Utility forms and publications
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Utility forms and publications

Forms

No. Title
1082 Utility Installation Request
1818 Material Statement
2806 Construction Materials Buy America Certification
ROW-U-13 Open Reimbursable Authorization Letter
ROW-U-27 Open Reimbursable Authorization Letter
ROW-U-35 Standard Utility Agreement
ROW-U-40 Signature Authority
ROW-U-43A Standard Utility Agreement Lump Sum - Local Government
ROW-U-43B Standard Utility Agreement Actual Cost - Local Government
ROW-U-45 Tabulation of Utility Adjustments (SUP)
ROW-U-48 Statement Covering Utility Construction Contract Work (As Appearing in Estimate)
ROW-U-48-1 Statement Covering Utility Construction Contract Work (In the State's Highway Construction Contract)
ROW-U-139 Indemnity Agreement for Fiber Optic Facility
ROW-U-139A Master Indemnity Agreement for Fiber Optic Facility
ROW-U-Affidavit ROW-U-Affidavit
ROW-U-AgmntCheck Utility Accommodation / Adjustment Checklist
ROW-U-BAV Utility Coordination Buy America Verification
ROW-U-BillChkDist Utility Payment/Billing Checklist - District
ROW-U-CFUA Certification for Utility Accommodation
ROW-U-CLEARANCE Utility Clearance Letter
ROW-U-COA Standard Utility Agreement Supplemental Agreement No.___ to U-___
ROW-U-EWA Emergency Work Authorization Post-highway Letting
ROW-U-JUA Utility Joint Use Acknowledgement Reimbursable Utility Adjustment
ROW-U-MA Master Utility Agreement
ROW-U-MOU1 Utility Memorandum of Understanding (For use with utility entities)
ROW-U-MOU2 Utility Memorandum of Understanding (For use with utility industry associations)
ROW-U-NOPC Notice of Proposed Construction
ROW-U-NORA Notice of Required Accommodation
ROW-U-SP2125 Application for State Participation in the Relocation of Certain Publicly-Owned Utility Facilities
ROW-U-SuppCheck Supplemental Utility Adjustment Checklist
ROW-U-UAD Utility Accommodation Declaration