Skip to Content
|
Online Services
|
Commonwealth Sites
|
Help
|
Governor
Search Virginia.gov:
Home
>
Info
> VDOT's Extranet Forms Database
Contact Us
|
Search VDOT
VDOT Online Forms
Some of the forms are in pdf format and require
Adobe Acrobat Reader
to view and print.
Site optimized for Adobe Reader v7.0 or newer
Select from a 'Search By' category dropdown and click 'Go'
Search By Division:
--Select Here--
Administrative Services
Civil Rights
Environmental
Financial Planning
Fiscal
Fleet Management
Human Resources
Information Technology
Local Assistance Division
Location and Design
Maintenance
Management Services
Materials
Programming
Project Management Office (PMO)
Public Affairs
Right of Way
Safety and Health
Scheduling and Contract
Security and Emergency Management
Structure and Bridge
Traffic Engineering
Search By Form Number:
--Select Here--
51-03
AM-1
AM-2
ASD7/98
ASD7/98 fillable
C-1
C-10
C-100
C-104
C-105
C-107
C-111
C-112
C-115
C-118
C-13
C-13A
C-13B
C-13C
C-18A
C-1M
C-21A
C-21B_C
C-22
C-23
C-24
C-25
C-25 (Word)
C-25 Instructions
C-28
C-29
C-3
C-31
C-32B
C-38
C-39
C-3P
C-4
C-40
C-41A
C-42
C-42A
C-43
C-45
C-46
C-47
C-48
C-49
C-5
C-50
C-51
C-52
C-56
C-57
C-58
C-60
C-61
C-63
C-64
C-65
C-67
C-68
C-7
C-73
C-78
C-7c
C-7RS
C-8
C-85
C-89
CP-15
CP-2
CP-3
CP-6
CW
EEO-D1
EEO-D2
EQ-103
EQ-103G
EQ-121
EQ-429
EQ-555
FD-AR-02
FHWA Form 47
HLS-1
ITD-34
ITD-35A
ITD-36
LD-014
LD-023
LD-036
LD-095
LD-096
LD-104
LD-153
LD-155
LD-204
LD-229
LD-252
LD-261
LD-268
LD-269
LD-293
LD-293B
LD-293C
LD-293D
LD-294
LD-347
LD-358
LD-364
LD-368
LD-392
LD-393
LD-402
LD-405
LD-406
LD-406NP
LD-409
LD-422
LD-423
LD-426
LD-428
LD-433
LD-436
LD-438
LD-439
LD-440
LD-443
LD-445
LD-445A
LD-445B
LD-445C
LD-445D
LD-445E
LD-446
LD-448
LD-450
LD-699
LD-893
LUP-BR
LUP-CSB
LUP-ESCCC
LUP-HM
LUP-IPP
LUP-LC
LUP-OC
LUP-PRP
LUP-RFFI
LUP-SB
LUP-SP
LUP-TLBPR
LUP-WZTCV
MD 311-09
MP-66
NRCS-CPA-106
OA-10
OA-105A
OA-105C
OA-11
OA-21
OA-25
OA-26
OA-27
OA-6
OAP-2
PEI Form
PM-100
PM-101
PM-102
PM-103
RLD
RW-215ABC
RW-301/EQ-121
RW-32
Schedule E2
SEMD 101-04
SEMD 102-04
SEMD 107-04
SF-254
TE-97001
TL-10
TL-100A
TL-100C
TL-102A
TL-102A
TL-103
TL-124
TL-125
TL-125A
TL-127
TL-127B
TL-13
TL-137
TL-139
TL-13A
TL-140A/B/C/D
TL-141A/B
TL-142
TL-142S
TL-26A
TL-27
TL-28A
TL-52A
TL-52C
TL-53
TL-54
TL-55
TL-56
TL-57
TL-58
TL-59A
TL-60A
U-1
U-2
U-3
Water Quality Permit Manu
Water Quality Permit Manu
Search By Form Name:
--Select Here--
Request for Access to VDOT FTP Server (7/2009)
2004 PCE AGREEMENT
2005 VA Work Area Protection Manual Order Form
2007 Work Zone Safety Pocket Guide Order Form
2010-2011 Enhancement Application
Access Management Exception Form AM-1
Access Management Exception Form AM-2
Accident Image Transmittal Form
Accounting of Expenditures (6/1997)
Acknowledgement of Principal & Surety
Acknowledgement of Revision
Additional Classification & Wage Rate Request (10/2002)
Adopt a Highway Permit Application
Adopt-a-Highway Pickup Report (5/2000)
Advanced Funding Agreement
Affidavit (7/13/2005)
Agreement on the Use of VDOT Computer Map Files
Agreement to Establish a Company Representative (Version 5, 10/14/2004)
Annual Report Right of Way Use Fee 2009
Appendix A - Locally Administered Projects Agreement
Application For Assignment Of State Pool Vehicle Or Update Of Previous Application
