DOH Forms

If you have an EXECUTIVE domain account, you can access these files on the DOT intranet here: https://sharepoint.wv.gov/sites/dot/Docs/DOH%20Forms/Forms/Forms%20By%20Lead%20Org.aspx

  

NameForm NumberLead OrganizationDescription/
Instructions
6 Month Equipment EvaluationEquipment

Show

Assignment of Future WagesHuman Resources

Show

Cost Report FormLegal

Show

Daily Work Record SC-477

Show

DBE CONTRACTOR'S PERFORMANCE REPORT

Show

Equipment Operator Accounability PolicyEquipment

Show

Excess Hours Reporting Form

Show

New Equipment EvaluationEquipment

Show

Order Form for Proposals, Plans & X-SectionsContract Administration

Show

Overtime Worked/Emergency WorksheetMaintenance

Show

Report of Motor Vehicle Accident (AR-13)

Show

Safety Awards Nominations Form

Show

Salvage Yard ApplicationTraffic

Show

Scheduled Overtime WorksheetMaintenance

Show

Worker's Compensation Declination FormHuman Resources

Show

Workers' Compensation Declination to File Workers’ Compensation (BrickStreet Insurance) Claim FormHuman Resources

Show

Workers' Compensation Temporary Total Disability Benefits or Sick Leave Benefits Election of OptionHuman Resources

Show

Employees in AttendanceAH-01Human Resources

Show

Employee Evaluation Form (training course)AH-03Human Resources

Show

Overall Rating Form (training course)AH-04Human Resources

Show

Employee Verification (salary)AW-508Human Resources

Show

Employee Verification (hourly)AW-509Human Resources

Show

PAYROLL TRANSACTION - PARKING DEDUCTION (BF-129P)BF-129PFinance

Show

Receipts Account Deposit Ticket LogBF-140Finance

Show

Use of State Vehicle for CommutingBF-155Finance

Show

Daily Permit and Map Sales RecordBF-23Finance

Show

Official Station AssignmentBF-30Finance

Show

Official Station Assignment LogBF-30AFinance

Show

TransmittalBF-56Finance

Show

Verbal AuthorizationBF-98CFinance

Show

Employee’s and Physician's Report of InjuryBI-1Human Resources

Show

Claim Reopening ApplicationBI-125Human Resources

Show

Employer’s Report of InjuryBI-3Human Resources

Show

Return to Work NoticeBI-309Human Resources

Show

Application for Outdoor Advertising LicenseDN-12Traffic

Show

Operators Qualification ReportDOH-20Human Resources

Show

Long Distance Toll CallsDOH-45Finance

Show

Request for Assignment of a DOH Transportation VehicleDOH-55District/Division

Show

Building and Grounds Work OrderDOH-8District/Division/Finance

Show

Roadside Memorial Sign ApplicationDT-57Traffic

Show

Underground Storage Tank Monitoring LogGL-1Equipment

Show

Employment FormGL-4Human Resources

Show

Transaction FormGL-5Human Resources

Show

Interview RecordGL-541Human Resources

Show

Education/License/Skills RecordGL-6Human Resources

Show

Micro-Film RequestGS-41Office Services

Show

Employment Eligibility VerificationI-9Human Resources

Show

Field Report InformationME-114Equipment

Show

Field Report TankME-115Equipment

Show

Equipment PurchasesMQ-39Equipment

Show

Permit LogMT-66Maintenance

Show

Fabrication Welding VerificationOE-200Equipment

Show

Agency Bill of SaleOE-90Equipment

Show

Equipment Evaluation FormOE-97Equipment

Show

Special Permit for Single TripOH-16Maintenance

Show

Maintenance Schedule WorksheetOM-41Maintenance

Show

Changes to the State Highway SystemOM-79Maintenance

Show

Exit SurveyRL-507Human Resources

Show

Notice to Employee of Immediate Oral Suspension Followed by Written Notice and an Opportunity to RespondRL-545Human Resources

Show

Application and Interview LogRL-551Human Resources

Show

Hot-Laid Bituminous Concrete Project CostSM-100Maintenance

Show

Aggregate - Low Bid ComputationSM-102Maintenance

Show

Statement of AcceptanceSM-93Maintenance

Show

WV DOT Privacy Notices | Contact Us | Site Map | Disclaimer
E.E.O./AFFIRMATIVE ACTION EMPLOYER

Privacy, Security and Accessibility | WV.gov | USA.gov | © 2014 State of West Virginia