Airports Forms

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

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A note on OMB expiration dates:

Forms that show past expiration dates are still valid as long as the OMB collection number continues to appear in the OMB Information Collection Current Inventory. To confirm the status of a collection number, you can search the information collection database by adding the OMB Control number you are looking for and specifying the ICR Status as “active”. The results will identify the “current expiration date”. Collections often receive month-to-month approvals if OMB has not completed its review before the expiration date. Once the final approval is received, we will revise the date on the form. If we cancel a collection, we will remove the form from the site.

 

Airport Financial Reports
Subject/Title Number Notes
Financial Government Payment Report

Note: This report should be filed through the Airport Financial Reporting Program (CATS) web site.

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

This report should be filed through the Airport Financial Reporting Program (CATS) web site.

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.

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Airport Improvement Program
Subject/Title Number Notes

Application for Federal Assistance - fillable PDF
Note: Use the "Save link as" option to save the file to your computer and then open it from there with your PDF reader tool rather than within the web browser.

SF 424

Instructions for SF 424

See the SAMPLE SF 424 for CARES Act applications. (Sample applies to non-development grants only. For CARES Act Airport Grants for airport development, contact your ADO or Regional office.)

Federal Financial Report
Note: Use the "Save link as" option to save the file to your computer and then open it from there with your PDF reader tool rather than within the web browser.

SF 425 This is a "reader-extended" fillable PDF, which allows you to save the completed form with Adobe Reader.
Federal Financial Report Attachment SF 425A This is a "reader-extended" fillable PDF, which allows you to save the completed form with Adobe Reader.
Application for Development and Equipment Projects (Parts II-IV) 5100-100 Continuation of SF 424 for application for land, development, and equipment projects
Instructions (included in form)
Part II A & C
Part III A - E
Part IV
Application for Planning Projects (Parts II-IV) 5100-101 Continuation of SF 424 for application for planning projects only
Instructions (included in form)
Part II
Part III A - F
Part IV
Airport Improvement Program Project Evaluation Review and Development Analysis 5100-109 Checklist (also called the PERADA) for FAA staff to confirm that all statutory and regulatory requirements are considered during the processing of AIP grant applications.
Request for FAA Approval of Agreement for Transfer of Entitlements 5100-110 Airport sponsors use this form to transfer entitlement funds under the Airport Improvement Program.
Agreement on State Sponsorship and Airport Sponsor Obligations - Airport Improvement Program 5100-128 Airport sponsors use this form to consent to project sponsorship by the State for projects funded under the Airport Improvement Program.
Construction Project Final Acceptance - Airport Improvement Program Sponsor Certification 5100-129 Airport sponsors use this form to certify they have completed or will complete key requirements before final project acceptance of construction projects funded under the Airport Improvement Program.
This is a "reader-extended" fillable PDF, which allows you to save the completed form with Adobe Reader.
Drug-Free Workplace - Airport Improvement Program Sponsor Certification 5100-130 Airport sponsors use this form to certify the work place will be drug-free as required under the Drug-Free Work Place Act of 1998 and 49 CFR part 32 for projects funded under the Airport Improvement Program.
This is a "reader-extended" fillable PDF, which allows you to save the completed form with Adobe Reader.
Equipment and Construction Contracts - Airport Improvement Sponsor Certification 5100-131 Airport sponsors use this form to certify they have followed or will properly follow key federal procurement requirements for equipment and construction contracts funded under the Airport Improvement Program.
This is a "reader-extended" fillable PDF, which allows you to save the completed form with Adobe Reader.
Project Plans and Specifications - Airport Improvement Program Sponsor Certification 5100-132 Airport sponsors use this form to certify they have prepared or will prepare the plans and specifications in accordance with key requirements for projects funded under the Airport Improvement Program.
This is a "reader-extended" fillable PDF, which allows you to save the completed form with Adobe Reader.
Real Property Acquisition - Airport Improvement Program Sponsor Certification 5100-133 Airport sponsors use this form to certify they have or will properly follow key land acquisition requirements for projects funded under the Airport Improvement Program.
This is a "reader-extended" fillable PDF, which allows you to save the completed form with Adobe Reader.
Selection of Consultants - Airport Improvement Program Sponsor Certification 5100-134 Airport sponsors use this form to certify they have or will properly follow key consultation selection requirements for projects funded under the Airport Improvement Program.
Certification and Disclosure Regarding Potential Conflicts of Interest - Airport Improvement Program Sponsor Certification 5100-135 Airport sponsors use this form to certify to the FAA or to the state (for state block grant sub-recipients) that they have no conflicts of interest related to the award of contracts funded with Airport Improvement Program grants.
Buy American Product Content Percentage Worksheet 5100-136 Sponsors use this worksheet to calculate Buy American percentages for items purchased as part of AIP-funded projects.
Buy American Final Assembly Questionnaire 5100-137 Airport sponsors use this form to provide information about the final assembly of products and equipment to be paid for with Airport Improvement Program funds. The FAA uses the provided data to determine whether final assembly occurs in the United States as required by the Buy American Preferences in 49 U.S.C. 50101.
Data Requirements for an Office of Airports Automated Weather Observation System (AWOS) Benefit Cost Analysis (BCA) 5100-138 Sponsors use this form to provide the information necessary for the FAA to conduct a BCA for the proposed AWOS.
Letter of Intent (LOI) Application Financial Template 5100-139 Airport sponsors use this form to identify all sources and amounts of financing for a proposed project as well as for all other anticipated capital projects during the life of the Letter of Intent request. Sponsors can also use the form to discuss alternative LOI disbursement schedules and how those alternatives might impact the overall financial plan.
Performance Report 5100-140 Airport sponsors use this form to submit quarterly performance reports for projects funded with Airport Improvement Program grants.
Inventory of Snow Removal Equipment 5100-141 Airport sponsors use this form to provide an inventory of snow removal equipment purchased both with and without Airport Improvement Program grants.
Sponsor Request for FAA Acknowledgment for Cold Weather Early Start 5100-142 Airport sponsors and/or their representatives use this form to request FAA acknowledgment to issue a Notice to Proceed prior to a grant award. To use this form, the airport must be in an area that experiences a shortened construction season due to climactic conditions.
Buy American Construction Project Content Percentage Worksheet 5100-143 Airport sponsors and/or their representatives use this form to request Buy American Type III Construction Project Waivers for items and materials used in construction projects funded with Airport Improvement Program funds.