Application For Outdoor Advertising Permit (10/7/2008)
Application For Transfer Of Outdoor Advertising Permit Ownership (5/2006)
Application To Purchase Or Lease Passenger-Type Vehicle
Appraisers Statement Qualifications & Experience (5/22/1998)
Approved Appraiser or Review Appraiser Panel Application
Approved R/W Plans Distribution (7/16/2008)
Architect-Engineer and Related Services Questionaire (11/1992)
Asbestos Permit Application And Notification For Demolition / Renovation (12/2000)
ASPHALT CONCRETE - TEST RESULTS INPUT FORM (1/2006)
Asphalt Concrete Density Independent Assurance (IA) Test Report - Nuclear (5/2006)
Asphalt Concrete Density Quality Assurance (QA) Test Report - Nuclear (4/2007)
Asphalt Concrete Density Quality Control (QC) Test Report - Nuclear
ASPHALT CONCRETE JOB MIX INPUT FORM (2/1996)
Asset Determination Authorization
Author. to Obligate Individuals Name or Prequal
Authorized signatures
Automobile Loss Notice
Award Documentation (3/2005)
Bicycle and Pedestrian Safety Program Project Application (3/3/2005)
Bicycle Race Permit Guidelines (May, 2007)
Bid Items Eligible for Fuel Adjustments
Bid Proposal (Sheet No.1) (7/2/2008)
Bid Proposal Form Sealed Bid Sale Dated
Bidder Certification (Federal Funded Projects)
Bidder Statement (Federal Funded Projects)
Bidders/Offerors Mailing List Application (fillable field version)
Bidders/Offerors Mailing List Application
BITUMINOUS TEST RESULTS INPUT FORM-MONITOR PHASE (2/1996)
Categorical Exclusion form
Categorical Exclusion form Guidance
CENTRAL MIX AGGREGATES - TEST RESULTS INPUT FORM (2/1996)
CENTRAL MIX AGGREGATES TEST RESULTS INPUT FORM-MONITOR PHASE (2/1996)
Certificate of Coverage
Certificate of Insurance
Certification
Certification Acceptance Program Application
Certification Acceptance Program Renewal Appl. (5/2006)
Certification of Binding Agreement
Certification of Plan Correctness (7/01/09)
Checklist for Straight-Line Sketch (3/20/2007)
CII/SSI Individual Non-Disclosure Agreement (Version 5, 10/14/2004)
Citizen Survey for Noise - Sample Cover Letter
Citizen Survey for Noise - Sample Input Survey
Civil Engineer Scholarship Program Application
Civil Rights Division Compliance Review Report (8/2000)
COMPLETED PLANS FOR CONTRACT DEVELOPMENT
Conditional Withdrawal of Proposals
Construction Contractors Monthly EEO Report
Construction Runoff Control Inspection Form
Contract Force Account Authorization
Contract Performance Bond (2/14/2006)
Contractor Estimate Voucher
CONTRACTOR PROGRESS SCHEDULE FOR CONSTRUCTION PROJECTS
Contractor Registration Classification
CONTRACTOR'S PROGRESS EARNINGS SCHEDULE (BASELINE) and Instructions (prints in 8.5 x 14 legal format)
Contractor's Progress Schedule for Construction Projects (9/28/1998)
CONTRACTOR/SUBCONTRACTOR EQUAL EMPLOYMENT OPPORTUNITY INFORMATION REQUEST
Contractors Certification of Wage Rates and Job Classifications
Contractors Proposal to Sublet (7/13/2005)
Cooperative Landscape Planting Agreement
Culvert Computation Form (3/1983)
CYLINDER CAST FROM CONCRETE (7/1995)
DBE AND SWAM PAYMENT COMPLIANCE REPORT (7/6/2007)
DBE GOOD FAITH EFFORTS DOCUMENTATION (12/16/2004)
DBE Hauling Firm Report, Schedule E2 (3/1999)
DESIGN EXCEPTION REQUEST (7/01/09)
Design Quality Index Evaluation Form (6/29/09)
Design Waiver Request (8/13/2007)
Disadvanted Business Enterprise Program Compliance Review Report
Disadvanted Business Enterprise Program Instructional Guide
Discrimination Complaint Brochure and Form
DISTRIBUTION OF APPROVED PLANS FOR ADVERTISEMENT (7/24/2008)
Ditch Lining Computations (9/2002)
Drainage Info Sheet (3/20/2007)
Enhancement Quarterly Progress Report
Environmental Certification form
Environmental Certification form Guidance
Environmental Scoping Recommendations form
ESC and SWM Plan Certification Form (1/11/2008)
Escrow Agreement
falcon Access Request Form
Falcon System Access and Security Agreement (07/16/2009)
Farmland Conversion Impact Rating (1/1991)
Federal Aid Standard Project Administration Agreement
FHWA Agreement on Streamlining Project Level Air Quality Studies 2009
FHWA Oversight Plan for locally administered projects
Field Review and Scoping Report
GEOPAK PROJECT REQUEST(4/28/09)
Grading Summary LD-014 (3/14/2002)
Guide to Identifying Possible CII/SSI (Version 4, October 15. 2004)
H & H Analysis of Bridge Waterway Documentation Outline (3/20/2007)
H & H Analysis of Bridge Waterway to Environmental (3/20/2007)
H & H Analysis of Bridge Waterway to Road Designer (3/20/2007)
H & H Analysis of Bridge Waterway to Structure & Bridge (3/20/2007)
Handicapped Driver Toll Pass Application
Hauling Permit Application
Hazard Elimination Safety Program Project Application (Rev. 3/3/2005)
Hazardous Matierals Due Diligence Certification for Locally Administered Projects
Highway - Rail Grade Crossing Safety Program Application (3/3/2005)
Highway Safety Improvement Program FY 2006-2007 (Rev. March 31, 2005)
Hourly Wage Rate (2/6/2003)
Hydraulic Commentary for Culverts Requiring Environmental Permit(s) (3/20/2007)
Hydraulic Grade Line (8/11/2009)
Information Security Agreement
INFORMATION SYSTEMS ACCESS REQUEST (10/24/2007)
Inspectors Monthly Construction Progress Report
INSPECTORS' MONTHLY CONSTRUCTION PROGRESS REPORT (3/27/2006)
Invoice/Order form for Highway Laws of Virginia (10/2002)
Itemize Inventory Statement of Stored Materials (1/18/2007)
Land Acquisition (10/14/2008)
Land Acquisition (Limited Access) (10/14/2008)
Land Use Permit - House Movement Application (1/2005)
Land Use Permit -Temporary Logging
Land Use Permit Corporate Surety Bond
Land Use Permit for In Place Permit for Subdivision Street Utility
Land Use Permit Letter of Credit Rev 12/08
Land Use Permit Request for Final Inspection
Land Use Permit Special Provisions
Land Use Permit Special Provisions for Open Cut
Land Use Permit Surety Bond (1/2005)
License Bond Form
License Bond Renewal Form
Locality Funded/VDOT administered Project administration agreement
LUP-PRP Land Use Permit Prior-Rights Permit Application
LUP-TLBPR
Materials Manual of Instructions: Section 311.05
Materials Notebook
Memorandum Transmitting Bid Proposal guarantees to Fiscal Manager
Minimum DBE Requirements
Monthly mileage report
NEPA Concurrence form
NEPA Concurrence form Guidance
No Plan Project Certification (7/01/09)
No-Compensation Agreement (10/2008)
Notice of Shipment (modified 12/12/2005)
NOTICE OF SHIPMENT OF CONCRETE CYLINDER (2/1996)
Notice on Title 18 U.S. Code, Section 1020
Notice to Bidders
Notice: Non-Descrimination
On the Job Training Report
Outdoor Advertising Land Use Permit
Outdoor Advertising License Application (10/2008)
Outdoor Advertising Permit Application (10/2008)
Overview of VDOTs County map Series Digital Files
Pavement Data for Federal-Aid Interstate and Primary Project (1/11/2008)
Pavement Marking (3/7/2007)
Personal Financial Statement
Pile Driving Record (6/29/2006)
Pile Driving Record (Metric) (6/29/2006)
Pile Loading Test Data
Potential MBE Participation
Pre-Approved and Rescinded Products Listings Procedures (8/1/2007)
Pre-Approved Traffic Control Device Listing
Preliminary Environmental Inventory and Cover Letter (7/1/2002)
Print Distribution Chart (8/29/2007)
PROCEDURE FOR ELECTRONIC SUBMITTAL OF FORM C-25 (.pdf)(3/23/2004)
Programmatic Categorical Exclusion form
Programmatic Categorical Exclusion form Guidance
Project Change Control (7/1/2008)
Project Early Notification (9/24/2003)
Project Scope Definition (7/1/2008)
Proposal Guaranty (7/6/2005)
PS and E Re-evaluation form
Publication Sales Form (04/01/09)
Quality Control Checklist (4/8/09)
Rental Application
Report Cover Sheet (7/01/09)
Report of Calendar Month DBE Payments
REPORT OF NUCLEAR CONTROL STRIP (4/2005)
REPORT OF NUCLEAR EMBANKMENT DENSITIES (UNIT MASSES) (4/2005)
Report of Nuclear Roller Pattern (7/2004)
REPORT OF NUCLEAR TEST DIVISION (4/2005)
REPORT OF SAND CONE DENSITY (UNIT MASS OF SOIL) (6/2000)
REPORT OF SETTLEMENT PLATES (10/2001)
Report on Asphalt Mixtures (5/2006)
Report on Flat & Elongated Test (with calculations and without calculations)
Reporting Starting and Completion of Projects
Request for Additional Survey Information (3/20/2007)
Request For Aerial Photography (1/11/2008)
Request for Automated Fuel System Card (VIT) Equipment Section | Asset Management Division) (9/2003)
Request for Box Culvert Pile Foundation Design (1/11/2008)
Request for Change in Functional Class (1/1/1987)
Request for Design of Bridge (6/10/2008)
Request for Protection of Prequalification Materials From Disclosure Under the Virginia Freedom of Information Act (6/12/2006)
Request for Recommendations on Retaining Wall Type (6/10/2008)
Request for Skewed Box Details (1/11/2008)
Request For Street Additions Or Deletions For Municipal Assistance Payments (1/1/1987)
REQUEST FOR SUPPORTING DATA ( 01/26/09 )
Request for Traffic Data (7/7/2008)
Request for Wage Determination
Request Form for Manual Revisions (3/20/2007)
Request to Administer Project (MS Word)
Request to Administer Project (PDF)
Responsible Land Disturber Certification (RLD) (7/1/2003)
Revenue Sharing Designation of Funds - Detail
Revenue Sharing Designation of Funds Summary
Revenue Sharing Sample Resolution
Revision Data (1/11/2008)
Right of Way Re-evaluation form
Risk Management (7/1/2008)
Road and Bridge Plans Transmittal (1/11/2008)
Rules Governing Prequalification and Certification (8/1/05)
RWU Plan Review Checklist w/HazMat Due Diligence Certification
Safety Index Rating Form (10/3/2007)
Sample Materials Notebook
Schedule for Planting Projects Contractor Progress
Section 404 Application Data (1/11/2008)
Section 4f form
Section 4f form Guidance
Shoe Safety Program (3/2004)
Sign Inventory Sheet (8/5/2005)
Signed CE Agreement
Source of Materials (7/8/2006)
Source of Materials (MS Word) (10/18/2006)
State Aid Standard Project Adminsitration Agreement
State Funded Project Certification Form
