MnDOT AASHTOWare CRL Roles\User Registration Form

MnDOT AASHTOWare CRL Roles\User Registration Form
Prior to completing and submitting this form you are required to create your login ID on the
website: https://dotapp7.dot.state.mn.us/mnaashtowareusers/
A company officer must sign this form to approve an employee entering and signing information on behalf of the company.
Complete, Sign, Notarize, Scan this form to PDF & email it to: [email protected]
_____________________________________________________________________________________________________________
1) COMPANY AND CRL USER INFORMATION:
Company SWIFT # : ____________________
Company Name: ________________________________________
Phone Number: _______________________
Job Title: ______________________________________________
First Name: ___________________________
Last Name: ____________________________________________
Email-address & Login ID: ________________________________________________________________________
2) AASHTOWare CRL ROLES: Check the all of role(s) you will have when this form is processed.
Bidder Quoter Entry
Payroll Entry Sub-Contractor
Manage Payments Between Prime and Sub
Payroll Entry Prime Contractor
3) SIGNATURE AUTHORITY:
This authority is required to legally & electronically sign and submit (i) payrolls to the Prime or MnDOT and (ii) bidder-quoter
data on a letting proposal to MnDOT. The account holder is responsible for all data entered and signed under this account.
Signature has no purpose if no role is selected in item #2 above.
Grant Signature Authority for Person named above in item #1.
4) COMPANY OFFICER APPROVING EMPLOYEE REQUEST FOR USER ACCOUNT :
I, the undersigned, verify and attest that I am a duly sworn officer of the company whose Minnesota SWIFT ID is listed above and that the
individual listed above is an employee and/or legally affiliated staff designated to perform the AASHTOWare Project CRL Roles selected
for this company.
POSITION/TITLE: __________________________________
PHONE: ____________________________________
NAME : _______________________________________
SIGNATURE : ________________________________
EMAIL: ___________________________________________
5) NOTARY REQUIRED: (Notaries may not notarize this form if it grants them a CRL role. Obtain alternate Notary approval.)
Notary Signature:____________________________ Title:______________________________________________
Date:__________________
Commission Expiration Date: ___________________________________________
Do no notarize a document that applies
to yourself, provides you gain/profit
or involves a conflict of interest.
MNDOT AASHTOWare CRL Roles\User Registration Form
5/5/2015