Pantry statewide form changes
Last updated: 2025-09-03
Refer to this page to see a list of the changes made to the Construction documentation used to administer a construction contract.
| File name |
Description of change(s) |
|---|---|
| QMP Template Forms | |
| Form updates as of 2/27/2025 |
|
| A-Z Forms | |
| Pantry | Statewide Forms | Posted updated versions of the Utility Relocation Claim Assessment Notice.docx and the Utility Relocation Claim Notice of Receipt of Claim.docx. |
| Pantry | Statewide Forms | New Curb Ramp Compliance Form for Local Program projects. It includes an instruction sheet and clarifies that Survey 123 must be utilized for ramps on the state trunk network. |
| Pantry | Statewide Forms | Replaced BrdgVertHorzClear.dotm and BrdgVertHorzClearDividedHwy.dotm with Bridge Geometry Field Measurements - Final.pdf |
| WS Forms | |
| DT Forms | |
| File name |
Description of change(s) |
|---|---|
| QMP Template Forms | |
| Form changes and new form |
The following form updates were made:
New forms: AncillaryPrePlacementDepth.docs for ancillary pre-placement depth checks (sidewalk & driveways) CIRSum.docx for Cold In-Place Recycling Summary (155 report). ConcBarrSum.docx for QMP Concrete Barrier Testing Summary (155 report). Removed HMAMixDensitySum.docx. Replaced with:
MillRelay_PulbRelayCmpctSum.docx for QMP Mill and Relay Compaction and Pulverize and Relay Compaction Summary (155 report). SubgradeSum.docx for QMP Subgrade Summary (155 report). |
| NonConformance_NonPerformanceAddendum.docx |
|
| NonPerformance_NonConformanceConcurrence.docx |
|
| A-Z Forms | |
| Bridge Geometry Field Measurements _Revision 8-6-2025.pdf | Posted an updated version of the form due to column issues. |
| CurbRampComplianceForm2025V1.pdf. | Posted an updated version of the form. |
| WS Forms | |
| BuyAmericaExemptionTrackingTool.xls | Posted an updated Buy American Exemption Tracking Tool on 10/09/2024 for determining allowable exemption amounts and for tracking of materials in accordance with Buy America requirements. |
| CurbRampComplianceForm.pdf | Updated Curb Ramp Compliance Form |
| WeeklyProgressMeetingAgenda.docx | Weekly Progress Meeting Agenda updated to include Buy America certifications under the Materials section |
| Utility Relocation Claim Assessment Notice.docx | New Utility Relocation Claim Assessment Notice |
| Utility Relocation Claim Documentation Checklist.docx | New Utility Relocation Claim Documentation Checklist |
| Utility Relocation Claim Notice of Receipt of Claim.docx | New Utility Relocation Claim Notice of Receipt of Claim |
| LineOfCommunication.docx |
Removed the FAX line from the Line of Communication form. Replaced LineOfCommunication.dotm with LineOfCommunication.docx |
| Removed the outdated Utility Conflict Documentation Report and the Utility Conflict Documentation Report Instruction Presentation from 2021. | |
| GuardrailPostSamplingDataForm.xlsx | An updated version of the Guardrail Post Sampling Data form has been posted. |
| HMA_PWL_PrePaveAgenda.docm | Added Statewide IRI Ride contact Chris Norton to the Region DOT Pavement & Material Contacts table at the bottom of the agenda. |
| HMAPrePaveAgenda.docm | Added Statewide IRI Ride contact Chris Norton to the Region DOT Pavement & Material Contacts table at the bottom of the agenda. |
| DT Forms | |
| DT1011 - DBE Commercially Useful Function Review and Certification | The DT1011 - DBE Commercially Useful Function Review and Certification has been reposted on the Authorized WisDOT forms site. There is a link to this DT form on the Statewide Forms page. |
| DT1668 - Sales to Others Invoice | For the new Utility Relocation Claim process, added the DT1668 - Sales to Others Invoice under DT Forms. |