FAA Title VI Pre-Grant Award Checklist

5100-145 Airport sponsors use this checklist to certify they are currently in compliance with Title VI of the Civil Rights Act of 1964 or have a corrective action plan approved by the FAA Office of Civil Rights to come into compliance.
Certification Regarding Lobbying NA Prerequisite certification for receiving a grant. Addresses the Sponsor prohibition of making payments for the purpose of influencing the Federal agency, Members of Congress, or their staff.
FAA Co-Sponsorship Agreement Template NA

For use by airport sponsors and State Block Program Grant sub-awardees when drafting suitable Co-Sponsorship Agreements in conjunction with independent legal review.

For more information about AIP forms, see the AIP Handbook (Order 5100.38) and contact your Airports Regional or District Office. Additional related forms are available at the following locations:

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Airport Master Record Program
Subject/Title Number Notes
Current Airport Master Record 5010-1 Electronically generated document. To view Airport Master Record (5010) data or download a PDF version of the 5010 document for a particular airport, use the Facility Search within the Airport Data and Information Portal. Airport Managers can view and update data for their facilities by logging into the system. OMB No. 2120-0015, exp. 4/30/2023
Current Airport Master Record 5010-2 Electronically generated document. To view Airport Master Record (5010) data or download a PDF version of the 5010 document for a particular airport, use the Facility Search within the Airport Data and Information Portal. Airport Managers can view and update data for their facilities by logging into the system. OMB No. 2120-0015, exp. 4/30/2023
Airport Master Record 5010-3 Access blank form for newly established public-use airports.
Airport Master Record 5010-5 Access blank form for newly established private-use airports.

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Airspace / Landing Area
Subject/Title Number Other Formats Notes
Notice of Proposed Construction or Alteration 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 7460-2   Notifies the FAA of construction or alteration that might affect navigable airspace (49 CFR part 77)
Notice of Landing Area Proposal 7480-1 E-filing (follow instructions on site) 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)

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Construction
Subject/Title Number Other Formats Notes
Construction Progress and Inspection Report 5370-1 Construction Progress and Inspection Report The information collected on this form documents the progress of construction work on a project funded with a Federal grant under the AIP.
OMB exp. 6/30/2023.
Contractor's Payroll Form 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

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Disadvantaged Business Enterprise
Subject/Title Notes
FAA Civil Rights Connect For more information, see the FAA Airport Disadvantaged Business Enterprise Program.

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Enplanement / All-Cargo Data
Subject/Title Number Notes
All-Cargo Carrier Activity Report Form 5100-108 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.