STATEMENT OF ASPHALT CONCRETE OR CENTRAL-MIX AGGREGATE JOB-MIX FORMULA (11/2005)
Statement of Compliance
STATEMENT OF HYDRAULIC CEMENT CONCRETE MIX DESIGN (12/2007)
Statement of Materials and Labor used by Contractors on Highway Construction Involving federal Funds (FHWA Form 47)(rev. 7-98)
Statement of Materials and Labor used by Contractors on Highway Construction Involving federal Funds (FHWA Form 47)(rev. 7-98)
Statewide Environmental Review Process Memorandum of Agreement (11/27/2001)
Statewide Multimodal Long-Range Plan-Guest Comments
STATUS OF CURRENT SUBCONTRACT ON HAND (6/7/2006)
Status of Prime Contracts on Hand (6/7/2006)
Storm Sewer Design Computations (7/2000)
Storm Water Pollution Prevention Plan (SWPP)
Stormwater Inlet Computation Sheet (prints on 8.5" X 14" paper) (6/1985)
Stormwater Pollution Prevention Plan (SWPPP) Certification (06-15-09)
Structure and Bridge Data Sheet-Hydraulic Survey (3/20/2007)
SUBCONTRACTOR/SUPPLIER SOLICITATION AND UTILIZATION FORM (All Bidders)(12/8/2004)
Subletting Request (5/29/2008)
Supplement Foreign Material Supportive Date Domestic items from Bid Proposal (7/6/2006)
Supplemental Bid Price Sheet Funded Federal Programs
TL-26 CODING FORM (2/1996)
TL-28 CODING FORM (8/2007)
TL-56 (4/2005)
TL-57 (4/2005)
TL-58 (4/2005)
TRAINEE ENROLLMENT FORM ON-THE-JOB TRAINING
Travel Request
Utility Field Inspection Form (6/10/2008)
VATransPerforms User Guide
VDOT District Environmental Manager contact list (10/2/2007)
VDOT Erosion & Sediment Control Contractor Certification (6/23/2008)
VDOT Flagger Certification Kit Order Form
VDOT Software License Request (7/29/2008)
VDOT State Transportation Planning Grant Application Form Fiscal Year - 2005
VDOT TITLE VI EVALUATION FORM (2/3/09)
Video Request
Virginia Base Mapping Program (VBMP) Imagery Request Form (2/12/09)
Virginia Map Order
Virginia Public Right of Way Use Fee
Virginia Public Right of Way Use Fee
Virginia Rural Transportation Planning Grant Program Grant Letter of Intent (GLOI)
Virginia's Statewide Multimodal Long-Range Transportation Plan Update
Virginia's Statewide Multimodal Long-Range Transportation Plan Update-Public Comment Card
VSMP Construction Permit Application Information (6/15/09)
VSMP Construction Permit Contact Information (6/15/09)
VSMP PERMIT FEE REGISTRATION FORM FOR VIRGINIA DEPARTMENT OF TRANSPORTATION PROJECTS (6/15/2009)
VSMP Permit Termination Notice (06-15-09)
Water Quality Permit Manual
Water Quality Permit Manual Appendices
WATER QUALITY PERMITS AND NATURAL RESOURCE
Web Application Usage Agreement Form
Weekly Trainee Report
Weighperson's Daily Summary (PDF file) 10/2004
Weighperson's Daily Summary (word template) 10/2004
Weighpersons Surety Bond (7/2003)
Work Order
Work Zone Safety Manual (2007) Order Form
Work Zone Traffic Control Verification
WORKSHEET FOR ONE-POINT PROCTOR (7/2000)
Workzone Safety Checklist
Search By Category:
--Select Here--
Administrative
Application
Certification
Checklist
Citizen Involvement
Construction
Contractors
Enhancement Program
Info Technology
Information Request
Local Government Administered Projects
Permits
Project Management
Reports
Safety
Survey
OR
Search by Form Name or Partial Form Name:
Select a search style:
All of these words
Any of these Words
You may mail, fax or email the forms to VDOT