DOT 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/Documents/Forms/DOT%20Form%20View.aspx

  

NameForm NumberLead OrganizationDescription/
Instructions
160-Day Temporary AppointmentHuman Resources

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Application for Payment of Unused Sick Leave & Reimbursement AgreementDivision of Personnel

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Application to Donate Annual LeaveHuman Resources

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Application to Receive Donated LeaveHuman Resources

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Assignment of Future WagesFinance/Payrolll

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Certification of Non-Conflict of InterestFinance/Procurement

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Citibank® Commercial Card Setup FormFinance/Procurement

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Citibank® Government Cardholder Dispute FormFinance/Procurement

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Citibank® Maintenance FormFinance/Procurement

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Combined Confidentiality Agreement and Information Security AcknowledgementHuman Resources

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Confidentiality AgreementHuman Resources

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Division of Personnel Additional Duties Posting NoticeDivision of Personnel

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Division of Personnel Application for ExaminationDivision of Personnel

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Division of Personnel Application for Examination - Employment History Supplemental FormDivision of Personnel

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Division of Personnel Position DescriptionDivision of Personnel

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Education and State Employees Grievance Board Form for State EmployeesHuman Resources

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Educational Expense Reimbursement AgreementHuman Resources

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Educational Expense Reimbursement ApplicationHuman Resources

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Educational Expense Reimbursement Payment RequestHuman Resources

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Employee Handbook AcknowledgementHuman Resources

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Employee Reimbursement RequestFinance

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Employee Reimbursement Request

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Financial End Date Adjustment and Project Completion Notification

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Information Security AcknowledgementHuman Resources

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Information Technology Policy Acknowledgement StatementInformation Services

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Instructions for Fuel PurchasesFinance/Procurement

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INVENTORY USAGE OR TRANSFER (DOT-6)

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Notice of Eligibility to Receive Donated LeaveHuman Resources

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Office of Technology Share Request FormInformation Services

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Office of Technology VPN Remote Access FormInformation Services

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Personally Identifiable Information Access Request FormExecutive

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Personally Identifiable Information Forms - InstructionsExecutive

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PII Access Request Log

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PII Access Response FormExecutive

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PII Complaint FormExecutive

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PII Incident ReportExecutive

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Pre-Bid Conference Sign-in SheetFinance/Procurement

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Remote Access RequestInformation Services

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State Employee Suggestion FormLegislative Services

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State of West Virginia Employee Performance Appraisal for Maintenance AssistantHuman Resources

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State of West Virginia Employee Performance Appraisal for Transportation Crew ChiefHuman Resources

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State of West Virginia Employee Performance Appraisal for Transportation Crew SupervisorHuman Resources

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State of West Virginia Employee Performance Appraisal for Transportation Worker 2 and 3 - Equipment OperatorHuman Resources

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State of West Virginia Purchasing Card Coordinator's LogsFinance/Procurement

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State of West Virginia Purchasing Card Log SheetFinance/Procurement

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State of West Virginia Purchasing Card Vendor Complaint FormFinance/Procurement

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State of West Virginia Purchasing Cardholder AgreementFinance/Procurement

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State of West Virginia Purchasing Division Purchasing AffidavitFinance/Procurement

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State of West Virginia Sole Source DeterminationFinance/Procurement

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State of WV Employee Performance AppraisalHuman Resources

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State of WV Employee Performance Appraisal for Assistant District Engineer - MaintenanceHuman Resources

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State of WV Employee Performance Appraisal for County Highway AdministratorHuman Resources

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State of WV Travel Expense Account SettlementFinance

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Telecommunications Change RequestFinance/Procurement

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Telecommunications Change Request (TCR)

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United Bank West Virginia Travel Card ApplicationFinance

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VPN Login Instructions

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Warranty Claims SummaryEquipment

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Zurich Mileage ReimbursementHuman Resources

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CONCERNS FOR DISCUSSION - EMPLOYEE EVALUATIONS (AH-501)AH-501Human Resources

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RECORD OF SIGNIFICANT OCCURRENCE (AH-503)AH-503Human Resources

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REASONABLE SUSPICION DOCUMENTATION (AH-505)AH-505Human Resources

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Journal Voucher (BF-143)BF-143Finance

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Financial End Date Adjustment and Project Completion NotificationBF-150Finance

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CONSULTANT VOUCHER (BF-2)BF-2Finance

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INVOICE (BF-38)BF-38Finance

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NON-CONTRACT CLOTHING/APPAREL RELATED PURCHASE JUSTIFICATION AND APPROVAL FORMBF-52Finance/P-Card Coordinator

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AUTHORIZATION (BF-98)BF-98Finance

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REQEST FOR SERVICES (BI - 15)BI-15Information Services

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REQUEST FOR PHOTOGRAPHIC SERVICES (AO-24)BZ-24Office Services

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DOCUMENT CONTROL LOG (DOT-1)DOT-1Finance

