ITD Forms Index

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Form Number Form Name Revision Date
0017 Summation of Compensation on Before and After Appraisals 2-05
0025 Standard Construction Diary 3-05
0033 Chemical Deicer Sample 10-02
0047 Professional Service Agreements Handbook Change Request 1-03
0049 Environmental Evaluation for Pavement Preservation Projects 10-04-15
0052 Rest Area Activities Program Application 5-03
0060 Certification of Indebtedness 08-13
0062 Dispute Review Board (DRB) Candidate Solicitation 01-17
0070 Concrete Batch Ticket 11-15
0072 Water Load Count 09-13
0077 Water Truck Volume Calculation 06-10-14
0086 Contractor EEO Compliance Report 08-12
0098 Standard Equipment and Personnel List 4-05
0130 Legal Description Essential Requirements Checklist 4-07
0131 Plans Essential Requirements Checklist 05-13
0135 Coroner's Report of Motor Vehicle Crash Fatality 01-17
0152 Statement of Public Interest 09-13
0172 Project Working Day Calculation 11-05
0173 Project Time Adjustment Factors 11-05
0174 Safe Routes to School Non-Infrastructure Progress Report 12-11
0180 Maintenance Operations School Outreach Program 02-10
0181 Maintenance Operations School Outreach Program Presentation Report 3-06
0185 Traffic Control Device Quantity Claim 8-06
0188 Safe Routes to School Reimbursement Claim 5-09
0190 Safe Routes To School (SR2S) Project Concept Report 11-07
0191 Safe Routes to School (SR2S) Budget Itemization 01-09
0207 Betty the Butterfly School Outreach Program 12-08
0208 Betty the Butterfly School Outreach Program Presentation Report 10-08
0210 Hydraulics Structures Survey 08-16
0211 Environmental Screening 09-10
0218 Materials Lease 12-13
0221 Facility Inventory and Checklist 03-10
0223 Material Source MSGP Evaluation 08-10
0229 Safe Routes to School Data Report 12-11
0232 Highway Project Addendum Request 03-15
0237 Safe Routes To School (SR2S) Purchase Request 02-12
0238 Preconstruction Conference Attendence 01-10
0243 Transportation Asset Management System (TAMS) Service Request 01-11
0259 Invoice or Reimbursement Voucher 09-16
0275 Application and Permit For Tourist Oriented Directional Signs (TODS) Along Primary and Secondary Highways 08-10
0283 Work Zone Positive Protection Guidance 07-16
0289 Programmatic Biological Assessment Project Pre-notification 01-13
0290 Programmatic Biological Assessment Construction Monitoring 04-10
0315 Request to Subcontract or Sub-Subcontract 08-16
0332 Infrastructure Project Charter 09-13
0333 Non-Infrastructure Project Charter Template 09-13
0363 Right of Way Contract 7-92
0365 Right of Way Incidental Payments 4-88
0370 Labor Weekly Force Account 12-16
0371 Equipment Weekly Force Account (02-11 version)* 10-15
0372 Materials Weekly Force Account 02-11
0373 Force Account Summary 02-11
0400 Change Order 05-14
0403 Utility Agreement Change Order 05-14
0404 Standard Computation Sheet 8-03
0405 Revision to Right of Way Plans 1-04
0414 Sub-Awardee Reporting for the Federal Funding Accountability and Transparency Act (FFATA) 11-15
0602 Railroad Crossing Evaluation Report 9-08
0604 Hot Plant Daily Worksheet 10-11
0606 Current Access Purchase Determination 03-13
0627 Construction Signing 05-14
0643 Acquisition and Relocation Packet Cover Sheet 7-05
0644 Acquisition and Relocation Packet Cover 7-05
0645 Traffic Accident Field Report 10-12
0646B Schedule B Information for Determining Joint Venture Eligibility 8-99
0649 Environmental Evaluation For Installation of Signs, Pavement Markings 03-16
