Florida Department of Transportation
If your firm is submitting an annual renewal or modification – submit a signed copy of form #375-030-84, the Qualifying Staff Employment Certification form.
12. Survey and Mapping Equipment (Section 12) – This section is for firms seeking qualification in work group 8 only. If submitting or renewing for group 8, please check the box to acknowledge you have read the statement.
13. Geotech Equipment (Section 13) – This section is for firms seeking qualification in work group 9 only. If submitting or renewing for group 9, submit a list of equipment as required by Rule 14-75, F.A.C. Please also check the box to acknowledge you have read the statement regarding the equipment list(s).
14. Certification (Section 14) – Please print the completed application. A principal of the firm will need to read the statements in this section and check both boxes, then sign section D by hand (digital signatures cannot be accepted because they produce an error and often lock the documents so they cannot be marked up as needed for review). Please scan the signed application form and save it as a PDF, leaving off any extraneous copies of section 10 that were not used.
When you have completed the application and assembled all supporting documentation as outlined in the Application Checklist, email the entire package to the Qualification Administrator at fdot.psprequalification@dot.state.fl.us with the subject line "FDOT Qualification - (Your Firm Name)." The Department has a 20 MB limit on emails. If your email exceeds this limit (which is rare), we are unable to open zip files due to internal security requirements so you may submit your required supporting documentation in multiple emails using the subject line "Your Firm Name" – Additional Information."
Hard copies of your submission are not required, nor do you need to submit a copy of the checklist or instructions.
www.fdot.gov