APPLICATION FOR PRODUCT EVALUATION (2023 Standard)  
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 30 days after all the required documents and data are received.

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Specification Year *
Check the boxes below for the documents which are attached in your application:  Please email all documents to udotapl@utah.gov *
Obligatoria
1. Product Name *
2. Product Description *
3. Manufactuer 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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