APPLICATION FOR PRODUCT EVALUATION(02911)
INSTRUCTIONS TO APPLICANT:
Answer all questions. If a question is not applicable, enter “N/A”
Product has to be re-evaluated every 5 years
UDOT will notify the applicant about the evaluation decision within 45 days after all the required documents and data are received.
Check the boxes below for the documents which are attached in your application: Please email all documents to udotapl@utah.gov *
Required
1. Product Name *
2. Product Description *
3. Manufacturer Company Name *
4. Manufacturer Contact Name *
5. Manufacturer Address *
6. Manufacturer Phone # *
7. Manufacturer Email *
8. Manufacturer Website *
9. Distributor Company Name *
10. Distributor Address *
11. Distributor Contact *
12. Distributor Contact Phone # *
13. Distributor Contact Email *
14. Distributor Website *
15. Has the product previously been submitted to UDOT for evaluation? *
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