Illinois Department of Transportation, Erica Borggren, Acting Secretary
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IDOT FORMS MANAGEMENT
 


Date: August 17, 2011

Forms Topic: Land Acquisition

Announcement:

Title

LA 4111A: Affidavit of Title  (Rev. 08/17/11) 

Body

This form has been modified by changing Page 2 No. 8 to add a Statute reference.
 

 

Title

LA 4412: Certification of Agent Under Power of Attorney (Rev. 08/17/11) 

Body

This form has been modified by changing the Form Title from Affidavit for Power of Attorney to Certification of Agent Under Power of Attorney
 

 

Title

LA 531A: Relocation Plan Interview (Residential) (Rev. 08/17/11) 

Body

This form has been modified by adding underlines under fill in blanks.
 

 

Title

LA 531B: Relocation Plan Interview (Business) (Rev. 08/17/11) 

Body

This form has been modified by adding underlines under fill in blanks.
 
 

 

 

Title

LA 541D: Relocation Assistance Unit Record  (Rev. 08/17/11) 

Body

This form has been modified by making various editorial changes throughout the form.
 

 

Title

LA 564B: Payment Evaluation Form for Replacement Housing Supplement (Purchase)  (Rev. 08/17/11) 

Body

This form has been modified by making various editorial changes throughout the form.
 
 

 

Title

LA 5134: Relocation Assistance Parcel Checklist  (Rev. 08/17/11) 

Body

This form has been modified by changing BRW 333 reference to LA 541D as form number has changed.
 

 

Title

LA 5667A: Claim for Replacement Housing Supplement  (Rev. 08/17/11) 

Body

This form has been modified by changing the order of signatures under "APPROVED".
 

 

Title

LA 5667B: Dwelling Inspection (Decent, Safe and Sanitary) (Rev. 08/17/11) 

Body

The reference to 49 CFR 24.2(a) was extended to state 49 CFR 24.2(a)(8) as the CFR was modified, the signature has also been modified.

 

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