ConnDOT: Mat-100 form



MAT-100 Municipality Systems Request for Test Form
 

For further information and questions, please contact the associated email
and/or phone number listed for the district you are working with located on the
form.
 

Please obtain a blank Mat-100 pdf from this web page each day you need to fill one out.  This will insure that you are using the most current revision:
 
    MAT-100 (192 kb) - last update on 10-12 -2017 2:15 p.m.
 
** Please note **  Do not modify the format of the blank Mat-100 pdf in any
                                               way or it will not upload properly.
 
11-30-2011.  If you are doing many Mat-100's that have much of the same information, download the Mat-100.  Fill out the first one.  Then click "save as" for the other ones with new file name.  This will create several templates with the same data.  You will have to change any new data for the other Mat-100's.  This will help save you a lot of time.
 
To download a free copy of the latest version of Acrobat Reader, select the icon below:
  {Acrobat Reader Free Download}   PLEASE ENSURE YOU ARE USING ADOBE READER 9.0 OR NEWER
 
 
To see basic instructions (in Microsoft PowerPoint) on how to fill out the form and send it to the district office please select Mat-100 Power Point instructions
 
 
For further information, please contact
DOT Helpdesk
860-594-3500  option 1