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DBE EEO & Title VI

DBE Forms

DBE Change Report – Fill out online

DBE Complaint Form

DBE Quote Request

Good Faith Effort Contact Report

Good Faith Effort Summary of Documentation

Notice of Voluntary Removal

Reimbursement Request Form

EEO Forms

Required Bulletin Board Materials

EEO FHWA 1391 Annual Workforce Report

EEO Policy Form

EEO Bulletin Board Checklist

PreConstruction Conference Minutes

Title VI Forms

Civil Rights Discrimination Complaint Form

EA/EIS Review Checklist

Title VI Public Meeting PDF

Title VI Public Meeting Word

Environmental

Environmental Checklist

Environmental Checklist Instructions

Borrow Source Worksheet for Source Material to be Used as Fill in a Water of the U.S.

BMP Inspection Report

Categorical Exclusion (CE) Documentation

Initial Site Assessment for Haz Mat, Noise and Air

Project Level CO Hot-Spot Determination Process

Project Level PM Quantitative Hot-Spot Determination

Flowcharts:

--Conformity

--MSAT

Low Impact Development Practice Analysis (MDT-ENV-007)

Level of Environmental Document Determination

Water Pollution Control Inspection Report

Stormwater Forms

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

DEQ Storm Water Permit Forms

MDT Storm Water Management Feedback Form (MDT-ENV-021)

Wildlife Accommodations Recommendations Memo (WARM)

Wildlife Accommodations Decision Report (WADR)

Hydraulics

Culvert and Soils Data Collection for Hydraulics

Guide for EPS Activity 453, Culvert and Soils Data Collection for Hydraulics

Culvert Inspection Form

Maintenance

Driveway Approach Application (Print Blank PDF Version)

Encroachment Permit Application (Print Blank PDF Version)

Right of Way Forage Removal Agreement (Print Blank PDF Version)

Special Events Street Closure Permit (Print Blank PDF Version)

Motor Carrier Services

International Fuel Tax Agreement (IFTA) Forms

see Motor Fuel Tax

International Registration Plan (IRP)

The email address for customers to submit their documents to MCS is: MDTMCSIRPCONTACT@mt.gov

If not uploading your documents via ePART, MCS must have the original Signature Sheet, and original notarized Power of Attorney, along with the 2290’s and Bill of Sale. These can be mailed or emailed in.

Checklist for New IRP Accounts

IRP Checklist

IRP new and renewed accounts

Schedule A & C

IRP - for All Accounts - Carriers with actual miles in the prior 18 months

Schedule B - Actual Miles

IRP - for All Accounts - New accounts with no actual miles in the prior 18 months

Schedule B - AVPD

All MT IRP Customers

Bill of Sale

Lease Agreement Certificate

MT PRISM Brochure

New Account Information For IFTA IRP AND UCR

Power of Attorney

Other State Fees - What They Mean

Schedule C-T

Signature Page

Are you a Third-Party User?

Third-Party Information

Permit

Superload Application

--Superload Instructions

--MT Cooperative Map

--MT Telecommunications Map

--Utility Worksheet

MDT Internet Application for Online Access / ePART (iPermit)

Custom Combine Permit Form 2-A

Vehicle Analysis

Refunds

Please read the MCS Refund Requirements for further information and supporting documentation required for refund.

MDT/MCS Refund Application

Motor Fuel Tax

If you are having trouble opening Motor Fuel Tax Refund Forms, call 406 444-6030, M-F 7:30 – 4:00, or e-mail mdtfueltaxrefund@mt.gov. We will send you paper forms.

Aggregate Used to Produce Material for Taxable Projects

Declaration of Dyed Fuel - Contractors

Declaration of Dyed Fuel - Hardcopy

Informal Review Request

Report Accidental Dyed Fuel Use

Power of Attorney

Third Party Electronic Filing Authorization

Alternative Fuel Forms

Alternative Fuel Dealer Application

2023 CNG Quarterly Tax Report

2023 LPG Quarterly Tax Report

2024 Alternative Fuel Quarterly Tax Report

Electric Vehicle Public Charging Stations

Public Utility EV Charging Station Application

Public Utility EV Charging Station Tax Return

International Fuel Tax Agreement (IFTA) Forms

IFTA Application

IFTA Decals - Additional

IFTA Tax Return

IFTA Bulk Reconciliation

IFTA Fuel Purchase Listing

Motor Fuel Tax Refund Forms

File electronically using the Motor Fuel Tax Refund system:

-- OKTA MFTR Sign-up

Where’s my fuel tax refund – Call 406 444-6030.

Direct Deposit Form

W9 (PDF)

Affidavit Form (use when original invoices are lost)

Agricultural Refund Update

Agricultural Standard Refund Application - Instructions

Agricultural Standard Refund Application - Qualification Worksheet

Agricultural Standard Refund Application - January 2022 – June 2022 | Dynamic Fillable

Agricultural Standard Refund Application - July 2022 to Present | Dynamic Fillable

Federal, State, Local Governments & School Districts Refund Application

Federal, State, Local Governments & School Districts Refund Application - Instructions

Heating Fuel Refund Application

Heating Fuel Refund Instructions

Off Road Refund

Off Road Refund - Instructions

PTO Refund

PTO Refund - Instructions

Refrigerator Fuel Refund Application

Refrigerator Fuel Refund Instructions

Motor Fuels Distributor Forms

Application for Gasoline/Special Fuel Distributor License

Supplemental - Application for Gasoline/Special Fuel Distributor License

Surety Bond - Gasoline/Special Fuel Distributor License

Motor Fuels Retailer Forms

Retailer State Fuel Tax Remittance

Special Fuel Users - Contractors

Please call 406-444-0806 for information on the Special Fuel User Permit.

Outdoor Advertising

Forms & Instructions

Other

Public Information Request

Public Information Request Guidelines

Prevailing Wage/On-the-Job Training (OJT)

07A-OJT Monthly Training Report

On-The-Job Training Program and Request for Approval

Prevailing Wage/Labor Complaint Form

Request for Additional Wage Classification and Rate

Research

Research Project Implementation Planning and Documentation

Research Project Progress Reports

Research Problem Statement

Right of Way

Right of Way Consultant's Forms

Acquisition, Appraisal, Design, and Relocation Forms

Statewide & Urban Planning

Local Project On-State Systems Report

Survey

Calibration Base Line User Reports

Form (Excel)	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 4/4/05