| File name |
Description of change(s) |
|---|---|
| QMP Template Forms | |
| A-Z Forms | |
| Form changes from the Wisconsin Department of Natural Resources - Handling Waste from Demolished Structures web page | Posted an updated copy of the Notification for Demolition and/or Renovation (Form 4500-113) |
| CurbRampComplianceForm.pdf. | Posted an updated copy of the form. |
| IRIRideProfileNotificationTemplate.docx | Used by contractors to notify WisDOT staff when IRI ride Profiling is taking place on a contract. |
| DT Forms | |
| File name |
Description of change(s) |
|---|---|
| All Statewide Forms | |
| QMP Template Forms | |
| A-Z Forms | |
| CurbRampComplianceForm.pdf | Updated in 2022, Curb Ramp Compliance Post Construction Report Instructions |
| Form changes | Moved the HMA PWL Pre-Pave Meeting and the HMA Pre-Pave Meeting forms from QMP Template Forms to Forms beginning with G-L. |
| DT Forms | |
| Posted the Buy America Certification (Contracts let prior to the November 2022 letting) |
| File name |
Description of change(s) |
|---|---|
| All Statewide Forms | |
| QMP Template Forms | |
| A-Z Forms | |
| BenchMarks.docm | Updated in 2021, new format |
| DT2075 - Final Construction Project Record Checklist |
DT2075 form updated for AWP Construction. Go to Statewide Manuals and Guides for the FieldManager version of this checklist. |
| File name |
Description of change(s) |
|---|---|
| All Statewide Forms | Reformatted using tables and added a description to each form to help staff using the AWPKB search feature to locate forms. |
| QMP Template Forms | |
| BADCmpctSum.docx | This form replaces BaseAggCompactionTemplate.dotm |
| BaseAggEx.pdf | Removed form |
| BadSmallQtySum.docx | New form |
| BADSum.docx | This form replaces BaseAggTemplate.pdf |
| BGQVSum.docx | This form replaces BeamGuardQVSum.dotm |
| BeamGuardSumEx.pdf | Removed form |
| ConcAncQVSum.docx | This form replaces PCCAncSumTemplate.dotm |
| ConcPvmtSum.docx | This form replaces PCCPvmtSumTemplate.dotm |
| ConcPvmtThickSum.docx | New form |
| ConcStrucSum.docx | This form replaces PCCStrucSumTemplate.dotm |
| HMAMixtureSumEx.pdf | Removed form |
| HMAMixDensitySum.docx | This form replaces HMAMixtureSumTemplate.dotm |
| HMANucDensitySumTemplate.dotm | Removed form |
| IRISummary.ex.pdf | Removed form |
| IRISum.docx | This form replaces IRISummaryTemplate.dotm |
| MSEWallNucDensitySum.docx | New form |
| NonConformance_NonPerformanceAddendum.docx and NonPerformance_NonConformanceConcurrence.docx | These forms replace NonPerformanceQMP.docm |
| PCCAncSumEx.pdf | Removed form |
| PCCPvmtSumEx.pdf | Removed form |
| PCCStrucSumEx.pdf | Removed form |
| A-Z Forms | |
| DT4567 - Buy America Certification |
Removed link to the Buy America Cert form - WS4567 replacing with the new Buy America Certification form - DT4567. |
| ConcBrdgDeckPrePourAgenda.docm | This form replaces ConcBrdgDeckPrePourMtg.dotm |
| ConcBrdgSubStrucPrePourAgenda.docm | This form replaces ConcBrdgStructurePrePourMtg.dotm |
| ConcreteDeckPourAuthorization(StructureNo).doc | Updated form |
| CurbRampComplianceForm.pdf | Updated form |
| RandNoBAD1.xlsx | New form |
| RecycledAsphalticBinderChangeRequest.xlsx | New form |
| Yield Calc&Asphalt Paving Diary Example.xlsx | New form |
| DT2337 - Contractor's Field Welding Plan | This form has been posted on the Pantry Statewide forms page under DT Forms. |
| DT2320 - Field Welding Inspection Checklist |
This form has been posted on the Pantry Statewide forms page under DT Forms. |
