Documents and Forms
The documents provided on this website are outlined in the Local Government Guidelines below. Refer to the manual for additional information. Local governments should start using the new forms and documents immediately for their projects.
Local Government Guidelines Manual
Local Government Guidelines Manual, Eighth Edition, June 1, 2023 Revisions
Forms, Checklists & Letter Templates
- Form 5-1a: Project-Level Proprietary Product Certification Letter Template (Sample)
- Form 5-1b: Agency Proprietary Product Certification Letter Template (Sample)
- Form 5-2: Design Exception Request and Justification Form (Sample)
- Form 5-3: Design Policies Checklist and Certification (Sample)
- Form 5-4: Structures Design Checklist (Sample)
- Form 5-5: Design Waiver Request Form
- Form 5-6: TMP Local Program Package
- Form 8-0: Permit Certification Form
- Form 8-1 Federal: Proposal Contract Template (Sample Bid Book) (Sample)
- Form 8-1 State: Proposal Contract Template (Sample Bid Book) (Sample)
- Form 8-2: Construction Advertisement Authorization Checklist (Sample)
- Form 8-3: Bid Advertisement Template (Sample)
- Form 8-4: Construction Advertising and Award Checklist (Sample)
- Form 8-5: DBE Award Information (Sample)
- Form 8-6: Construction Project Files
- Form 8-7a: Subcontract Form (1st Tier) (Sample)
- Form 8-7b: Subcontract Form (2nd Tier) (Sample)
- Form 8-7c: Subcontract Form (3rd Tier) (Sample)
- Form 8-8a: DBE Company Profile (Sample)
- Form 8-8b: DBE Material Supplier (Sample)
- Form 8-9: Commercially Useful Function Checklist (Sample)
- Form 8-10a: Pre-Construction Conference Notice (Sample)
- Form 8-10b: Erosion Conference Notice (Sample)
- Form 8-10c: Utility Conference Notice
- Form 8-11a: Pre-Construction Conference Minutes (Sample)
- Form 8-11b: Erosion Conference Minutes (Sample)
- Form 8-12: Conference Sign In Sheet (Sample)
- Form 8-13: Project Utility Diary (Sample)
- Form 8-14: Utility Item Certification and Final Acceptance (Sample)
- Form 8-15: Railroad Completion Notice (Sample)
- Form 8-16: Construction Checklist (Sample)
- Form 8-17: Start Notice (Sample)
- Form 8-18: Attestation of Illegal Immigrants Form (Sample)
- Form 8-19: Hot Mix Asphalt Plant Inspector Checklist (Sample)
- Form 8-20: Hot Mix Asphalt Roadway Inspector Checklist (Sample)
- Form 8-21: Work Zone Traffic Control Inspection Form (Sample)
- Form 8-22: Bridge Construction Inspector Checklist (Sample)
- Form 8-23: Bridge Deck Pre-Pour Checklist (Sample)
- Form 8-24: Bridge Deck During Pour Checklist (Sample)
- Form 8-25: Bridge Deck Post-Pour Checklist (Sample)
- Form 8-26: Structures Construction Checklist (Sample)
- Form 8-27: TDOT EPSC Inspection Form (Sample)
- Form 8-28: Notice of Termination Form (Sample)
- Form 8-29: Prompt Payment To Subcontractors Form (Sample)
- Form 8-30: Change Order Form
- Form 8-31: Contractor Material Certification and/or Material Certification
- Form 8-32: Punch List Form (Sample)
- Form 8-33: Completion Notice (Sample)
- Form 8-34: Contractor's Affidavit (Sample)
- Form 8-35: CC-3 Form (Sample)
- Form 8-36: End of Job Certificate (Sample)
- Local Government Guidelines Process Overview Flowchart
- 100 Percent Federally Eligible Items
- Stakeholder Comment Form
- Non-Motorized Transportation Facility Design Criteria (Shared-Use Path) Memo
- Roadway Design Checklist
- Common Issues on Local Programs Plans
- TDOT Policy No. 355-02 Awards of Construction Contracts
- Tennessee Environmental Procedures Manual, 2011 Revision
- Environmental Permit Certification Memo
- Section 106 (Historical) Cultural Resources Template
- OMB Circular A-133 Audit Information
- TDOT Policy No. 301-02, Davis Bacon Act and Contractor Payrolls
- Loose-leaf Field Book Templates
- TDOT Local Programs Circular Letters
- Local Government Guidelines for Completing the NEPA Process
- Local Programs Environmental Document Template
- ROW Local Public Agency Deed Format Requirements
Questions? Call (615) 741-5314 to reach a Local Programs Office representative.