
Libby NGS 2003 (Re-measure)
Lindsay NGS 2003 (Re-measure)
Miles City NGS 2002 (Re-measure)
Missoula NGS 2002 (New)
Nashua NGS 2002 (New)
Blank Form Excel | PDF Revised 04.04.2005

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TITLE VI

Title VI/ADA Section 504 - Complaint Procedures and Form
Title VI Contract Attachment
Title VI Pamphlet/Complaint
Title VI Public Meeting PDF | Word
Environmental Checklist

TRANSIT

General Public Coordination and Application Booklet
Section 5311/TransADE Financial Information PDF | Excel
JARC/New Freedom Financial Information PDF | Excel
Guidance Booklet
Direct Deposit

American Recovery and Reinvestment Act (ARRA)
ARRA Invoice PDF | Excel
Monthly Employment Report (ARRA Form 1589) - Excel

Capital Assistance
Application for Capital Assistance in Limited Areas

Public Transportation Management System (PTMS)
Quarterly Reporting
PTMS Agency Manual

Compliance Reviews
Overview of MDT 5310 Program
Section 5310 Compliance and Good Practices Review
Overview of MDT 5311 Program
Section 5311 Compliance and Good Practices Review

Rural Transit Assistance Program (RTAP)
Scholarship Guidelines/Application
Reimbursement Form

For additional information, please see our Grants and Funding page.

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