Federal Aviation Administration

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Forms

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  • |  Updated: 6:07 pm ET June 29, 2009

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 Airports Regional or District Office to determine which form you should use.

 
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)