Intent to Work

Notice of Intent to Perform Work Process

(This Notice of Intent does not eliminate the excavator's responsibility under Missouri law to request locates from Missouri One Call).

There are two methods to inform MoDOT of your intent to perform work on MoDOT Right of Way: (Missouri One Call locate sheets are not a substitute. Please fill out the appropriate fields below.) Although MoDOT is a member of Missouri One Call, the information in the form below is required in order to track work zones, lane drops, shoulder work, traffic control plans, etc.

1) Preferred - Fill out the fields below and click “Submit” at the bottom. The form will automatically be sent to the correct District Office for processing.

2) Phone - Call 888-275-6636 (ASK MoDOT) and provide the information on the form to the Customer Service Representative.

*Notification should be submitted a minimum of 2 business days and a maximum of 10 business days prior to commencement of work.

*If the form is not filled out correctly it will be returned to you by E-mail for corrections.

*MoDOT underground utility facilities are governed under the law for Underground Facility Safety and Damage Prevention RSMO Chapter 319.015 thru 319.050

Date:

Sender's Name (first and last):*

Email:*

Company Name:

Telephone:*

Fax:

Field Contact Name:*

Field Contact Telephone:*

MoDOT Permit #:*

MoDOT Job No.:

MoDOT Contact Name:*

One Call Ticket No. (if available):

Select County*

Work Location Route/Street:*

Type of Work:*

Length of Work:*

Feet or Miles*

Location of work on State Highway right of way along the ______ side.

North

South

East

West

Distance:*

in*

that is*

of (State Highway, County Road, City Street, or County Line):*

Work Zone Type*

Lane:*

# Lanes Closed:*

Lane Type:*

Closure Location*

Start Date

Start Time

End Date

End Time

Day or Night:*

Weekend Work:*

Start Date/Time:

End Date/Time:

Comments:

Permits

Notice of Intent to Perform Work Process

Missouri Department of Transportation

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