2.60 CONSTRUCTION FORMS

FORM
NUMBER
TITLE MANUAL
LOCATION
STOCK
LOCATION

General Construction
102008* Contractor Concept for Value Engineering Incentive Proposal 2.36 Construction
181213* Statement of Force Account 2.35 Office Supply
518002* Certification of Subcontractor Payments 2.25 Office Supply
810036* Notice of Suspension or Resumption of Work 3.06 Construction
820193* Identification of Sample for Test 3.21 Office Supply
821283 Advisory Gradation Test Report 3.22 Office Supply
830176* Certified Transcript of Labor Payroll/Statement of Compliance (WH-348) 2.24 Construction
830214* Storm Water Site Inspection 10.33 Office Supply
830215* Co-Permittee Certification Statement 10.33 Office Supply
830216* Notice of Discontinuation of a Stormwater Discharge 10.31 Office Supply
830230* Contract Quantity Agreement 2.27 Office Supply
830231* Subcontract Request and Approval 2.25 Contracts
830235* Interest Payment Information (Primary & Interstate Projects) 2.55 Office Supply
830237* Notice to Proceed 2.32 Office Supply
830238* Weekly Report of Working Days 2.33 Office Supply
830240* Change Order 2.36 Office Supply
830241* Weekly Report of Working Days (I/D) 2.33 Construction
830245* Noncompliance Notice 3.21 Office Supply
830430* Contractor Evaluation Report 2.38 Office Supply
830435* Statement of Completion and Final Acceptance of Work 2.37 Office Supply
830436* Final Payment 2.37 Office Supply

EEO and Employee Training
102115* Statement of DBE Commitments 2.25 Contracts
102116* Certification of DBE Accomplishment 2.25 Contracts
650170* Project Engineer’s EEO Project Site Inspection/Wage Rate Report 2.22 Contracts
650190 Monthly Training Report 2.23 Contracts

Final Estimate Related
181321* Contractor's Statement - Iowa Sales and Use Tax 2.29 Finance
FHWA-47 Statement of Materials & Labor 2.29 Construction

Miscellaneous
181300 Report of Investigation Vehicle Accident (Construction Zone Accidents) 5.23 Construction
640003* Certificate of Completion and Final Acceptance for Agreement Work 12.04 Office Supply
830301* Audit of Final Pay Estimate 2.43 Office Supply
OSHA-200 Log and Summary of Occupational Injuries and Illnesses 2.21 & 5.01 OSHA or 
Div. of Labor Services


*Forms also available at http://www.iadotforms.dot.state.ia.us/iowadotforms/Library.aspx


Grading
650014* Preliminary Estimate Clearing ROW 6.11 Construction
830214* Storm Water Site Inspection Report 10.33 Office Supply
830215* Co-Permittee Certification Statement 10.33 Office Supply
830216* Notice of Discontinuation of a Stormwater Discharge 10.31 Office Supply

Structures
830209* Log of Piling Driven with Wave Equation 11.25 Office Supply
800240E PCC Plant Page (English) 11.51 Office Supply
800240M PCC Plant Page (Metric) 11.51 Materials

Hot Mix Asphalt and Flexible Bases and Subbases
800241 Daily HMA Plant Report (English/Metric) 8.02 Office Supply

Portland Cement Concrete Paving
830212 Ready Mix Concrete Ticket 9.03 Office Supply
830213* Project Information/Paver Inspection 9.69 Construction
800240E PCC Plant Page (English) 9.02 Office Supply
800240M PCC Plant Page (Metric) 9.02 Materials

*Forms also available at http://www.iadotforms.dot.state.ia.us/iowadotforms/Library.aspx