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Land Acquisition / Relocation Assistance
Subject/Title Number Notes
Federal Aid Compliance Review NA Spot Check
Acquisition/Relocation Records Checklist NA Checklist Acquisition
Sponsor Pre-Reimbursement Federal-aid Compliance Review NA Quality Control Review
Decent, Safe and Sanitary Certification NA  
Replacement Housing Payment (RHP) Determination - 90-day Occupant NA RHP - 90 Day
Replacement Housing Payment (RHP) Determination - 180 Day Owner-Occupant NA RHP - 180 Day
Certificate of Appraiser 5100-111 7/2017
Real Estate Appraisal - Short Form 5100-112 7/2017
Instructions and Attachment for Summary Appraisal Reports (URAR) 5100-112 (URAR) 7/2017
Value Finding for Low Value Acquisition 5100-113 7/2017
Real Estate Appraiser Training and Experience Resume 5100-114 7/2017
Appraisal Contract Proposal 5100-115  
Real Estate Appraisal Contract 5100-116 7/2017
Claim for Reimbursement of Expenses 5100-119  
Acquisition Procedures and Payment Summary 5100-120  
Appraisal Review Contract 5100-121  
Agreement for Acquisition & Relocation Services 5100-122  
Mortgage Interest Differential (MID) Payment Eligibility Computation 5100-123  
MID Computation - Fixed Mortgage NA  
MID Computation - ARM NA  
Claim for Relocation Payments - Non-residential 5100-124 Claim Certificate for 5100-124
A. Payment of Moving costs - Non-residential 5100-124 Updated Schedule A for 5100-124 (8/2005)
B. Direct Loss of or Purchase of Subsitute Personal Property 5100-124 Updated Schedule B for 5100-12 (11/2005) 4
C. Search Expenses 5100-124 Updated Schedule C for 5100-124 (2/2005)
D. Reestablishment Expenses 5100-124 Updated Schedule D for 5100-124 (11/2005)
E. Related Non-residential Expenses 5100-124 New Schedule E for 5100-124 (3/2005)
Claim for Relocation Payments - Residential 5100-125 Claim Certificate for 5100-125
A. Payment of Moving Costs - Residential 5100-125 Schedule A for 5100-125
B. Claim for Homeowners Replacement Housing Payments 5100-125 Schedule B for 5100-125
C. Claim of Rental Replacement Housing Payments 5100-125 Updated Schedule C for 5100-125 (2/2005)
D. Down Payment and Incidental Expenses 5100-125 Updated Schedule D for 5100-125 (2/2005)

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Part 139 Certification
Subject/Title Number Notes
Application for Airport Operating Certificate 5280-1 See Part 139 Airport Certification for more information.
Compliance Letter 5280-6 Template for FAA staff to use when reporting discrepancies found during Part 139 inspections.

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Passenger Facility Charge Program
Subject/Title Number Other Formats Notes
Passenger Facility Charge Program Application (updated 1/2022) 5500-1 Used by sponsors to identify and submit projects for PFC Program
OMB No. 2120-0557 Exp. 11/30/2024
Attachment B to Form 5500-1 5500-1    
Attachment G to Form 5500-1 5500-1    
Attachment H to Form 5500-1 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.

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Payments
Subject/Title Number Notes
Request for Advance or Reimbursement
Note: Use the "Save link as" option to save the file to your computer and then open it from there with your PDF reader tool rather than within the web browser.
SF 270 This is a "reader-extended" fillable PDF, which allows you to save the completed form with Adobe Reader.
Outlay Report and Request for Reimbursement for Construction Projects
Note: Use the "Save link as" option to save the file to your computer and then open it from there with your PDF reader tool rather than within the web browser.
SF 271 This is a "reader-extended" fillable PDF, which allows you to save the completed form with Adobe Reader.

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Safety Management System (SMS)
Subject/Title Number Notes
Safety Assessment Screening for Airport Planning and Development Projects (SAS-1) 5200-8 For use by FAA staff. See Order 5200.11, FAA Airports (ARP) Safety Management System (SMS), for more information. Instructions included in the fillable form.
Safety Assessment Screening for Modification of Standards (SAS-2) 5200-9 For use by FAA staff. See Order 5200.11 for more information. Instructions included in the fillable form.
Safety Assessment Screening for Airport Standards Development (SAS-3) - coming soon 5200-10 For use by FAA staff. See Order 5200.11 for more information. Instructions included in the fillable form.

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Surplus Property
Subject/Title Number Notes
Application for Airport Property NA Visit the Military Airport Program page for additional information and sample forms.

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Wildlife Hazards
Subject/Title Number Other Formats Notes
Report a Strike 5200-7 Online reporting Used by pilots, airports, and others to report bird and animal strikes

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Last updated: Wednesday, June 21, 2023