0652 Hazardous Materials Administrative Review 1-08
0654 Environmental Evaluation 10-10
0674 Environmental Reevaluation 05-11
0740 Claim For Right Of Way Payment 4-90
0761 Application and Permit to Install Logo Signs Along Interstate and Other Fully Controlled Access Highways 4-07
0767 Project Quality Evaluation 10-12
0769 Pavement Smoothness Bonus Sheet - Schedule I and II 10-13
0771 Professional Agreement Invoice and Progress Report 01-17
0772 Super Pave Test Strip Acceptance Testing Summary 06-10
0773 Report of Super Pave Mix Properties Gradation Analysis Asphalt Content and Gyratory Properties 1-08
0774 Production SuperPave Workbook 02-17
0777 Super Pave Production Test Report 03-16
0795 TRMS Periodic Accounts Receivable Rental Receipts 7-91
0796 Independent Assurance Inspector Diary 4-04
0797 P.C.C. Pavement Texture Depth Using Tire Tread Depth Gauge Recording Form 02-17
0801 Report of Tests on Concrete Aggregate 09-11
0802 Aggregate Tests Report 10-09
0803 Report of Tests on Soil 2-95
0806 Soil Mechanics Laboratory Testing Program 11-99
0810 Report of Tests on Portland Cement 2-95
0816 Certification Of Training For Transportation of Nuclear Devices 3-04
0817 Nuclear Program Audit 3-04
0820 Plant Mix Pavement Device Correlation 03-16
0822 Inspection Seal 2-06
0824 Shippers Certification for Radioactive Materials 11-16
0825 Nuclear Gauge Inventory Record 07-16
0827 Plastic PCC Pavement Thickness Recording Form 8-98
0828 Nuclear Asphalt Content Gage Calibration Sample Makeup Sheet 6-97
0829 Report of Tests on Liquid Asphalt Asphalt Cement 12-97
0831 Report for Asphalt Binder Content by Nuclear Gauge WAQTC TM4 4-02
0832 Report of Plant Mix Properties 8-04
0833 Field Test For Plant Mix (Loose) 12-12
0845 Compressive Strength Testing Report For Concrete Cylinders, Grout Cubes, and Cores 10-15
0849 Manufacturers Certification of Geotextile Geogrid Materials 04-14
0850 Nuclear Density and Compaction Report for Soil and Aggregate 5-11
0851 Manufacturers or Fabricators Miscellaneous Material Certification 9-09
0852 Materials Certification Checklist 10-12
0853-1 Materials Inspection Summary Compaction Tests 10-00
0853-2 Materials Inspection Summary Aggregate Production 3-97
0853-3 Materials Inspection Summary Plant Mix Aggregate 3-97
0853-4 Materials Inspection Summary Nuclear Density Tests T-126 3-97
0853-5 Materials Inspection Summary Asphalt 3-97
0853-6 Materials Inspection Summary Concrete Aggregate 3-97
0853-7 Materials Inspection Summary Cement 3-97
0853-8 Materials Inspection Summary Miscellaneous Items 3-97
0854 Resident Engineers Letter Of Inspection Of Contract Items 10-28-13
0855 Compaction Report for Plant Mix Pavement Production Density 04-16
0857 Independent Assurance Test Report 12-12
0858 Materials Summary Report District 1A Audit per QA Manual Section 460.00 11-12
0859 Performance Graded Binder Sample Identification 04-10
0860 Independent Assurance Tests Log 08-14
0862 Quality Acceptance And IA Sample Schedule 02-13
0863 Nuclear Gage Dispatch Log 4/04
0864 TLD Personnel List Nuclear Program 2-06
0866 Wipe Test Kit for Nuclear Density Gage 10-14
0873 Report of Tests on Fly Ash 7-02
0875 Certification of Concrete With Specified Strength of 3000 psi 20.5 Mpa or Less 2-08
0879 Summary of Test Strip Acceptance Testing 1-08
0880 Profilograph Summary 8-98
0881 Rock Point Load Test 6-97
0891 Plant Mix Pavement Test Strip Density Worksheet 3-03
0892 Report of Plant Mix Laboratory Core Density and Percent Compaction 06-11
