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DEPARTMENT OF TRANSPORTATION REFERRAL FORM NOTE: Submit this form to the Department of Transportation (DOT) for their review and analysis of traffic, access and circulation of the proposed project.
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How to fill out a DOT referral:

01
Begin by obtaining a DOT referral form. This form can typically be obtained from your employer or the DOT (Department of Transportation) website.
02
Fill out the necessary personal information. This includes your name, address, contact details, and any other information required on the form.
03
Provide the relevant details about the incident. This may include the date, time, and location of the incident, as well as a detailed description of what occurred.
04
Include any witness information if applicable. If there were witnesses to the incident, provide their names, contact information, and a brief description of their involvement.
05
Document any injuries or damages. If there were any injuries or damages as a result of the incident, make sure to accurately describe and document them on the form.
06
Sign and date the form. Verify that all the information provided is accurate and sign and date the form to certify its authenticity.

Who needs a DOT referral:

01
Employees involved in a DOT-regulated incident. DOT referrals are often required for employees involved in incidents that fall under the regulations of the Department of Transportation. This typically includes employees in transportation-related industries such as trucking, aviation, and railroad.
02
Employers and companies governed by DOT regulations. Companies or employers operating within industries regulated by the DOT have a responsibility to ensure that their employees follow proper reporting procedures for incidents and accidents.
03
Regulatory authorities and agencies. The DOT and other regulatory authorities may require DOT referrals to be submitted for investigations, record-keeping, and enforcement of safety regulations.
Thus, both employees involved in a DOT-regulated incident and employers or companies governed by DOT regulations are typically required to fill out a DOT referral. It is important to consult the specific regulations and requirements of the DOT or relevant authorities to ensure compliance.
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Dot referral is a process where an individual or organization reports a potential safety concern to the Department of Transportation.
Any individual or organization who has knowledge of a potential safety concern related to transportation is required to file a dot referral.
Dot referral can be filled out by visiting the Department of Transportation's website and following the instructions provided for submitting a safety concern.
The purpose of dot referral is to ensure the safety and security of transportation systems by reporting and addressing potential safety concerns.
The dot referral must include detailed information about the safety concern, such as the location, date, time, and description of the incident.
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