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.
| Airport Financial Reports | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
Financial Government Payment Report (Web Form) Note: This report should be filed through the Airports Financial Reporting Program (CATS) website. |
5100-126 | For more information, visit the Airport Financial Reporting Program page. Instructions can be found in AC 150/5100-19, Guide for Airport Financial Reports Filed by Airport Sponsors. |
|
Operating and Financial Summary (Web Form) Note: This report should be filed through the Airports Financial Reporting Program (CATS) website. |
5100-127 | For more information, visit the Airport Financial Reporting Program page. Instructions can be found in AC 150/5100-19, Guide for Airport Financial Reports Filed by Airport Sponsors. |
|
| Airport Improvement Program | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Application for Federal Assistance (9/2003) (PDF) | SF 424 | MS Word | Application for Federal Assistance Instructions with form |
| Application for Development Projects (Parts II-IV) (PDF) | 5100-100 | Continuation of SF 424 for application for land, development, and equipment projects Instructions Part II A & C Part III A - E Part IV |
|
| Application for Planning Projects (Parts II-IV) (PDF) | 5100-101 | Continuation of SF 424 for application for planning projects only Instructions Part II Part III A - F Part IV |
|
| Quarterly Performance Report (MS Word) | Form for submitting mandatory quarterly reports. See Par. 1221c of the AIP Handbook (PDF, 1.11 MB). | ||
| Airport Master Record Program | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Airport Master Record | 5010-1 | For existing public-use airports | |
| Airport Master Record | 5010-2 | For existing private-use airports | |
| Airport Master Record | 5010-3 | For newly established public-use airports | |
| Airport Master Record | 5010-5 | For newly established private-use airports | |
| Airspace/Landing Area | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Notice of Proposed Construction or Alteration (5/07) (PDF) | 7460-1 | E-filing (follow instructions on site) | Notifies the FAA of construction or alteration that might affect navigable airspace (49 CFR part 77) |
| Notice of Actual Construction or Alteration (7/96) | 7460-2 | Notifies the FAA of construction or alteration that might affect navigable airspace (49 CFR part 77) | |
| Notice of Landing Area Proposal (1/93) (PDF) | 7480-1 | MS Word | Notifies the FAA of any construction, alteration, activation, deactivation, or change to the status or use of a civil or joint-use (civil/military) airport (part 157) |
| Construction | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Construction Progress and Inspection Report (MS Word, 53 KB) | 5370-1 | The information collected on this form documents the progress of construction work on a project funded with a Federal grant under the AIP. | |
| Contractor's Weekly Pay Statement (11/98) (PDF) Contractor's Weekly Pay Statement (11/98) Instructions |
WH-347 | Used by contractors and subcontractors required by Federal or Federally aided construction-type contracts and subcontracts to submit weekly payrolls Instructions |
|
| Labor Standards Interview Form | SF 1445 | Supports Davis-Bacon monitoring efforts | |
| Notice of Proposed Construction or Alteration (2/99) | 7460-1 | See Airspace/Landing Area | |
| Notice of Actual Construction or Alteration (7/96) | 7460-2 | See Airspace/Landing Area | |
| Notice of Landing Area Proposal (1/93) | 7480-1 | See Airspace/Landing Area | |
| Design / Engineering | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Airport Pavement Design (MS Word, 103 KB) | 5100-1 | Form used to identify design criteria and desired pavement section; typically attached to the engineer's report | |
| Pavement Strength Survey | 5320-1 | MS Word (176 KB) | |
| Disadvantaged Business Enterprises | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Report of DBE Goal Accomplishments (MS Word, 137 KB) | DOT 4630 | ||
| Enplanement / All-Cargo Data | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| All-Cargo Carrier Activity Report Form | 5100-108 | MS Word (113 KB) | Visit the All-Cargo Reporting page for additional information and sample forms. Instructions included with form. |
| Airport Activity Survey | 1800-31 | Visit the Airport Activity Survey page for forms, instructions, additional information, and samples. | |
| 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, 220 KB) | NA | Spot Check | |
| Acquisition/Relocation Records Checklist (MS Word, 16 KB) | NA | Checklist Acquisition | |
| Sponsor Pre-Reimbursement Federal-aid Compliance Review (MS Word, 23 KB) | NA | Quality Control Review | |
| Decent, Safe and Sanitary Certification (MS Word, 14 KB) | NA | ||
| Replacement Housing Payment (RHP) Determination - 90-day Occupant (MS Word, 35 KB) | NA | RHP - 90 Day | |
| Replacement Housing Payment (RHP) Determination - 180 Day Owner-Occupant (MS Word, 59 KB) | NA | RHP - 180 Day | |
| Certificate of Appraiser (PDF, 90 KB) | 5100-111 | ||
| Short Form Appraisal (PDF, 425 KB) Short Form Appraisal Instructions (MS Word, 60 KB) |
5100-112 | ||
| Instructions/Attachment for Summary Appraisal Reports (Fannie Mae Forms 1004 & 1025) (MS Word, 60 KB) | 5100-112 (URAR) | ||
| Value Finding for Low Value Acquisition (PDF, 49 KB) | 5100-113 | ||
