ODOT Office of Civil Rights Forms

Text Size: A+| A-| A | Text Only Site | Accessibility

ODOT Office of Civil Rights

Department
- Transportation Department
- Divisions

Forms

Page Contents

Disadvantaged Business Enterprise (DBE) Forms
Emerging Small Business (ESB) Forms
Equal Employment Opportunity (EEO) Forms
On-the-Job Training (OJT) Forms
Title VI Forms
Labor Compliance Forms
Work Force Development Plan Forms
Other Useful Forms

DBE Forms

Subcontractor Solicitation and Utilization Report 734-2721 (.pdf)
Committed DBE Breakdown and Certification Form 734-2531 (.pdf)
Disadvantaged Business Enterprise Commercially Useful Function (Form 3B) 734-2165 (.pdf)
Disadvantaged Business Enterprise Work Plan Proposal (Form 3A) 734-2165A (.pdf)
Summary Report of Subcontractor's Paid 734-2722 (.pdf)
Subcontractor Request for Release of Retainage 734-2510 (.xls)
DBE Joint Venture Application (.pdf)
DBE Certification Application and Instructions (OMWESB)

ESB Forms

ESB Certification Application & Instructions

EEO Forms

External Civil Rights Complaint Form 731-0333 (.pdf)
Project Manager´s Monthly EEO Report 734-3858 (.pdf)
Monthly Employment Utilization Report (MEUR) 731-0394 (.xls)
MEUR Instructions
Annual EEO Report FHWA 1391 (.pdf)
Annual EEO Report Instructions (.pdf)

OJT Forms

Training Program Form (TP) 731-0335 (.doc)
Apprentice/Trainee Approval Request (ATAR) 731-0294 (.pdf)
ODOT Apprentice/Trainee Monthly Progress Record (MPR) 731-0332 (.xls)

Title VI Forms

Title VI Complaint Form (pdf)
Title VI Complaint Process (pdf)

Labor Compliance Forms

Certified Payroll - Based upon Contractor and Project Management input, the suggested forms on Davis-Bacon projects are the BOLI Certified Payroll Form with the addition of social security numbers and the Davis-Bacon Certified Payroll Form Certification page (as required by Davis-Bacon).
Davis-Bacon Certified Payroll Form (WH-347)
BOLI Certified Payroll Form (WH-38) (.xls)
BOLI Certified Payroll Form (WH-38) (.pdf)
Instructions for WH-38 (.pdf)
*Note: Using this link will open a new window and take you out of ODOT´s Domain. ODOT is not responsible for the content of these pages.
Employee Interview Report 734-3475 (.pdf)
Prevailing Wage Complaint Form 734-2547 (.pdf)
Project Manager´s Labor Compliance Certification 734-1734 (.xls)
OCR Compliance Audit Report (.xls)
Payroll Receipt and Review (.pdf)
Weighted Average Overtime (.xls)
Fringe Benefit Statement (.doc)
Davis-Bacon / BOLI Prevailing Wage Rate Worksheet (.xls)

Workforce Development Plan

Federal OJT/Apprenticeship Program 731-0502 (.doc)
In-House Trainee Approval Request 731-0503 (.doc)
ODOT Trainee Monthly Progress Record 731-0504 (.xls)
Apprenticeship Exception Process (.pdf)
Monthly Employment and Apprenticeship Utilization Report (MEAUR) 731-0505 (.xls)
State Apprenticeship Program 731-0556 (.pdf)
State Monthly Employment Report 731-0557 (.xls)

Other Useful Forms

Contractor´s Request for Sub-contract Consent 734-1964 (.pdf)
Project Manager´s Report on Contractor´s Request for Sub-contract Consent 734-1395 (.pdf)

Page updated: October 22, 2009

Click here to go to the Oregon Dept. of Veterans' Affairs outreach contact form

Adobe Reader is required to view PDF files. Click the "Get Adobe Reader" image to get a free download of the reader from Adobe.