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INDOT Records & Documents Request Form

INDIANA DEPARTMENT OF TRANSPORTATION
ONLINE ELECTRONIC INFORMATION REQUESTS
OFFICE OF TECHNICAL SERVICES
RECORDS & DOCUMENTS LIBRARY

Please fill this form out completely in order to get it processed properly.

Requested By: (Contact Person)

Phone Number:

Fax Number:

Your Email Address:

Date:

Name of company:

Mailing address: (number and street)

City:

State:

Zip:

Is this request for a work that is required for a State project? Yes No

If yes, please provide a Des. No. and/or Contract No. for the related project:

LOCATION REQUESTED

Road:

County:

Project No.:

Des. No.:

Contract No.:

LA Code Number:

Structure Number:

Stationing:

Property Owner:

Legal Description

Section:

Township:

Range:

Location:


Comments:

Documents Needed

Construction Plans Right-of-Way Plans

Grants/Deeds:

Number of Copies: Full Size Half Size

Delivery Method:

E-Mail Regular Mail Pick-up

In order to cover the cost of materials, the following fees will apply:

$1.00 for each 24x36 (full size) print of plans.
$ .50 for each 18x24 (half size) print of plans.
$ .10 for each 8-1/2x11 OR 8-1/2 x 14 copy of documents

CUSTOMERS WILL BE INVOICED FOR CHARGES.