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Highway - Construction Section

ODOT Construction Forms
Overview
 

American Recovery and Reinvestment Act (ARRA) Forms
can be found at this link.
 
Welcome to the Oregon Department of Transportation’s Construction Forms website. This site is meant to be a comprehensive list of all forms that could be used during the construction of ODOT projects.  If you believe that there are forms missing from this list that should be included, please send an e-mail to Lori Butler, including the form name and form number or contact her at 503.986.3007. If appropriate, the form will be added to this list.
 
To open the actual form click on the form number (or name in some cases).  Some forms have different versions (i.e., English, Metric). If there are different versions of the same form, the different versions are included within the file. Opening the form will open a new window. Many different formats have been used to create these forms. You must have Adobe Acrobat Reader 8 or higher to access and use the pdf files.
 
A form log has been created that tracks changes and updates made to the forms on this website. To see changes made, please select this link: Form Log.
 
If you have any questions or comments regarding this page or the forms on this page, please contact Lori Butler. 

 
A-C

Description
Form No.
Eff. Date
Instruc-tions
Ex-ample
Apprentice/Trainee Approval Request  731-0294  May-07
 X
 X
ARRA Forms  Web link       
Bulk Density "Unit Weight" Measure Calibration  734-1825C  Oct-12  
 X
Calibration Batch Form  734-2327CB  Oct-12  
 X
CAT II - JMF
Target Adjustment Summary 		 734-2560  Oct-12  
 X
CAT II - MDV Startup Review  734-2550  Oct-12  
 X
Cement Treated Base Relative Maximum Density  734-2091  Oct-12  
 X
Certificate of Materials Origin (CMO)  734-2126  Sep-06
 X
 X
Certified Agency Quarterly Report  734-2590  Aug-12
 X
 
Certified Payroll (Bureau of Labor and Industries)  WH-38   Jan-09
  X 
 
Certified Payroll (U.S. Dept. of Labor)  WH-347  Dec-08
 X
 
Concrete Yield and W/C Ratio Worksheet  734-3573  Oct-12  
 X
Contract Change Order        
     Single Form   734-1169  Jan-12    
     Workbook (50 forms)   734-1169WB  Jan-12    
Contract Change Order Supporting Data Sheet (included in the appropriate change order document file)        
Contract Submittal List (Design-Build)  734-2646  Apr-07    
Contractor’s Request for Adjustment of Contract Time  734-3320  Nov-05
 X
 X
Contractor’s Request for Adjustment of Payment for Steel Escalation  734-2615  Feb-06    
Contractor's Request for Relief of Responsibility from Damage by Public Traffic  734-2768  Sep-09
X
 
Contractor’s Request for Subcontract Consent  734-1964  Sep-06
 X
 
Control Strip Method of Compaction Testing  734-2084  Oct-12  
 X
Cooperative Arrangement Request  731-0338  Aug-11
X
 
Cost Estimate  734-1877  Sep-09    
Culvert Data Sheet  734-3247  Oct-00    

 
D-E

Description
Form No.
Eff. Date
Instruc-tions
Ex-ample
Daily Asphalt Plant Production  734-2401  Oct-12  
X
Daily Asphalt Plant Production RAM ​  734-2401RAM​  Oct-12​ ​ X​
Daily Asphalt Cement Report  734-2043  Oct-12  
X
Daily Force Account Record  734-3428  Mar-05
X
 
Daily Progress Report (Cover)  734-1825D  Jun-04
 
 
DBE Commercially Useful Function Form 3B  734-2165  Aug-10    
DBE Work Plan Proposal Form 3A  734-2165A  Mar-95    
Deck Placement Conference Outline  734-2596  Sep-06    
Deck Rebar Checklist  734-2837 
 Nov-10
   
Design-Build Subcontract Report  734-2631  Feb-07    
Density/Control Strip Reconciliation  734-2584  Oct-12  
X
Documentation Review Report  734-1903  May-09    
Document Review Report Supporting Documentation: PM Exception Explanation    734-2704  Apr-12
X
 
Drilled Shaft Concrete Placement Log  734-2597  Nov-11    
Drilled Shaft Concrete Volumes  734-2603  Apr-05    
Drilled Shaft Excavation Log  734-2604  Apr-05    
Drilled Shaft Inspection Report  734-2598  Aug-09    
Drilled Shaft Inspector's Checklist  734-2625   Dec-11    
Escalation/De-escalation Worksheets        
     Asphalt (5%)        
           English   n/a  Jun-10
X
 
           Metric  n/a  May-05
X
 
     Asphalt (10%)        
           English  n/a  Oct-06
X
 
           Metric    
X
 
     Fuel (25%)    
 
 
           English   n/a  Jun-10
X
 
           Metric  n/a  Oct-06
X
 
     Steel (10%)   n/a  Jun-10
X
 
Employee Interview Report  734-3475  Mar-02
X
X
Erosion Control Monitoring  734-2361  Mar-05
X
X
Extra Work Order        
     Single Form  734-3208  Jan-12    
     Workbook (25 forms)  734-3208WB   Feb-12    

