Civil Rights Forms

All forms are listed on the page by type. Links to the sections are listed in the menu to the right. If you know the name or number of the form, you can use the quick links in the table below.

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ACDBE

• Part 23 Active Participant in Airport Concessions Form & Instructions

ADA

• ADA Complaint Form
• Reasonable Accommodations Request Form
• DOT&PF ADA Work Plan

Contract Compliance

• Chief Engineer's Directive re: CUF Forms
• DBE CUF Monitoring Report; 25A-298
• DBE CUF Verification; 25A-299
• 25A-301 Federal EEO Bid Conditions
• 25A-304; EEO-1 Certification
• 25A-321A Contact Report;
• DBE Subcontractable Items
• 25A-325C DBE Utilization Report, Federal Aid
• 25A-326 Prime Contractor's Written DBE Commitment
• 25A-332A Summary of Good Faith Effort
• 25A-336 Instructions Summary of DBE Participation
• 25A-336 Summary of DBE Participation
• 25D-5 Subcontractor List
• 25D-6 Bidder's Registration Form - Must Be Submitted Each Year in January
• 25D-6 Consultant Registration; PSA DBE - Must Be Submitted Each Year in January
• 25D-55A Required Contract Provisions for Federal-Aid (FAA) Construction Contracts
• 25D-55H Required Contract Provisions for Federal-Aid (FHWA) Construction Contracts
• 25D-55T Required Contract Provisions for Federal-Aid (FTA) Construction Contracts
• FHWA-1391 Federal-aid Highway Construction Contractors Annual EEO Report
• Women & Minority Organizations List This is a 'working' document. Please help us keep it up-to-date and let us know if any information included is inaccurate.

DBE Certification

• Alaska Unified Certification Program Agreement
• Appendix A and B [Required for On-site Representative(s)
• DBE Application Form
• Declaration of Eligibility
• Personal Net Worth Form
• Work Category List
• Annual No Change Declaration

DBE Compliance - Goals & Good Faith Effort (GFE)

• Specification 120
• Contact Report (25A-321A)
• DBE Subcontractable Items (25A-324)
• DBE Utilization Report (25A-325C)
• Prime Contractor's Written DBE Commitment Form (25A-326)
• Subcontractor List (25D-5)
• Summary of DBE Participation (25A-336)
• Summary of DBE Participation (25A-336) Instructions
• Summary of GFE Documentation (25A-332A)
• CUF Monitoring Report (25A-298)

DBE Support Services

• Brochure: DBE Support Services
• Brochure: Welcome to the DBE Program - Federal Hwy Administration Programs
• Flyer: Is the DBE Program for You?
• 50% DBE Reimbursement Form FFY2024
• 50% DBE Reimbursement Instructions FFY2024

On-the-Job Training (OJT) and Support Services

• 50% Reimbursement Assistance for Apprentices Form
• 50% Reimbursement Assistance for Apprentices Instructions
• Authority Section 645
• 25A-310 Training Program Request
• 25A-311 Training Utilization Report
• 25A-312 Apprentice Employment Report
• 25A-313 Monthly Training Report
• On-the-Job Training (OJT) Program Brochure

On-Site Representative

Section 120, Part 3.04.2.e(3), which is a Special Provision of Alaska Department of Transportation and Public Facilities Construction Contracts for the Disadvantaged Business Enterprise (DBE) program, requires that DBE owners or one of their key employees be at the work site and responsible for the work performed on the contract. Key employees are individuals that have been approved as "onsite representatives" by the Civil Rights Office. To have an employee designated as an onsite representative, a completed Appendix A (Management Responsibilities form) and Appendix B (Employment History form) must be submitted to the Civil Rights Office for approval. DBE credit will not be given for work performed on departmental contracts prior to approval of the DBE firm's designated onsite representative.

• Appendix A and B

Title VI The below documents are offered in PDF format unless noted.