Forms

NOTE: Some Regional Airports Offices have prepared variations of these forms and instructions for use by airports in their regions. Before completing a form, please check with the appropriate Regional or District Office to determine which form you should use.

Environmental
Subject/Title	Number	Other Formats	Notes
There are no environmental forms at this time.

Land Acquisition / Relocation Assistance
Subject/Title	Number	Other Formats	Notes
Federal Aid Compliance Review (MS Word)	NA		Spot Check
Acquisition/Relocation Records Checklist (MS Word)	NA		Checklist Acquisition
Sponsor Pre-Reimbursement Federal-aid Compliance Review (MS Word)	NA		Quality Control Review
Decent, Safe and Sanitary Certification (MS Word)	NA
Replacement Housing Payment (RHP) Determination - 90-day Occupant (MS Word)	NA		RHP - 90 Day
Replacement Housing Payment (RHP) Determination - 180 Day Owner-Occupant (MS Word)	NA		RHP - 180 Day
Certificate of Appraiser (PDF)	5100-111
Short Form Appraisal (PDF) Short Form Appraisal Instructions (MS Word)	5100-112
Instructions/Attachment for Summary Appraisal Reports (Fannie Mae Forms 1004 & 1025) (MS Word)	5100-112 (URAR)
Value Finding for Low Value Acquisition (PDF)	5100-113
Appraiser Training and Experience Resume (PDF)	5100-114
Appraisal Contract Proposal (PDF)	5100-115
Appraisal Contract (PDF)	5100-116
Claim for Reimbursement of Expenses (PDF)	5100-119
Acquisition Procedures and Payment Summary (PDF)	5100-120
Appraisal Review Contract (PDF)	5100-121
Agreement for Acquisition & Relocation Services (PDF)	5100-122
Mortgage Interest Differential (MID) Payment Eligibility Computation (MS Word)	5100-123
MID Computation - Fixed Morgage (MS Excel)	NA
MID Computation - ARM (MS Excel)	NA
Claim for Relocation Payments - Non-residential (MS Word)	5100-124		Claim Certificate for 5100-124
A. Payment of Moving costs - Non-residential (DOT)	5100-124		Updated Schedule A for 5100-124 (8/2005)
B. Direct Loss of or Purchase of Subsitute Personal Property (DOT)	5100-124		Updated Schedule B for 5100-12 (11/2005) 4
C. Search Expenses (DOT)	5100-124		Updated Schedule C for 5100-124 (2/2005)
D. Reestablishment Expenses (DOT)	5100-124		Updated Schedule D for 5100-124 (11/2005)
E. Related Non-residential Expenses (DOT)	5100-124		New Schedule E for 5100-124 (3/2005)
Claim for Relocation Payments - Residential (MS Word)	5100-125		Claim Certificate for 5100-125
A. Payment of Moving Costs - Residential (MS Word)	5100-125		Schedule A for 5100-125
B. Claim for Homeowners Replacement Housing Payments (MS Word)	5100-125		Schedule B for 5100-125
C. Claim of Rental Replacement Housing Payments (DOT)	5100-125		Updated Schedule C for 5100-125 (2/2005)
D. Down Payment and Incidental Expenses (DOT)	5100-125		Updated Schedule D for 5100-125 (2/2005)