| DT1072 - Erosion And Sediment Inspection | The DT1072 Erosion And Sediment Inspection form has been updated for the 2020 construction season and is posted on the Pantry Statewide forms page under DT Forms. |
| DT1074 - Erosion Control Order | The DT1074 Erosion Control Order form has been updated for the 2020 construction season and is posted on the Pantry Statewide forms page under DT Forms. |
| DT2075 - Finals Construction Project Checklist | The DT2075 Finals Construction Project Checklist has been updated for the 2020 construction season and is posted on the Pantry Statewide forms page under DT Forms. |
| DT2355 - Contract Modification Justification | The Pantry CMJ form has been replaced with the new DT2355 Contract Modification Justification and is posted on the Pantry Statewide forms page under DT Forms. |
| Damaged Girder Incident Report |
This form has been posted on the Pantry Statewide forms page under A-F Forms. |
| DT1011- DBE Commercially Userful Function Review and Certification | This form has been posted on the Pantry Statewide forms page under DT Forms. |
| File name |
Description of change(s) |
|---|---|
| DT Forms |
Note: All DT form links updated to the official WisDOT Forms page on the Wisconsin Department of Transportation web site. |
| New Erosion Control Implementation Plan (ECIP) - DT1073 | Replaced the Erosion Control Implementation Plan (ECIP) Worksheet - WS1073.dotm with the new Erosion Control Implementation Plan (ECIP) - DT1073 |
| FaxTransmittalDT1455.dotm |
Removed from AWPKB Pantry Statewide Forms DT Forms - Folks don't fax anymore, regions have their own if needed. |
| ConstrPermitREDT1732.dotm |
Removed DT1732 which is now RE1732 (Real Estate form), use ConstrPermit.dotm in A-F (PDS PM/PE use in Constr) |
| General Material Sample Tag - DT1499 | Added DT1499 per Chris Fredrick; This is a general sample tag used in construction when submitting materials to be tested. BTS is no longer printing these tags for projects to use and requires each project to print them. |
| QMP Forms (All TSS Forms - Matls/Labs) | |
| NonPerformanceQMP.docm | Added NonPerformanceQMP form |
| HMA_PWL_PrePaveAgenda.docm | Updated form from Anne Wallace provided with statewide approval |
| HMAPrePaveAgenda.docm | Updated form from Anne Wallace provided with statewide approval |
| WS Forms | |
| Erosion Control Implementation Plan (ECIP) Worksheet replacement | Replaced the Erosion Control Implementation Plan (ECIP) Worksheet - WS1073.dotm with the new Erosion Control Implementation Plan (ECIP) - DT1073 |
| All WS forms | Renamed using the Construction & Materials Manual naming standard of WS#### where #### is the form number. |
| BuyAmericaExcemption.xls | Added BuyAmericaExcemption form, Change PL to PM on form |
| ConcPvmtThicknessLogWS5019.xltm | Removed form |
| PlacementTestSiteSampleLocationsWS3013.dotm | Removed form |
| PreconMtgAgendaWS1030.dotm | Added one more agenda topic regarding curb ramps to the Precon Meeting agenda |
| Statewide Forms beginning with A-F | |
| BenchMarks.dotm | Updated for 2019 |
| CMJ.dotm | Updated for 2019 |
| CorrespondenceMemo.dotm | Removed form |
| ClaimSubmittalForm.dotm | Removed form |
| CRIConceptEvaluation.docx | Added this new form for Cost Reduction Incentive (CRI) validation process for review of all CRI concepts submitted by contractors. Updated 5/29/2019 |
| CurbRampComplianceForm.pdf | New form added May 2019; Updated 5/22/2019; Updated 9/14/2020; Updated 11/25/2020 |
|
Statewide Forms beginning with G-L |
|
| GuardrailPostSamplingDataForm.xlsx | Added the Guardrail Post Sampling sheet to align with SS 614.3.2.1(4) to sample guardrail posts after installation. |
| Statewide Forms beginning with M-R | |
| RRPreconChecklist.docx | Updated form from SWR Matls Supr Anne Wallce with statewide approval |
