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Right of Way Forms

Access

No. Title
Format
1058 Permit to Construct Access Driveway Facilities on Highway Right of Way
2036 Agreement for Right-of-Way Access during Hazardous or Petroleum Substance Investigation/Remediation
2057 Application for Use of State of Texas Right of Way for Temporary Signs for Special Events

Appraisal

No. Title Format
A1 Application for Pre-Certification as a Professional Real Estate Appraiser
A2 Contract for Appraisal Services
A3S Fee Appraiser Work Order for Acquisition of Facilities and Dredge Disposal Sites and for the Sale or Lease of Surplus Real Property
A5 Real Estate Appraisal Report Texas Department of Transportation
A5S Comparable Data Supplement
A6 Real Estate Appraisal Report Texas Department of Transportation
A9 Property Classification Agreement
A10 Tabulation of Values
A10D Tabulation of Values - Memorandum Value Determination
A10S Tabulation of Values for Engineering, Maintenance, Dredge Disposal Sites, and Surplus Real Property
A12 Advertising Sign Value Computations
A13 Declaration as to Method of Handling Mobile Home
A14 Rental Value Report
A18C Alternate Approved Value if Pass is to be Constructed
A19 Annual Evaluation of Appraiser
A19A Evaluation of Appraiser
A19B Guide for Appraiser Assignment
A46 Contract for Services of Expert Witness (By Project)
A47 Contract for Services of Technical Expert
A87 Contract for Services of Expert Witness (By County)
A127 Fee Reviewing Appraiser Work Order
AARC Appraisal Corrections Report
AARG Appraisal Review Guide
AEnvChk Environmental Checklist for LPAS
APAC Pre-Appraisal Contact with Property Owners
APVD Parcel Value Determination Form for LPAS
ARA Acknowledgment of Receipt of Appraisal Report

Eminent Domain

No. Title Format
E49 Request for Eminent Domain Proceedings
E73 Data Sheet - Special Commissioners Hearing
E74 Data Sheet - Settlement or Court Trial
EMed Notice of Pre-Mediation and Mediation Settings
END Notice of Deposit
EProcess Eminent Domain Process Checklist
ESubCheck Eminent Domain Package Submission Checklist

Negotiations

No. Title
PDF Word
N1 Memorandum of Agreement (Standard)  
N2 Memorandum of Agreement (Attorney's Certificate)  
N3 Memorandum of Agreement with Owner (Owner Disclaims Interest in Lessee-owned Improvements)  
N4 Memorandum of Agreement with Lessee (Owner Disclaims Interest in Lessee-owned Improvements)  
N5 Memorandum of Agreement (PSTS/Contamination Exists)  
N6 Memorandum of Agreement (for use when title insurance is purchased)  
N8 Tentative Memorandum of Agreement  
N9OAS Certificate of Compensable Interest  
N11 Administrative Settlement Approval Letter  
N11OAS Bill of Sale for Sign  
N12 Administrative Settlement Disapproval Letter  
N13 Release and Relinquishment of Access Rights to Highway Facility  
N14 Deed  
N14AOAS Release of Site for Sign  
N14OAS Release of Sign Rights  
N15 Right of Way Easement  
N16 Right of Way Lien Release  
N16E Subordination of Lien Agreement (Permanent Easement)  
N16TE Subordination of Lien Agreement (Temporary Easement)  
N17 Release of Easement  
N19 Occupancy Agreement  
N20AB Tabulation of Cost and Request for Reimbursement  
N20C District Check Sheet to Support Reimbursement on Condemned Parcel  
N21 Release of Mineral Surface Rights  
N24 Donation Deed, Controlled Access Highway Facility - Partial Acquisition - LPA  
N25 Donation Deed - LPA - Non-Controlled Access  
N30 Quitclaim Deed  
N31 Drainage Easement for Highway Purposes  
N71 Owner's Title Policy Commitment  
N83 Temporary Easement  
N85 Subordination of Mineral Lease  
N86 Title Statement  
N88 Subordination of Mineral Lease (Controlled Access Highway Facility)  
N94 Negotiator's Report  
N95 Negotiator's Certificate  
N101 Purchase Agreement
 
