Dot statement form 2026

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4.8 out of 5

179 votes

The document is a compliance statement from the Minnesota Department of Transportation for prime contractors and subcontractors, ensuring adherence to the Federal Copeland Act, Davis Bacon Act, and Minnesota prevailing wage statutes. It requires contractors to certify that all workers have been paid prevailing wages, that payroll records are accurate, and that any apprentices are registered in approved programs. The document also outlines requirements for reporting fringe benefits and includes legal disclaimers regarding falsification of information.

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Click ‘Get Form’ to open the dot statement form in the editor.
Begin by entering the report number and state project numbers at the top of the form. This information is crucial for tracking compliance.
Fill in the prime contractor/subcontractor details, including name, date, phone number, contract number, address, and federal project number.
In the 'Type of Work' section, describe the work as outlined in your proposal. This ensures clarity on what services were provided.
Complete the compliance statement by filling in your name and title. Ensure you accurately report on wages paid during the specified payroll period.
Indicate any legal deductions applicable under regulations and confirm that all workers have been compensated according to prevailing wage laws.
Check one box regarding fringe benefits and provide detailed information if applicable. Make sure to complete any required sections on page 2.
Finally, sign and date the form as a representative of both the contractor and prime contractor to certify accuracy before submission.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (179 Votes)
2010	4.4 Satisfied (476 Votes)

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What are dot forms?

A DOT physical form, also known as a Department of Transportation physical form, is a standardized document used to assess the physical fitness of commercial motor vehicle drivers to ensure they meet the health and safety requirements necessary for operating commercial vehicles on public roads.

What is a DOT form?

Companies that operate commercial vehicles transporting passengers or hauling cargo in interstate commerce must be registered with the FMCSA and must have a USDOT Number. Also, commercial intrastate hazardous materials carriers who haul types and quantities requiring a safety permit must register for a USDOT Number.

What is dot form 1631?

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What is the MCS 150 form for?

The document is a disclosure and authorization form from the U.S. Department of Transportation, allowing the agency to obtain consumer or credit reports for employment purposes related to the Federal Aviation Administration.