0893 Concrete Ready Mix Plant Inspection 3-06
0898 Moisture Density Relations Of Soil 01-17
0901 Aggregate Data Sheet 10-15
0907 Concrete Mix Design Review For Structural Or Pavement Design 10-05
0908 Immersion Compression Worksheet AASHTO T165 T167 03-14
0912 Steel Bars For Concrete Reinforcement Worksheet 10-03
0913 Materials Summary Review 11-12
0914 Steel Certification 8-09
0917 Ignition Oven Correction Factor 6-05
0920 Laboratory Testing Equipment Inventory 8-04
0921 On Site Inspection Report ITD Laboratory Qualification Program 01-14
0931 Materials Change Or Minimum Test Frequency Recommendation 12-99
0943 Mechanical Analysis Hydrometer Graph 03-13
0944 Phase 2 Soils Report Summary 05-04
0945 Preventive Maintenance Oil Analysis Sample 5-05
0949 Individual Technician Qualifications 6-06
0952 Individual Technician Qualification For AASHTO T176 6-06
0966 PG Binder Supplier's Certification 3-07
0968 Cement / Fly Ash Compliance Certificate 01-12
0969 Pile Driving Hammer Data Needed for Wave Equation Analysis 12-16
0970 Test Pile Record 12-16
0971 Individual Pile Driving Record 12-16
0972 Pile Driving Summary Report - Pile Length and Capacity 12-16
0973 Summary Report of Pile Driving Pile Layout 12-16
0978 Pavement Testing Worksheet 12-06
0981 Field Boring Test Pit Log 01-13
0983 Aggregate Specific Gravity 6-07
1000 Request for Supplies Labor Equipment 12-16
1013 Cooperative Transportation Research Program Project Task Order 04-12
1018 Deicer / Salt Information for Testing 11-12
1043 Combined Aggregate for Concrete 02-13
1044 Sample Information for Testing 08-12
1044Instructions Sample Information for Testing Instructions 09-08
1045 Sample Data Sheet Emulsified Asphalt and Cutbacks 02-11
1046 Plant Mix Aggregate Data Sheet 05-12
1047 Geotextile Testing 10-14
1048 Geogrid Test Results 10-21-14
1049 Sign Agent's Application Review and Field Inspection 5-07
1055 Noise Barrier Abatement Checklist 09-11
1056 Noise Abatement Decision Checklist 05-11
1057 Optional Non-Barrier Noise Abatement Checklist 05-11
1060 Petition for Highway Maintenance 04-14
1121 Materials Source Release 9-03
1130 Tare Record 4-94
1150 Project Cost Summary Sheet 09-13
1152 4 Leg Turning Movement 3/10
1232 Equipment Rental Agreement 03-17
1233 Aerial Photography Rental Agreement
1308 Concrete Placement Inspection 11-03
1406 Construction Inspection Report 10-16
1415 Minimum Traffic Signal Warrants 11-04
1438 Right of Way Agent Acquisition Review Report 05-11
1440 Request for Condemnation Action 04-12
1444 Fee Appraisal Reviewer Agreement 04-14
1445 Fee Appraisal Agreement 04-14
1446 Supplement To Professional Services Agreement 06-12
1453 Letter of Transmittal 6-02
1454 General Sale Data 6-02
1456 Purchase Option 12-13
1457 Contract Appraiser Application 5-02
1465 Rating Form for New Certified General Appraiser Applicants 10-13
1466 Property Compensation Estimate 07-12
1467 Rating of Appraisers for Bids 03-12
1473 Land Section Plat 01-09
1500 Cultural Resource Investigation Request 06-15
1502 Determination of Significance and Effect 01-16
1701 Disadvantaged Business Enterprise Job Site Review Commercially Useful Function Determination 05-12
1800 Payroll Appointment Affidavit 06-14
1810 Report of Tests on Steel Bars for Concrete Reinforcement 4-07
1811 Report of Tests on Bolts, Nuts, Washers and Direct Tension Indicators 05-16
1812 Report for Welded Wire Fabric Tests 7-07
1813 Report Of Tests On Uncoated Seven Wire Stressed Relieved Strand For Prestressed Concrete 7-07