 
F-J

Description
Form No.
Eff. Date
Instruc-tions
Ex-ample
Family of Curves  734-3468_FC  Oct-12  
X
Field Inspection (Sticker)  734-2207  Mar-05    
Field Inspection Report  734-3469  Jan-07    
Field Verifications        
      Post Length Forms         
          One Post Installation (TBB)        
          Two Post Installation (MPB)        
          Three Post Installation (MPB)        
      Truss Sign Bridge         
      Truss VMS Bridge         
      Monotube Cantilever         
      Sign Bridge Horizontal Span Inspection Sheet         
      Luminaire Pole Height         
Field Worksheet for Aggregates  734-1792  Oct-12  
X
Field Worksheet for HMAC  734-2277  Oct-12  
X
Field Worksheet for HMAC RAM​  734-2277RAM​  Oct-12​ ​ X​
Final Materials Certification  734-1979  Dec-07
X
X
Flagger and Pilot Car Receipt  734-3955  Mar-05    
Force Account Invoice Evaluation Form  734-2784  Mar-10    
Force Account Invoice for Equipment and Materials  734-1864  Apr-05  
X
Force Account Invoice for Labor        
     Actual Cost Calculation  734-1863B   Dec-11    
     Standard Calculation  734-1863A  Sep-09    
Force Account Summary  734-3385  Sep-09    
Foreign Steel Summary  734-1968  Nov-12
X
 
General Daily Progress Report  734-3474  May-12
X
X
High Strength Bolting        
    ODOT Rotational Capacity Test    
 
 
         Long Bolts 
 734-2629   Mar-12
X
X
         Short Bolts 
 734-2630   Mar-12
X
X
    ODOT Verification Testing        
         Long Bolts  734-2747
 Mar-12
X
X
         Short Bolts  734-2748
 Mar-12
X
X
Highway Restriction Notice  734-2357  Feb-07    
HMAC Incinerator Oven Calibration Worksheet  734-2327_IC  Oct-12  
X
Installation Sheet  734-2605  Mar-13    
Inspector's Job Guide and Highway Maintenance Tables  734-2307   Nov-10    

 
M-O

Description
Form No.
Eff. Date
Instruc-tions
Ex-ample
Material Daily Progress Report  734-2599  Mar-10    
Material Delivery and Yield Check Sheet
 734-2792   Nov-12    
Materials on Hand  734-2600  Apr-05    
Maximum Density of Aggregate Base Materials  734-3468B  Oct-12  
X
Maximum Density of Construction Materials  734-3468  Oct-12  
X
Micropile Log  734-2644  Jan-07    
Monthly Employment Utilization Report    
 
      Projects with Bid Letting
      Prior  to 7/1/2011
 731-0394   May-08
X
 
      Projects with Bid Letting
      After 7/1/2011 
 731-0668  Feb-12
X
 
Notification of Commencement and Completion  734-3233  Aug-11    
Nuclear Compaction Test Report  734-1793S  Oct-12  
X
Nuclear Compaction Report for Base Aggregate  734-1793B  Oct-12  
X
Nuclear Compaction Report for HMAC      
 
      Standard  734-1793A  Oct-12  
X
      with Random Generator  734-1793AR  Oct-12  
X
Nuclear Core Correlation Worksheet  734-2327  Oct-12  
X
Obligations of Oregon Transportation Commission  734-3715  Jul-96
X
ODOT Apprentice/Trainee Monthly Progress  731-0332  May-08
X
 
ODOT External Civil Rights Complaint  731-0333  Jan-97
X
 
Order for Force Work (See State Force Order)        

 
P-R

Description
Form No.
Eff. Date
Instruc-tions
Ex-ample
Pavement Marking Retroreflectivity Testing​ ​ ​ ​ ​
     General Information ​  734-4101​  Sep-12​ ​ X​
     Longitudinal Markings ​  734-4102​​  Sep-12​ ​ ​
     Transverse Markings ​  734-4103​​  Sep-12​ ​ ​
     Longitudinal Markings - Additional Testing ​  734-4104​​  Sep-12​ ​ ​
     Transverse Markings - Additional Testing ​  734-4105​​  Sep-12​ ​ ​
Payroll Receipt and Review​  731-0521  Jul-06​ ​ ​
Pile and Driving Equipment Data  734-2608  Aug-09    
Pile Driving Checklist  734-2609  Dec-10    
Pile Record Book  734-3485  May-93    
Pollution Control Plan        
     Checklist  n/a  Mar-06
 
 
     PCP Form  734-2445  Mar-06
 
 
Post-Tensioning Record        
      From One End  734-2594  Oct-09
X
 
      From Both Ends  734-2594a  Oct-09    
Post-Tensioning Grouting Record   734-2697  Jun-08    
Post-Tensioning Strand Installation Record   734-2696  Jun-08    
Precast, Prestressed Slab / Box Beam Placement Checklist ​  734-2885​  Jul-12​ ​ ​
Pre-Paving Conference  734-2601  Sep-04    
Prepour Checklist  734-2626  Jul-06  
X
Prevailing Wage Complaint  734-2547  Jul-09
 X
 