N102 Purchase Agreement (for use when Attorney's Certificate is used in lieu of title insurance)  
N103 Purchase Agreement (Subordination of Lessee's Surface Rights)  
N118 Affidavit of Sign Ownership  
N119 Affidavit and Disclaimer of Sign Interest  
N120 Affidavit and Disclaimer - Owner  
N120A Affidavit and Disclaimer - Lessee  
N143 Agreement Concerning the Donation of Property to the Texas Department of Transportation  
N145 Agreement Concerning the Partial Donation of Property to TxDOT  
N147 Correction Deed  
N271 Easement for Purpose of Producing and Hauling Materials  
NACA Attorney's Certificate "A": Initial Certificate for Negotiated Parcels  
NACB Attorney's Certificate "B": Initial Certificate for Condemned Parcels for Payment of Commissioners' Award  
NACC Attorney's Certificate "C": Initial Certificate for Condemned Parcels for Payment of Final Judgment  
NACD Attorney's Certificate "D": Final Certificate for County/City Acquisition  
NACE Attorney's Certificate "E": Closing Certificate for State Acquisition  
NACX1 Attorney's Certificate for City/County Acquisition Projects for Extinguishing or Subordinating an Overlooked Leasehold or Easement Interest  
NACX2 Attorney's Certificate for State Acquisition Projects for Extinguishing or Subordinating an Overlooked Leasehold or Easement Interest  
NegotCklist Negotiated Parcel Payment Submission Checklist  
NFOL Final Offer Letter  
NFOLE Final Offer Letter (Easement)  
NFOLPST Final Offer Letter (where Petroleum Storage Tanks exist)  
NINTO Informational Notice to Owner  
NIOLE Initial Offer Letter (Easement)  
NIOLLPT Initial Offer Letter to Lessee, Partial Taking  
NIOLLWT Initial Offer Letter to Lessee, Whole Taking  
NIOLOPT Initial Offer Letter to Owner, Partial Taking  
NIOLOWT Initial Offer Letter to Owner, Whole Taking  
NIOLPPST Initial Offer Letter, Partial Taking, PSTS/Contamination Exists  
NIOLPT Initial Offer Letter, Partial Taking  
NIOLWPST Initial Offer Letter, Whole Taking, PSTS/Contamination Exists  
NIOLWT Initial Offer Letter, Whole Taking
 
NMOA Memorandum of Agreement
 
NPSTRA Petroleum Storage Tank Removal Agreement  
NPUA Possession and Use Agreement for Transportation Purposes  
NPUAALT Possession and Use Agreement for Transportation Purposes (Alternative)  
NTCL Temporary Construction License  

Other

No. Title Format
Indemnity Indemnity Agreement
LPAIIIPR Title III Parcel Review Checklist for LPAS
MapCheck District Right of Way Map Checklist
RM9 Final Disposition of Right of Way Improvements
RM110 Property Owner's Claim for Payment of Incidental Expenses of Transfer of Real Property to the State
RMReimbChk Reimbursement Checklist for LPAS

Property Management

No. Title Format
L3 License Agreement
L6 Notice of Lease of State Land
PM124 Acknowledgment of Acceptability of Right of Way Instruments
PMDispCklist Checklist for Disposal of Surplus Right of Way to the Abutting Landowner(s)