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TRANSMITTAL (DOT-104)DOT-104Finance

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TRANSMITTAL LETTER (DOT-104)DOT-104Finance

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SMALL PURCHASE REQUISITION (DOT-105)DOT-105Finance/Procurement

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TELEPHONE BID DOC. & LOW-BID DETERMIN.(DOT-105B)DOT-105BFinance/Procurement

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DOT FAX ORDER (DOT-105F)DOT-105FFinance/Procurement

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STOLEN OR MISSING PROPERTY (DOT-114)DOT-114Finance/Procurement, Equipment, Highway Operations

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DAILY WORK REPORT (DOT-12)DOT-12Finance, Equipment, Highway Operations

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Payroll/Benefits Transaction Form (DOT-129)DOT-129Finance

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REQUEST FOR PAYROLL CORRECTION (DOT-12A)DOT-12AFinance

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LABOR REPORT (DOT12L)DOT-12LFinance

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LABOR & EQUIPMENT REPORT (DOT-12LE)DOT-12LEFinance, Equipment

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DOCUMENT TRANSMITTAL (DOT-19)DOT-19Finance/Procurement

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WEST VIRGINIA DEPARTMENT OF TRANSPORTATIONDOT-2Finance

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PRINTING SERVICES REQUEST (DOT-22)DOT-22Office Services

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Business Card Order Form (DOT-25)DOT-25Office Services

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PURCHASE ORDER CONTROL LOG (DOT-3)DOT-3Finance/Procurement

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PURCHASING REQ. & CODE SHEET (DOT-35)DOT-35Finance/Procurement

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SYSTEM SECURITY REQUEST (DOT-357)DOT-357Information Services

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PURCHASING REQUISITION/QUOTATIONS (DOT-35A)DOT-35AFinance/Procurement

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RECEIPT OF MATERIALS/SERVICES RECORD (DOT-5)DOT-5Finance/Procurement

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EMPLOYMENT FORM (DOT-504)DOT-504Human Resources

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TRANSACTION FORM (GL-5)DOT-505 (GL-5)Human Resources

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EDUCATIONAL RECORD & SKILLS INVENTORY (GL-6)DOT-506 (GL-6)Human Resources

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Departing Employee Check Sheet, DOT-508DOT-508Human Resources

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FORM DOT-534DOT-534Human Resources

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REQUEST FOR PERSONAL VEHICLE USE (DOT-55P)DOT-55PFinance

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INVENTORY USAGE OR TRANSFER (DOT-6)DOT-6Finance/Procurement

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EQUIPMENT METER READINGS & METER STATUS (DOT-65)DOT-65Equipment

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Request for Inventory Write-OffDOT-6AFinance/Procurement

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REQUEST FOR PARTS/MATERIALS/SUPPLIES INVENTORY WRITE-OFF - ATTACHMENTDOT-6AAFinance/Procurement

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FIXED ASSETS INVENTORY FIELD REPORT (DOT-877)DOT-877Finance/Procurement

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TRANSFER OR STATUS CHANGE OF EQUIPMENT(DOT-91)DOT-91Highway Operations, Equipment

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DISCRIMINATION COMPLAINT (EO-1)EO-1Human Resources

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PUMP STATION REPORTGL-2Finance/Procurement

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Equipment/Materials Issue LogMS-15Finance/Procurement

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NOTICE TO EMPLOYEE: WARNING/DISCIPLINARY/CRIMINAL/SUSPENSION (RL-544)RL-544Human Resources

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EMPLOYEE'S VERIFICATION OF DISCIPLINARY ACTION (RL-546)RL-546Human Resources

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QUALITY ASSURANCE CERTIFICATION ( ST-4)ST-4Contract Administration

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Hospitality DocumentationTMO 3Human Resources

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Vendor Registration and Disclosure StatementWV-1Finance/Procurement

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Surplus Property DispositionWV-103Finance/Procurement, Office Services

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RECORDS DISPOSAL REPORT (WV-29)WV-29Finance/Procurement

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PURCHASE REQUISITION (WV-35)WV-35Finance/Procurement

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Purchase Continuation SheetWV-36Finance/Procurement

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Purchase Continuation SheetWV-36AFinance/Procurement

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BLANKET RELEASE ORDER (WV-39)WV-39Finance/Procurement

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AGREEMENT (WV-48)WV-48Finance/Procurement

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AGREEMENT (WV-48)WV-48AFinance/Procurement

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AGREEMENT REQUISITION (WV-50)WV-50Finance/Procurement

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Vendor PerformanceWV-82Finance/Procurement

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Agreement AddendumWV-96Finance/Procurement

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Office of Technology Network Logon RequestWVOT-NetworkLogonRequestOffice of Technology

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Requesting a Technical Investigation of an EmployeeWVOT-PR1001Office of Technology

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WV Travel Authorization (WVTMP 1.0)WVTMP-1.0Finance

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