Forms | DASNY

Statement of Special Inspections & Tests

2010 NYS Statement of Special Inspections & Tests
2014 NYC Statement of Special Inspections & Tests
2016 NYS Statement of Special Inspections & Tests
2020 NYS Statement of Special Inspections & Tests
2022 NYC Statement of Special Inspections & Tests

Final Statements

2020 Final Report of Quality Assurance Inspections
2020 Final Report of Special Inspection

Consultant • Design

Scope Budget and Schedule Confirmation Form
Certifications (Labor/OSHA/DEC)
DASNY Cost Estimating Workbook
NYS 2020 Building Code Compliance Review Form
NYS 2020 Residential Code Compliance Review Form

Contractor • Construction

Agreement for Materials Stored Off-Site
Certifications (Labor/OSHA/DEC)
Contractor Change Order Proposal Form
Contractor Certified Payroll Report
Contractor Exempt Purchase Certificate
Labor Rate Worksheet (pre-May2018 GC) | Labor Rate Worksheet (post-May2018 GC)
Subcontractor Change Order Proposal Form
Subcontractor Compliance with Code of Business Ethics
DASNY Code of Business Ethics Brochure

MWSBE

EEO Policy Statement*
Good Faith Efforts Guidelines
Permanent Employee Distribution*
Scope Verification Form*
Statewide Utilization Management Plan
Utilization Plan Cover Sheet*
Utilization Plan (Purchasing)
Request for Waiver (Purchasing)
E.O. 162 Workforce Utilization Report (for contracts issued after June 2017)
E.O. 162 FAQs
E.O. 162 Workforce Utilization Report Instructions
Workforce Utilization Quarterly Report (for contracts issued prior to June 2017)
Workforce Utilization Monthly Report (for contracts issued prior to June 2017)
Workforce Utilization Report Instructions

* DASNY PDF fillable form, when downloading or opening this form the web browser default PDF reader or plug-in must be configured to Adobe Acrobat Reader DC or Adobe reader 9.1 or later.

Construction Services • RFP & Bid Forms

2005 Procurement Lobbying Law - Certification
Assignment of Contract
Assignment of Monies Due Under Public Improvement Contract
Code of Business Ethics - Certification
Compliance with Laws - Certification
Contractor Certification ST-220-TD
Contractor Certification ST-220-CA
W-9 Form

Vendor Responsibility Questionnaire

Instructions
Definitions
Form (For-Profit Business Entity, Non-Construction)
Form (For-Profit Business Entity, Construction, CCA-2)
Attachment - A (Completed Construction Contracts, CCA-2)
Attachment - B (Uncompleted Construction Contracts, CCA-2)
Attachment - C (Financial Information, CCA-2)

SEQR • Environmental Affairs

SEQR S hort Environmental Assessment Form - Part I (SEAF - Part I)
SEQR Full Environmental Assessment Form - Part I (EAF - Part I)
D ASNY Type II Action Determination
DASNY Type II Action Determination (Grant Programs)
New York City CEQR Environmental Assessment Statement (EAS)
Smart Growth Impact Statement Assessment Form