Relocations

No. Title
PDF Word
LPA90CA Offer of Relocation Assistance Payments to 90-Day Owner-Occupant (City/County ROW Acquisition)  
LPA90CB Offer of Relocation Assistance Payments to 90-Day Owner-Occupant (City/County ROW Acquisition - Not Eligible for Rental Supplement)  
LPA90CC Offer of Relocation Assistance Payments to 90-Day Owner-Occupant (City/County ROW Acquisition - Last Resort)  
LPA90TCA Offer of Relocation Assistance Payments to 90-Day Tenant (City/County ROW Acquisition)  
LPA90TCB Offer of Relocation Assistance Payments to 90-Day Tenant (City/County ROW Acquisition - Not Eligible for Rental Supplement)  
LPA90TCC Offer of Relocation Assistance Payments to 90-Day Tenant (City/County ROW Acquisition - Last Resort)  
LPA180CA Offer of Relocation Assistance Payments to 180-Day Owner-Occupant (City/County ROW Acquisition)  
LPA180CB Offer of Relocation Assistance Payments to 180-Day Owner-Occupant (City/County ROW Acquisition - Multiple Owners)  
LPALROCA Offer of Relocation Assistance Payments to Late Residential Occupant (City/County ROW Acquisition)  
LPALROCB Offer of Relocation Assistance Payments to Late Residential Occupant (City/County ROW Acquisition - Last Resort)  
LPANRTC1 Offer of Relocation Assistance Payments to Non-Residential Business Tenant (City/County ROW Acquisition)  
LPANRTC2 Offer of Relocation Assistance Payments to Non-Residential Individual Tenant (City/County ROW Acquisition)  
LPARONRC Offer of Relocation Assistance Payments to Residential Occupant - No Rent Supplement (City/County ROW Acquisition)  
R30V Letter Giving 30-day Notice to Vacate  
R96 Relocation Advisory Assistance - Parcel Record  
R99 Claim for Actual Moving Expenses  
R100 Claim for Fixed Moving Expenses, Individuals and Families  
R101 Claim for Payment Fixed Moving Expenses, Business, Farm or Nonprofit Organization  
R102 Fixed Moving Expenses Payment - Business, Farm or Nonprofit Organization  
R103 Request for Authorization, Temporary Storage and/or Temporary Lodging  
R105 Claim for Payment of Rent Supplement  
R106 Residential Property Evaluation  
R107 Supplemental Payment Estimate, Replacement Housing  
R109 Request for Review of Relocation Assistance Payment  
R113 Claim for Payment of Down Payment or Housing Supplement  
R116 Replacement Housing Inspection  
R117B Buydown Computation of Increased Interest  
R118 Property Owner's Claim for Payment Incidental Expenses of Purchase of Replacement Dwelling  
R119 Negotiated Self-Move Request  
RCE Certification of Eligibility  
RDC Displacee Certification of the Relocation Process Completion  
RDPV Agreement for Direct Payment to Vendor  
RIA Income Affidavit  
RISE Itinerary for Searching Expenses  
RL180 Relocation Assistance Notification - 180 Day Owner Occupant  
RL180MO Relocation Assistance Notification - 180 Day Owner Occupant (Multiple Owners)  
RL180ZS Relocation Assistance Notification - 180 Day Owner Occupant (Zero Supplement)  
RL90 Relocation Assistance Notification - 90 Day Tenant  
RL90LT Relocation Assistance Notification - 90 Day Tenant (Late Tenant)  
RL90ZS Relocation Assistance Notification - 90 Day Tenant (Zero Supplement)  
RLBFNP Relocation Assistance Notification - Non-Residential  
RLBFNPLT Relocation Assistance Notification - Non-residential (Late Tenant)  
RLOAS Relocation Assistance Notification - Outdoor Advertising Sign  
RLOPTDNRO Relocation Assistance  Notification - Optional Displacement Non-residential Owner  
RLOPTDNRT Relocation Assistance Notification - Optional Displacement Non-residential Tenant  
RLPPO Relocation Assistance Notification - Personal Property Only  
RLROSA Offer of Relocation Assistance Payments to Late Residential Occupant (State ROW Acquisition - Not Eligible for Rental Supplement)  
RLROSB Offer of Relocation Assistance Payments to Late Residential Occupant (State ROW Acquisition - Last Resort)  
RMP Displacee Move Plan  
RMPAM Move Planner Approval Memo  

Utilities

No. Title Format
1082 Utility Installation Request
U1A Affidavit (for Utility Owner)
U1B Affidavit (for Disinterested Party)
U1C Affidavit (for Property Owner)
U13 Reimbursable Authorization Letter
U27A Certificate of Partial Payment for Utility Estimate
U27B Support for Certificate of Partial Payment for Utility Estimate Showing Estimated Work Completed as of ______
U35 Standard Utility Agreement
U40 Signature Authority
U43A Standard Utility Agreement Lump Sum - Local Government
U43B Standard Utility Agreement Actual Cost - Local Government
U45 Tabulation of Utility Adjustments (SUP)
U47A Tabulation and Certificate of Partial Payment for Utility Adjustment (LUP)
U47B Tabulation and Certificate of Partial Payment for Utility Adjustment - Final (LUP)
U48 Statement Covering Utility Construction Contract Work (As Appearing in Estimate)
U84 Compensable Interest Certificate
U139 Indemnity Agreement for Fiber Optic Facility
U139A Master Indemnity Agreement for Fiber Optic Facility
UAdjCheck Utility Accommodation / Adjustment Checklist
UBillChkDist Utility Payment/Billing Checklist
UCFUA Certification for Utility Accommodation
UCLEARANCE Utility Clearance Letter
UCOA Standard Utility Agreement Supplemental Agreement No. ___ to U-___
UEWA Emergency Work Authorization Post-highway Letting
UJUAA Utility Joint Use Acknowledgement Reimbursable Utility Adjustment
UJUACheck Utility Joint Use Agreement Checklist (to be included with submittal)
UMOU1 Utility Memorandum of Understanding (For use with utility entities)
UMOU2 Utility Memorandum of Understanding (For use with utility industry associations)
UUAD Utility Accommodation Declaration
UUAWS Utility Assignment Work Sheet Pre-highway Letting