Right of Way Forms

Processes & Procedures

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Right of Way Forms

Access
Appraisal
Eminent Domain
Negotiations
Other
Property Management
Relocations
Utilities

Access

No.	Title
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
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
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