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IDOT FORMS MANAGEMENT
 


Date: October 5, 2006

Forms Topic: Bureau of Land Acquisition

Description:
Title:
LA 6033C:  Claim for Fixed Payment in Lieu of Moving Expenses (Formerly BRW 961) (Rev. 10/06)
Body:
The District Engineer signature block was changed to Regional Engineer and the new form number was applied (LA 6033C).

 

Title:
LA 6033B:  Notice of Receipt for Determination of Entitlement for Payment in Lieu of Moving Expenses (Formerly BRW 960) (Rev. 10/06)
Body:
The District Engineer signature block was changed to Regional Engineer and the new form number was applied (LA 6033B).

 

Title:
LA 6033A:  Request for Determination of Entitlement for Payment in Lieu of Moving Expenses (Formerly BRW 959) (Rev. 10/06)
Body:
This form was changed to reflect the new form number, BRW 959.

 

Title:
LA 6032:  Itemized Eligible Reestablishment Expenses for Small Business, Farm and Nonprofit Organizations Worksheet (Formerly BRW 772a) (Rev. 10/06)
Body:
This form has been modified to fulfill the requirements of 49 CFR 24 and to reflect the new form number (LA 6032).

 

Title:
LA 6031C:  Claim for Moving Expenses (Formerly BRW 772) (Rev. 10/06)
Body:
The District Engineer signature block was changed to Regional Engineer and the new form number was applied (LA 6031C).

 

Title:
LA 6031B:  Bid Form for Actual Moving Expenses (Formerly BRW 954) (Rev. 10/06)
Body:
This form was modified to reflect the new form number, LA 6031B.

 

Title:
LA 6026:  Notice of Receipt of a Claim for a Relocation Payment (Formerly BRW 950) (Rev. 10/06)
Body:
The District Engineer signature block was changed to Regional Engineer and the form number was changed to LA 6026.

 

Title:
LA 6023B:  Relocation Plan Interview (Business) (Formerly BRW 958) (Rev. 10/06)
Body:
This form was changed to fulfill the requirements of 49 CFR 24 and to reflect the new form number (LA 6023B).

 

Title:
LA 6023A:  Relocation Plan Interview (Residential) (Formerly BRW 933) (Rev. 10/06)
Body:
This form was revised to reflect the new form number, LA 6023A.

 

Title:
LA 6019B:  Relocation Assistance Parcel Check List (Formerly BRW 1397) (Rev. 10/06)
Body:
This form was revised to reflect the new form number, LA 6019B.

 

Title:
LA 606:  Claim for Incidental Expenses (Formerly BRW 967) (Rev. 10/06)
Body:
The form number has been changed to LA 606, the form name has been shortened to 'Claim for Incidental Expenses' and the District Engineer signature block has been changed to Regional Engineer.

 

Title:
LA 6043B:  Economic Means Evaluation (Formerly BRW 1076) (Rev. 10/06)
Body:
The form number has been changed to LA 6043B and the form name has been shortened to 'Economic Means Evaluation'.

 

Title:
LA 6043A:  Payment Evaluation Form for Replacement Housing Supplement (Rent) (Formerly BRW 966) (Rev. 10/06)
Body:
This form was revised to reflect the new form number, LA 6043A.

 

Title:
LA 6041H:  Dwelling Inspection (Decent, Safe and Sanitary) (Formerly BRW 953) (Rev. 10/06)
Body:
This form was revised to reflect the new form number, LA 6041H.

 

Title:
LA 6041G:  Claim for Replacement Housing Supplement (Formerly BRW 963) (Rev. 10/06)
Body:
The District Engineer signature block was changed to Regional Engineer and the new form number was applied (LA 6041G).

 

Title:
LA 6041F:  MIDP Computation Using TI Business Analysts or Radio Shack EC-100 (Formerly BRW 2384) (Rev. 10/06)
Body:
This form was revised to reflect the new form number, LA 6041F.

 

Title:
LA 6041E:  MIDP Computation Using HP-12C (Formerly BRW 2383) (Rev. 10/06)
Body:
This form was revised to reflect the new form number, LA 6041E.

 

Title:
LA 6041C:  Replacement Housing Supplement Certification (Formerly BRW 964) (Rev. 10/06)
Body:
The District Engineer signature block was changed to Regional Engineer and the new form number was applied (LA 6041C).

 

Title:
LA 6041B:  Payment Evaluation Form for Replacement Housing Supplement (Purchase) (Formerly BRW 962) (Rev. 10/06)
Body:
This form was changed to fulfill the requirements of 49 CFR 24 and to reflect the new form number (LA 6041B).

 

Title:
LA 6041A:  Replacement Housing Supplement Comparable Listing (Formerly BRW 971) (Rev. 10/06)
Body:
This form was revised to reflect the new form number, LA 6041A.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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