1845 Audit Report 11-02
1850 Outdoor Advertising Sign Application and Permit 05-13
1851 Application For Outdoor Advertising Business License 12-06
1852 Outdoor Advertising Business License 10-10
1853 Application For Junkyard Dump License 11-05
1854 Junkyard License 10-10
1866 Cement Recycled Asphalt Base Stabilization (CRABS) Density Verification 3-09
1896 Appraisers Certification 01-12
1961 Acquisition Review Report 1-87
1970 Project Records Inspection 03-16
1983 Local Public Agency's Certificate of Completion of Right of Way Activities 10-15-10
1996 Final Inspection and Review of Final Estimate and Records 1-05
2009 Property Ownership Data 03-16
2010 Quantity Tally Sheet - Weight Measurement 1-08
2011 Daily Herbicide Application Log 09-14
2014 Labor Compliance Employee Interview 08-16
2023 Replacement Housing Payment Determinations and Supplements 10-03
2024 Dwelling Inspection Report 8-01
2025 Residential Claim for Relocation Payment 12-02
2026 Replacement Housing Claim for Relocation Payment 12-02
2027 Increased Mortgage Interest Cost Calculation 1-90
2028 Business Claim for Relocation Payment 12-02
2039 Relocation Plan 11-01
2041 Claim for Incidental Expenses 11-01
2042 Calculation of ProRata Taxes 11-01
2055 Avoid Verbal Order Speed Letter 11-14
2060 Replacement Property Listing 8-02
2108 ITD Property Use Application and Permit 09-12
2109 Right of Way Encroachment Application and Permit Approaches or Public Streets 11-13
2110 Right of Way Encroachment Application And Permit For Utilities 08-16
2111 Right of Way Encroachment Application and Permit Other Encroachments 11-13
2115 Traffic Accident Memorial Application And Permit To Use Right of Way 4-03
2116 Surviving Family Consent For Traffic Accident Memorial 4-03
2117 Adjacent Property Owner Consent For Traffic Accident Memorial 4-03
2155 Schedule Of Improvements To Be Cleared 3-79
2161 Local Public Agency Project Monthly Right of Way Status Report 8-02
2193 Residential Market Data 12-80
2200 Claim For Sale or Relocation of Outdoor Advertising Sign 9-76
2204 Sign Purchase Summary 1-78
2211 Sign Removal Worksheet 7-92
2216 Scale Approval Log Sheet 10-89
2242 Elapsed Time and Work Status Statement 05-14
2251 Claim For Payment Of Sign Site 4-92
2288 Appraisal Report 11-13
2311 Notice To Remove Advertising Display 12-06
2317 Record of Change Order Authorization 06-14
2317 Instructions Record of Change Order Instructions 09-14
2393 Agreement for Noxious Weed Control 1-94
2394 Request for Approval of In-Kind Work by Local Sponsor on Federal-Aid Projects 06-14
2395 Request for Federal Aid on No Bid Items of Work Force Account 05-14
2396 DBE Commitments 01-15
2398 Consultant DBE Commitment 06-11
2435 Local Federal Aid Project Request 01-09
2436 Specification Change Request 10-14
2443 Cooperative Agreement for Gopher Control 11-81
2527 Request for Approval to Dispose of Real Property 11-90
2538 Roadside Rest Areas Maintenance Inspection Report 06-11
2540 Emergency Phone Numbers 4-07
2544 Request For Approval To Purchase Real Property 09-13
2565 Short Term Lease Agreement 05-16
2566 Long Term Lease Agreement 05-16
2567 Lease of Airport Property 3-07
2624 Fuel Price Adjustment Report 09-14
2625 Asphalt Price Adjustment Report 09-14
2665 Floodway Revision Requirement 1-98
2674 Resident Engineers On Site Inspection Equal Employment Opportunity 9-09
2687 Temporary Traffic Control Checklist 6-04
2690 Proposal for Acquisition Relocation of Advertising Sign 6-01
