Forms
Business and Program Development
Disadvantaged Business Enterprise Program
Certification
- Application for DBE Certification
 - Interstate Certification (PDF)
 - Personal Net Worth Statement (PDF)
 - Declaration of Eligibility
 
No Change Affidavit
Forms
- Contractor Payment form (PDF)
 - Contractor Payment form - Instructions (PDF)
 - Contractor Payment form - Professional Technical Contracts (PDF)
 - Exhibit A - DBE Description of Work and Field Monitoring Report (PDF)
 - DBE Regular Dealer/Distributor Affirmation form
 - Good Faith Efforts Consolidated form (PDF)
 - Good Faith Efforts Consolidated form-Part D (PDF)
 - Good Faith Efforts Consolidated form-Part E (PDF)
 - Good Faith Efforts Consolidated form-Part F (PDF)
 - Good Faith Efforts Consolidated form-Part G (PDF)
 - Good Faith Efforts Consolidated form-Part H (PDF)
 - Good Faith Efforts Consolidated form-Part I (PDF)
 - Disadvantaged Business Enterprise (DBE), Targeted Group Business (TGB), or Veteran-owned Business (Vet) Program Termination, Substitution, and Reduction request
 - Total Payment Affidavit (PDF)
 
Special provisions
- DBE Special Provisions (PDF) – let on or after February 26, 2025
 - DBE Special Provisions (PDF) – let on or before February 25, 2025
 
Equal Employment Opportunity Program
Forms
- Total Company Workforce report - EEO 8 (Excel)
 - Monthly Employment Compliance report - EEO 13 (Excel)
 - Contractor Employment Data form - EEO 12 (Excel)
 - Contractor Workforce Analysis - EEO 7 (Excel)
 
Special provisions and attachments
- Required Contract Provisions Federal-Aid Construction Contracts (FHWA-1273) (PDF)
 - Equal Employment Opportunity (EEO) State and Federal Laws, Policy and Rules (PDF)
 - EEO Special Provisions (PDF) – projects let on or before Sept. 5, 2022
 - MnDOT Equal Employment Opportunity Special Provisions (Word) – projects let on or after Sept. 6, 2022
 - State Aid Equal Employment Opportunity Special Provisions (Word) – projects let on or after Sept. 6, 2022
 
Worker Survey
- 2022 Worker Survey Results  (PDF)
  
- If you would like an alternate format of this report, contact Isela Xitlali Gómez.
 
 
Indian Employment
Forms
Special provisions
- MnDOT: Special Provisions Relating to Indian Employment (Word)
 - State Aid: Special Provisions Relating to Indian Employment (Word)
 
On the Job Training Program
Forms
- OJT program proposal form
 - OJT trainee application form
 - OJT mentorship agreement form
 - OJT request for reimbursement (Excel)
 - OJT trainee departure form
 
Special provisions
- OJT special provisions (PDF) - projects let on or before Sept. 5, 2022
 - MnDOT On-the-Job Training Special Provisions – projects let on or after Sept. 6, 2022
 - State Aid On-the-Job Training Special Provisions – projects let on or after Sept. 6, 2022
 
Targeted Group Business Program and Veteran-Owned Business Program
- Bidders List (PDF)
 - Certificate of Good Faith Efforts (PDF)
 - Contractor Payment form (PDF)
 - Contractor Payment form - Professional/Technical Contracts - TGB/VET (PDF)
 - Description of Work (Exhibit A) and Field Monitoring report (PDF)
 - Good Faith Efforts Affidavit (PDF)
 - Disadvantaged Business Enterprise (DBE), Targeted Group Business (TGB), or Veteran-owned Business (Vet) Program Termination, Substitution, and Reduction request
 - Targeted Group and Veteran-Owned Business Preference form (PDF)
 - Targeted Group Business and Veteran-Owned Small Business Special Provisions and forms (PDF) - Projects advertised on or after Aug. 1, 2024
 - Targeted Group Business and Veteran-Owned Small Business Special Provisions and forms (PDF) - Projects advertised on or after Jan. 28, 2022
 - Targeted Group Business and Veteran-Owned Small Business Special Provisions and forms (PDF) - Projects advertised on or after March 31, 2017
 - Total Payment Affidavit (PDF)
 
