Civil Rights/Affirmative Action

Forms

Title VI Environmental Justice (EV)

• Title VI Complaint Form (16k)

Disadvantaged Business Enterprise (DBE)

• Uniform Certification Application (60k)
• Uniform Certification Application Supporting Documents Checklist (18k)
• Affidavit of Certification (14k)
• Instructions for Completing the Disadvantaged Business Enterprise Program Uniform Certification Application (28k)
• Annual No Change Affidavit (53k)
• Personal Financial Statement (156k)

Emerging Small Business Enterprise (ESBE)

• Application (48k)
• Annual No Change Affidavit (53k)

Wage-Rate Unit

• Instruction Sheet
• Payroll Report (21k)
• Statement of Compliance (15k)

Contract Compliance

• Apprentice/Trainee Approval Memorandum (9k)

- Instructions for the Apprentice/Trainee Approval Memorandum

• Biweekly Training Report (6k)
• Contractor's 1409 Quarterly Training Report (5k)
• Final D/ESBE Report AD-268F (11k)
• Final SBE Report AD-268S (11k)
• Federal Aid Highway Construction Contractors Annual EEO Report FHWA-1391 (100k)
• Initial Training Program Report (13k)
• Monthly Employment Utilization Report - Form CC-257 (56k)

- Instructions for Form CC-257

• NJDOT Training Certificate (5k)
• Schedule of Disadvantaged/Emerging Small Business Enterprise (D/ESBE) Participation - Form A (9k)
• Schedule of Small Business Enterprise (SBE) Participation Form A (8k)
• Utilization of Disadvantaged/Emerging Small Business Enterprise Monthly Report (D/ESBE) - Form AD-267F (15k)
• Utilization of Small Business Enterprise (SBE) - Form AD-267S (14k)