2697 Worksheet for Right of Way Acquisition Related Interest Calculations 2-98
2698 Loop Detector Test Report 6-04
2702 Airspace Leasing Agreement 3-07
2713 Safety Inspection Report 3-08
2721 Idaho Volunteer Services Program Agreement Terms and Conditions 2-10
2722 Idaho Volunteer Services Program Application 08-12
2741 Construction Stormwater Site Evaluation Worksheet 12-12
2759 Consultant Services Performance Evaluation 10-01
2774 Adopt a Highway Cleanup Report 07-11
2775 Training Action Request 6-02
2776 Trainee Monthly Progress Record 01-10
2777 On The Job Training Agreement 4-09
2784 Stormwater Site Assessment 09-11
2786 Construction Site Inspection Report 09-12
2788 Erosion and Sediment Control Plan 07-15
2789 Stormwater Document Change Request 04-12
2790 Notice of Potential Violation of the Construction General Permit (CGP) or Notice of Prohibited Discharge 01-14
2802 Stormwater Compliance Report 02-15
2802Instructions ITD 2802 INstructions and Inspection Procedures 11-12
2803 Environmental Evaluation (TAP or SR2S Projects) 05-16
2804 Adopt A Highway Contract Renewal 07-11
2827 Surplus Property Value Estimate 1-07
2828 Request and Authorization for Disposal, Release, or Sale of Real Property 02-14
2830 Right of Way Training Program Completion of Standards 7-96
2831 Idaho Adopt a Highway Operation Wildflower Application 1-06
2837 Relocation Opinion Survey with Business Reply Permit Number 1078 9-96
2838 Property Owner Opinion Survey with Business Reply Permit 1078 9-96
2839 Right of Way Cost Estimate 6-98
2841 Claim For Relocation Payment Assignment Of Claim Request 11-96
2863 Idaho Adopt a Highway Equipment Request 08-12
2865 Request for Survey Work 5-04
2868 Idaho Adopt a Highway Program Agreement Terms and Conditions 08-12
2869 Idaho Adopt a Highway Program Application 08-12
2870 Volunteer Release of Liability for Adopt a Highway, Volunteer and Rest Area Activities 2-10
2871 Volunteer Release of Liability for Adopt a Highway, Volunteer and Rest Area Programs for Under 18 2-10
2880 Idaho Adopt a Highway Program Volunteer Group Information 08-12
2884 Contractor Request for Change (RFC) 08-11
2887 Rest Area Activities Program Agreement Terms and Conditions 5-03
2905 Inspector Qualification Registration 03-15
2939 Quantity Tally Sheet - Volume Measurement 6-05
2950 Stormwater Pollution Prevention Plan (SWPPP) Narrative for Construction Activities 04-14
2951 2012 Construction General Permit (CGP) Contractor or Local Entity Delegation of CGP Signature Authority 04-13
2952 2012 Construction General Permit (CGP) ITD Delegation of CGP Signature Authority 04-13
2953 Corrective Action Reporting Tables 04-13
2954 Subcontractor Certification of Stormwater Pollution Prevention Plan (SWPPP) 04-13
2955 SWPPP Modification Log 04-13
2956 Grading and Stabilization Activities Log 04-13
2957 SWPPP Modification and/or Corrective Action Report Signature and Certification 04-13
2958 Stormwater Pollution Prevention (SWPPP) Training Log 04-13
2959 Construction Site Stormwater Pollution Prevention Plan (SWPPP) Review Checklist 02-14
2960 LHTAC Transfer of SWPPP Inspection Responsibility 07-14
2960Instructions Procedures for ITD 2960, LHTAC Transfer of SWPPP Inspection Responsibility 09-14
2961 Contractor Request to File Project Notice of Termination (NOT) of the Environmental Protection Agency's (EPA) Construction General Permit 07-14
5204 Fixture Personal Property Inventory 6-09
FHWA1494 Semiannual Labor Compliance Enforcement Report 4-98