Local Systems

Claim reimbursement form

A Microsoft Excel spreadsheet for requesting reimbursement from the Iowa DOT on federal-aid or state-aid contracts administered by the districts.

Iowa DOT Forms

The new public-facing Iowa DOT forms portal can be found here: https://iowadot.seamlessdocs.com/sc/. In the new portal, there are folders where the forms can be found. Most of the forms that LPAs use can be found in the Civil Rights, Construction & Materials, or the Local Government portals. The forms are listed by their form number, as well as the title of the form. There is also a search feature in the upper right corner.

Some of the forms used during construction will be found on Construction and Materials webpage: https://iowadot.gov/construction_materials/Inspection-tool

Change Order Form for Doc Express:

• Change Order form for Doc Express (zip)
  
  
  To download a ZIP file, click the form link; this will prompt your browser to ask if you want to open or save the file. Select Save.  After the download to your computer is complete, navigate to the ZIP file on your computer and click "Extract" in the pop-up menu. To view or fill out this PDF, you must open the PDF file using Adobe Reader, DO NOT open it in your web browser.

Additional DOT Forms:

• The DBE Commitment Information Form (517010) can be found in a Word fillable format here: Form 517010
• The DBE Payment Information Form (517011) can be found in a Word fillable format here: Form 517011

• The Certification of DBE Accomplishments Form (517013) can be found in a PDF fillable format here: Form 517013 (zip).
  
  
  To download a ZIP file, click the form link; this will prompt your browser to ask if you want to open or save the file. Select Save.  After the download to your computer is complete, navigate to the ZIP file on your computer and click "Extract" in the pop-up menu. To view or fill out this PDF, you must open the PDF file using Adobe Reader, DO NOT open it in your web browser.
• The Interest Payment Information Form (830236) can be found in a PDF fillable format here: Form 830236 (zip).
  
  
  To download a ZIP file, click the form link; this will prompt your browser to ask if you want to open or save the file. Select Save.  After the download to your computer is complete, navigate to the ZIP file on your computer and click "Extract" in the pop-up menu. To view or fill out this PDF, you must open the PDF file using Adobe Reader, DO NOT open it in your web browser.
• Statement of Completion and Final Acceptance of Work (830435)
  
• Statement of Completion and Final Acceptance of Work (830435 - For Doc Express)
  
• Final Payment (830436)
  
• Final Payment (830436 - For Doc Express)

• An LPA Consultant Evaluation Form is required when Federal-aid is utilized on consultant contracts, such as for Preliminary Engineering or Construction Engineering.  Projects where only construction is funded with Federal-aid do not require a consultant evaluation.  LPA Consultant Evaluation Form

SUDAS:

• Iowa Statewide Urban Design and Specifications

These design and specification manuals have been developed to provide a uniform set of design and specifications for use by any city or county government. These manuals are owned by the Iowa SUDAS Corporation, a non-profit organization composed of representatives from the Iowa DOT, cities, counties, and design consultants.

• Distribution Center Cash Sale Items Order Form/Instruction Sheet

Materials Audit Forms

These forms are used by a local agency's project inspector to document compliance with the Iowa DOT Standard Specifications of materials incorporated into a project using these specifications. To view or print these forms, go to the link above to Materials IM 101.

• Portland Cement Concrete (PCC)
• Hot Mix Asphalt (HMA)
• Quality Assurance Program
• Find a Certified Materials Technician