| SuspensionofWork.dotm | Removed form |
| Statewide Forms beginning with S-Z | |
| WPDESNoticeofTerminationForm3400162 |
Replaced form with link to new DNR process on their website |
| WPDESNoticeofTerminationInstructions | Replaced with link to new DNR guidance |
| WisDOT HMA PWL Guide | This guide was added on the Statewide Manual and Guides page to accompany the HMA PWL spreadsheets posted on the site. |
| File name |
Description of change(s) |
|---|---|
| Statewide Forms | |
| BrdgVertHrzClear |
Project Leader to Project Engineer & revision date |
| BrdgVertHrzClearDividedHwy | Project Leader to Project Engineer & revision date |
| ClaimSubmittalForm | Project Leader to Project Engineer & revision date |
| CMJ | Project Leader to Project Engineer & revision date |
| ConcBrdgDeckPrePourMtg | Project Leader to Project Engineer & revision date |
| ConcBrdgSubStructurePrePourMtg | Project Leader to Project Engineer & revision date |
| ConcPavingPrePourMtg | Project Leader to Project Engineer & revision date |
| ElastoExpDeviceInstallData | Project Leader to Project Engineer & revision date |
| HMAPrePaveMtg | Spelled out engineer vs eng. & revision date |
| LineOfCommunication | Project Leader to Project Engineer & fixed formatting & revision date |
| MtgNotes | Project Leader to Project Engineer & revision date |
| RRChklst | Project Leader to Project Engineer & revision date |
| SignBrdgVertClear | Project Leader to Project Engineer & reversed cantilever structure picture & revision date |
| SignStrucSignalLeftVertClear | Project Leader to Project Engineer & revision date |
| SignStrucSignalRightVertClear | Project Leader to Project Engineer & revision date |
| UtilConflictRptProjMgr | Project Leader to Project Engineer & revision date |
| UtilConflictRptUtilCo | Project Leader to Project Engineer & revision date |
| WeeklyProgressMtgAgenda | Project Leader to Project Engineer & removed highighting & revision date |
| WPDESNoticeofTerminationForm3400162 |
New form added |
| WPDESNoticeofTerminationInstructions | Instructions for new form added |
| DT Forms | |
| AncStrucPreInstallVerifTestOfHighStrengthBoltsDT2322 |
File opened as a blank document, replaced with file from DOTNET |
| ConcCylinderTestData28DayBreakCardDT1308 | Requested owner to fix formatting, no issues found. Had others try, no issues. Not sure why 3 of us statewide in different regions had issues when we tried? Left as is. |
| ConstrPermitREDT1732 | NO longer a DT form - removed |
| ContRFILogDT2501 | Project Leader to Project Engineer & revision date |
| FinalConstrProjRecChklstDT2075 | Project Leader to Project Engineer & revision date |
| HMASampleTagDT1352 | New version |
| ProjTeamsEvalOfTheContrDT2510 | Project Leader to Project Engineer & revision date |
| RFIDT2502 | Project Leader to Project Engineer & revision date |
| SubletRequesteDBESubletPurchaseRepDT1925 | Removed |
| WS Forms | |
| BuyAmericaCertWS4567 | Project Leader to Project Engineer & revision date |
| ConcMixDesignWS5014 | Project Leader to Project Engineer & revision date |
| ECDiaryInspectionFormWS1072 | Spelled out engineer vs eng. & revision date |
| ECIPWkstWS1073 | Project Leader to Project Engineer & revision date |
| PlacementTestSiteSampleLocationsWS3013 | Form came up blank - replaced with an older version |
| PreconMtgAgendaWS1030 | Project Leader to Project Engineer & added reminder to enter production rates & revision date |
| ProdSampleLocationsWS3011 | Form came up blank - replaced with an older version |
| ProgressMtgNotesWS1050 | Fixed formatting |
| SieveAnalysisForConcAggWS5015 | Changed Ws to Ww and #16 1.16 to 1.18 |