Permit Forms and Resources
The INDOT Permits Division has created and assembled forms, guides, resources, and other information useful in the permit application process. These resources, unless otherwise stated, are to be regarded as guidance only and do not constitute legal or technical advice. For more information regarding the Permits Division and the permit application process, please visit the Permits Website.
- Hold Harmless Form
- Used when diverting traffic off a state roadway to a city or county street/road
- Agreement to Execute an Access Control Document
Agreement to Execute an Access Control Document
- In consideration for INDOT granting a driveway permit, the applicant may be required to sign an agreement to execute an access control document conveying the access rights for the balance of property frontage owned by the applicant. The agreement will allow INDOT to issue a permit to begin driveway construction before the actual deed relinquishing the remaining access rights is prepared and recorded on the property. This document is required for most developments with more than 400 feet of frontage along a state-controlled highway.
- Additional Disclosure Form (State Form 23237, R/3-00)
Additional Disclosure Form (State Form 23237, R/3-00)
- Used when there are additional parties involved with a proposed project that must be acknowledged. One copy of the Additional Disclosure form is to be notarized and submitted to INDOT with original signatures.
- Consultant Consent Form
- Used when a design consultant submits a permit application via EPS on behalf of a property owner. This form gives the consultant the right to act on behalf of the property owner.
- Additional Resources
- Maps

