Electronic construction (e-Construction) is gaining popularity in the highway construction industry due to worker shortages and resource limitations. Adoption of e-Construction technologies can improve the productivity and efficiency of resurfacing operations. Poor performance quality occasionally noticed in highway construction has a detrimental effect on service life and needs urgent attention. Despite the fact that e-Construction technologies, such as e-Ticketing, have helped enhance quality and performance in various other industries, the construction sector largely depends on and inclines toward old and traditional paper-based methods. To increase the use of digital material delivery in highway and bridge construction, stakeholders must have access to complete data and decision-supporting tools. The study considers the critical effectiveness indicators of e-Ticketing implementation and provides a fuzzy index–based approach to ranking the importance of adopting this new system. An extensive review of the current literature was performed followed by a survey of qualified highway construction professionals in the United States. The findings reveal that the ticketing process and organizational and technological factors have relatively equivalent impacts on the effectiveness model. The outcomes of the study will provide practitioners with a tool for evaluating the priority levels of e-Ticketing technology implementation. The e-Ticketing effectiveness index (EEI) model can provide state DOTs and general contractors with a decision-making assessment tool that will facilitate widespread adoption of e-Ticketing technology.