| Form Name |
Description |
File Format |
Last Updated |
| Certification - Estoppel |
Completed by the utility stating that they should be reimbursed because the utility facilities were placed on private property with the permission of the fee owner of the property. |
Word |
03/2009 |
| Certification - Prescription |
Completed by the utility stating that they should be reimbursed because they have prior rights by prescription. (These facilities are located on private property and a search of the records does not disclose any recorded or unrecorded easement for said facilities.) |
Word |
03/2009 |
| Certification - Reimbursement |
Form to be filled out by the Utility Specialist when there is a reimbursable work. |
Word |
03/2009 |
| Certification - Utility Form |
Complete this form at PSE to certify that for a project all utility work has been completed or that all necessary arrangements have been made for it to be undertaken and completed as required for proper coordination with the physical construction schedule. Send the Certification to the State Utility Liaison. |
Word |
03/2009 |
| Conflict Letter, Non-Reimbursable |
Initial notification to utilities indicating that facilities owned by the company conflict with the construction of a project and should be relocated or adjusted before construction begins. Use this form when the utility is not reimbursable. |
Word |
03/2009 |
| Conflict Letter, Reimbursable |
Initial notification to utilities indicating that facilities owned by the company conflict with the construction of a project and should be relocated or adjusted before construction begins. Use this form when the utility is reimbursable. |
Word |
03/2009 |
| Conflict List |
Use this form to identify all utility conflicts pertaining to the project and send with the utility conflict letter. |
Excel |
08/2009 |
| Federal Funding Request Example |
Submit this letter to the State Utility Liaison when funding needs to be set up for the utility phase. |
Word |
03/2009 |
| Reimbursement Information Form |
To be completed by a utility prior to any PE work. |
Word |
03/2009 |
| Time Requirement Letter (2nd Notice) |
Relocation time requirement letter that is sent to the utility stating what the utilities have told ODOT their relocation/adjustment work will be. This includes the relocation completion date. |
Word |
03/2009 |
| Transmittal Request Form |
Utility Specialist to use this form when requesting work be completed by the State Utility Liaison. |
Word |
03/2009 |
| Utility Billing Approval Memo |
Utility Specialist to use when requesting the State Utility to make a payment to a utility. |
Word |
03/2009 |
