Please Note:
No specification applied. For informational purposes only.
Required fields are indicated by an asterisk (*)
Project Information
Form Name: Special Projects Evaluation Request
Evaluation Parameter(s): * Rutting Rideability Cracking Other
Test Frequency: * One Time Annual Other
Financial Project Number: * [Ex: 4039561-52-01]
County Section Number: * [Ex: 26020-3562 or 26020]
County Name: [Ex: Alachua]
State Road and US Number: * [Ex: SR 93 / I-95]
Project Unit Type: * English Metric
Project Limits: * From To [3 decimal places]
SLD Milepost Kilometer Post
Course To Be Tested: * Friction Course Structural Course
Lane(s) To Be Tested: * L1 L2 L3 L4 L5 L6 R1 R2 R3 R4 R5 R6 All Lanes
Friction Course Type: * [Ex: FC-5]
Structural Course Type: * [Ex: SP-9.5]
Design Speed (MPH): *
Let Date: *
Requested Test Date: *
Please e-mail or fax a copy of the plans key sheet, special provisions, and applicable specifications to: sm-speval@dot.state.fl.us, Fax: (352) 955-6345.
To cancel/reschedule the testing, please send an e-mail to sm-speval@dot.state.fl.us.
If you have not received a response on your form submission by the next business day, please contact Stacy Scott at stacy.scott@dot.myflorida.com or Clay Whitaker at joshua.whitaker@dot.myflorida.com.
Contact Information
Contact Name *
Title: Project Engineer Project Administrator Materials Engineer
District Warranty Coordinator Other
Local Phone: *
Cell Phone: *
E-Mail Address: *
Fax Number:
Requested By:
Local Phone:
Cell Phone:
E-Mail Address:
Additional Notes: