Or write to:
Illinois Department of Transportation
2300 S. Dirksen Pkwy.
Springfield, IL 62764
(217) 782-7820
Current Focus
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.