Performance Evaluations        

     ODOT Evaluating Contractor 
     (Projects let before 1/1/2013)​

  734-2469B​  Sep-07​ ​ ​
     ODOT Evaluating Contractor
     (Projects let after 1/1/2013)		  734-2884  Jan-13
X
 
     Contractor Evaluating ODOT  734-2469A  Sep-07
X
 
Project Manager’s Diary  734-3120  Mar-04    
Project Manager’s Labor Compliance Certification  734-1734  Jul-09
X
X

Project Manager's Monthly EEO Report
(Projects advertised before 7/1/2011)

  734-3858  Aug-00    
Project Manager's Narrative  734-2756  Apr-13  X  
Project Manager's Owner-Operator Interview Summary Report  734-3581  Jun-09    
Project Notification to County Surveyors (ROW Monumentation)  734-2298  Feb-08    
Proposed Quality Control Personnel and Materials  734-2602  Sep-04    
QC/QA Testing Investigation  734-4040  Oct-12    X
Quality Assurance & Contract Administration Plan  734-2857  Jan-12    
Random Number Table  n/a  Oct-08  
X
Random Sample Locations  734-1972  Oct-12  
X
Random Sample Locations for Density Testing of HMAC  734-1972a   Oct-12  
X
Recommendation of Project Acceptance  734-1384  Sep-00
X
 
Record of Construction Contractor Claim Form  734-2595  Mar-05
X
 
Report on Contractor’s Request for Subcontract Consent        
     Single Form  734-1395  Oct-10
X
X
     Workbook (50 forms)  734-1395WB  Oct-10
X
X
Request for Overrun or Increase in Construction Authorization  734-3372  May-12
X
 Incl w/instr.
Request for Overrun or Increase in Construction Authorization Supporting Data  734-2538  Jun-11
 X
 Incl w/instr.
Request for Release of Retainage for Subcontracted Work  734-2510  May-12
X
X
Request for Release of Retainage for Subcontracted Work Checklist   734-2707  Jun-08    

 
S-T

Description
Form No.
Eff. Date
Instruc-tions
Ex-ample
Safety Questionnaire for ODOT Contracted Construction Projects   std96002  Aug-11
X
 
Sample Data Sheet  734-4000  Oct-12  
X
Sample Data Sheet for Concrete Cylinders  734-4000C  Oct-12  
X
Sample Data Sheet for Non-Field Tested Materials  734-4000NF  Oct-12  
X
Semi-Final Documentation Checklist  734-2706  Jul-12    
Specific Gravity and Maximum Density of HMAC  734-2050  Oct-12  
X
Sprinkling Tally Sheet  734-3427  Mar-05    
Standard Bridge Clearance        
     Permanent Reduction  734-2614  May-06
X
X
     Temporary Reduction  734-2614a  May-06    
State Force Order        
     Single Form  734-1105  Jan-12    
     Workbook (25 forms)   734-1105WB   Feb-12  
Structure Coating Daily Progress Report  734-1789  Jan-10    
Subcontractor Consent Checklist  734-2518  Jul-12
X
 
Summary of Failing Density Test Results for Bituminous Mixtures  734-3946  Aug-00  
Summary of Failing Test Results for        
     Aggregate  734-3966  Aug-00    
     Asphalt Cements  734-2283  Aug-00    
     Bituminous Mixtures  734-3965  Aug-00    
Summary Report of Subcontractors Paid  734-2722  Nov-10
X
 
Tare Sheet  734-2394  May-05    
Tensile Stripping Strength (TSR)  734-2050TSR  Oct-12  
X
Test Summaries        
     Field Tested Concrete Materials (B-QA)  734-1902B_QA  Aug-09    
     Field Tested Materials (B)  734-1902B  Aug-09    
     Non-Field Tested Materials (A)  734-1902A  Aug-10    
Traffic Control Inspection Report  734-2474  Jul-12
X
X
Training Program  731-0335  May-07
X
 
Transmittal Letter  734-2188  Aug-00    
Turbidity Monitoring Report (In-Water Work) ​  734-2755 ​  Oct-12​ X​ ​

 
U-Z

Description
Form No.
Eff. Date
Instruc-tions
Ex-ample
Unit Weight and Specific Gravity (W/S)  734-1825  Oct-12  
X
Voids Worksheet Gyratory        
     Multiple  734-2050GV  Oct-12  
X
     Single  734-2050GVS  Oct-12  
X
Wage Determination  734-1870  Aug-00    
Warranty for Longitudinal Pavement Markings​ ​ ​ ​ ​
     Durable ​  734-2891  Jan-13​ X​ ​
     High Perfromance ​  734-2892  Jan-13​ X​ ​
Warranty for Transverse Pavement Markings​ ​ ​ ​ ​
     Legends and Bars ​  734-2893​  Jan-13​ X​ ​
Weekly Statement of Contract Time Charges  734-3483  Aug-00    
Weigh Memo  734-3082  Oct-98    
Work or Change Order Supporting Data (see Contract Change Order Supporting Data)        
Work Zone Speed Reduction Request Form ​ 734-2874​  Mar-12​ ​ ​