| Appraiser Training and Experience Resume (PDF, 64 KB) | 5100-114 | ||
| Appraisal Contract Proposal (PDF, 90 KB) | 5100-115 | ||
| Appraisal Contract (PDF, 491 KB) | 5100-116 | ||
| Claim for Reimbursement of Expenses (PDF, 105 KB) | 5100-119 | ||
| Acquisition Procedures and Payment Summary (PDF, 163 KB) | 5100-120 | ||
| Appraisal Review Contract (PDF, 585 KB) | 5100-121 | ||
| Agreement for Acquisition & Relocation Services (PDF, 587 KB) | 5100-122 | ||
| Mortgage Interest Differential (MID) Payment Eligibility Computation (MS Word, 24 KB) | 5100-123 | ||
| MID Computation - Fixed Morgage (MS Excel, 42 KB) | NA | ||
| MID Computation - ARM (MS Excel, 29 KB) | NA | ||
| Claim for Relocation Payments - Non-residential (MS Word, 73 KB) | 5100-124 | Claim Certificate for 5100-124 | |
| A. Payment of Moving costs - Non-residential (DOT, 102 KB) | 5100-124 | Updated Schedule A for 5100-124 (8/2005) | |
| B. Direct Loss of or Purchase of Subsitute Personal Property (DOT, 82 KB) | 5100-124 | Updated Schedule B for 5100-12 (11/2005) 4 | |
| C. Search Expenses (DOT, 57 KB) | 5100-124 | Updated Schedule C for 5100-124 (2/2005) | |
| D. Reestablishment Expenses (DOT, 72 KB) | 5100-124 | Updated Schedule D for 5100-124 (11/2005) | |
| E. Related Non-residential Expenses (DOT, 60 KB) | 5100-124 | New Schedule E for 5100-124 (3/2005) | |
| Claim for Relocation Payments - Residential (MS Word, 79 KB) | 5100-125 | Claim Certificate for 5100-125 | |
| A. Payment of Moving Costs - Residential (MS Word, 56 KB) | 5100-125 | Schedule A for 5100-125 | |
| B. Claim for Homeowners Replacement Housing Payments (MS Word, 159 KB) | 5100-125 | Schedule B for 5100-125 | |
| C. Claim of Rental Replacement Housing Payments (DOT, 51 KB) | 5100-125 | Updated Schedule C for 5100-125 (2/2005) | |
| D. Down Payment and Incidental Expenses (DOT, 63 KB) (12/6/2006) | 5100-125 | Updated Schedule D for 5100-125 (2/2005) | |
| Part 139 Certification | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Application for Certificate Form (PDF, 29 KB) | 5280-1 | MS Word | Visit the New Federal Certification Requirements section for additional information. |
| Passenger Facility Charge Program | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Passenger Facility Charge Program Application (PDF) (Updated 5/18/2007) |
5500-1 | Passenger Facility Charge Program Application (DOT) (Updated 5/18/07) |
Used by sponsors to identify and submit projects for PFC Program Form Instructions (PDF) (Updated 5/18/2007) |
| Attachment B to Form 5500-1 (DOT) (Updated 5/18/2007) |
5500-1 | Instructions for Form 5500-1 Attachments (PDF) (Updated 5/18/2007) | |
| Attachment G to Form 5500-1 (MS Word) | 5500-1 | ||
| Attachment H to Form 5500-1 (MS Excel) (Updated 5/30/2007) |
5500-1 | ||
| Project Physical Closeout and Project Financial Closeout | 5500-1 | These forms are available in PFC SOAR. Public agencies that do not have access to this system should contact their Regional or ADO PFC representatives. | |
| Payments | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Request for Advance or Reimbursement (7/97) (PDF) | SF 270 | ||
| Outlay Report and Request for Reimbursement for Construction Projects (7/97) (PDF) | SF 271 | ||
| Federal Cash Transactions Report (7/97) (PDF) | SF 272 | Form used by sponsor to identify and submit projects for the AIP and PFC Programs | |
| Federal Cash Transactions Report (continuation sheet) (PDF) | SF 272a | ||
| Standard Sponsor Certification Forms (Found in Appendix 25 of the AIP Handbook) | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Selection of Consultants (PDF) | 5100-38B | MS Word | Certification by sponsor attesting to compliance with 49 CFR part 18.36 and Architectural, Engineering, and Planning Consultant Services for Airport Grant Projects (AC 150/5100-14) for to procuring a professional consultant |
| Project Plans and Specifications (PDF) | 5100-38B | MS Word | Certification by sponsor attesting to compliance with Federal standards as listed in the grant agreement as it relates to preparation of project plans and specifications |
| Equipment/Construction Contracts (PDF) | 5100-38B | MS Word | Certification by sponsor attesting to compliance with 49 CFR part 18.36 for solicitation and award of contract for construction and equipment projects |
| Real Property Acquisition (PDF) | 5100-38B | MS Word | Certification by sponsor attesting to compliance with 49 CFR part 24 and the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 |
| Construction Project Final Acceptance (PDF) | 5100-38B | MS Word | Certification by sponsor attesting to compliance with 49 CFR part 18.50 and approved plans and specifications |
| Drug-Free Certification (PDF) | 5100-38B | MS Word | Certificaton by sponsor attesting to compliance with 49 CFR part 29 and the Drug Free Workplace Act of 1988 |
| All Standard Sponsor Certification Forms (PDF) | 5100-38B | MS Word | |
| Surplus Property | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Application for Airport Property (MS Word) | NA | Visit the Military Airport Program page for additional information and sample forms. | |
| Wildlife Hazards | |||
|---|---|---|---|
| Subject/Title | Number | Other Formats | Notes |
| Bird/Other Wildlife Strike Report (PDF) | 5200-7 | E-Form | Used by pilots, airports, and others to report bird and animal strikes |
