FILL-IN FORMS FOR THE HOME MANUAL
Not all forms are available at this time in the fill-in format. This page will be updated with the fill-in forms as they become available. If you identify any problems with a form, please let us know at jbullion@thda.org
1. GENERAL REQUIREMENTS
2. FINANCIAL MANAGEMENT
FM-1 Authorization Agreement for Automatic Deposits
FM-5 Interim Payment Application
FM-6 Detail of Administrative Cost
FM-7 Certification of Completion and Final Inspection
FM-8 Homeowner Rehabilitation Project Completion Report
FM-9 Rental Housing Project Completion Report
3. ENVIRONMENTAL REVIEW
ER-1 Sample Floodplains and Wetlands Notice (Early Public Notice)
ER-2 Sample Notice of Explanation
ER-3 Environmental Review Checklist
ER-5 Finding of Categorical Exclusion
ER-6 NOI/RROF for Cities and Counties
ER-7 NOI/RROF for CHDOs and Non-profits
ER-8 Public Comment Period for a Categorically Excluded Project
ER-9 Environmental Assessment Checklist
ER-10 Outline for Environmental Assessment Project Narrative
ER-11 Combined Notice for Cities and Counties
ER-12 Combined Notice for CHDOs and Non-profits
ER-13 Public Comment Period for a Project Requiring an Environmental Assessment
ER-14 Request for Release of Funds and Certification
ER-15 Authority to Use Grant Funds
ER-16 24 CFR Part 58 - Environmental Review Procedures for Entities
Assuming HUD Environmental Responsibilities4. RELOCATION AND DISPLACEMENT
RL-1 Guideform General Information Notice--Residential Tenant that Will Not be Displaced
RL-2 Guideform General Information Notice--Residential Tenant to be Displaced
RL-3 Guideform Notice of Nondisplacement to Residential Tenant
RL-4 Guideform Notice of Eligibility for Relocation Assistance--Residential Tenant
RL-5 Guideform Waiver of Relocation Assistance Under URA
RL-6 Schedule for Fixed Moving Expense and Dislocation
RL-7 Site Occupant Record-Residential
RL-8 Record of Advisory Assistance and Other Contacts
RL-9 Claim for Moving and Related Expenses
RL-10 Selection of Most Representative Comparable Replacement Dwelling
RL-11 Claim for Rental Assistance or Downpayment Assistance
RL-12 Residential Relocation Management Report
RL-13 Sample Grievance Procedure
RL-14 Guideform Notice to Prospective Tenant
5. ACQUISITION
AQ-2 Waiver of Rights and Benefits
AQ-3 Preliminary Acquisition Notice
AQ-4 "When a Public Agency Acquires Your Property"
AQ-5 Invitation to Accompany an Appraiser
AQ-7 Statement of Basis for Determination of Just Compensation
AQ-8 Offer of Sale of Land
AQ-9 Statement of Settlement Costs
AQ-10 Notice of Intent Not to Acquire
6. FAIR HOUSING AND EQUAL OPPORTUNITY
EO-1 Policy and Procedures - Outreach to Minority and Women Business Enterprises
EO-2 Directory of Minority and Female Contractors and Suppliers
EO-3 Affirmative Marketing Policy and Procedures
EO-4 Contract and Subcontract Activity
EO-6 Policy of Nondiscrimination
EO-7 Minority Employment Goals
EO-8 "Fair Housing - It's Your Right"
7. LABOR STANDARDS
LB-1 Request for Determination and Response to Request
LB-2 Sample Advertisement and Invitation for Bids
LB-3 Federal Labor Standards Provisions
LB-4 Ten Day Call Confirmation
LB-5 Sample Pre-Construction Conference Report
LB-7 Record of Employee Interview
LB-8 Final Wage Compliance Report
8. LEAD-BASED PAINT
LBP-1 Protect Your Family from Lead in Your Home
LBP-2 Status of Compliance with Lead-Based Paint Regulations
10. HOMEOWNER REHABILITATION
HO-1 Sample Policies and Procedures
HO-2 Individual Case File Checklist
HO-3 HOME Rehabilitation Application/Family Survey
HO-4 Ineligible for Assistance
HO-4A Conflict of Interest Questionnaire
HO-6 Determination of Reconstruction
HO-6A Preliminary Inspection Report
HO-6B Work Write-up and Cost Estimate
HO-7 Rehabilitation Bid Tabulation
HO-8 Calculation of After Rehabilitation Property Value
HO-9 Approval of Rehabilitation Assistance
HO-10 Contract for Rehabilitation
HO-11 Contractor's Certification of Eligibility to Participate
HO-12 Contractor's Non-Kickback Certification
HO-13 Notice of Right of Rescission
HO-14A Replaced by LBP-1
HO-14B Replaced by LBP-2
HO-14C Replaced by LBP-3
HO-17 Inspection or Punchlist Report
11. RENTAL REHABILITATION
RH-1 Sample Policies and Procedures
RH-2 Rental Housing Feasibility Worksheet
RH-3 Sample Rental Housing Application
RH-4 Sample Security Deposit Installment Payment Agreement
RH-5 Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards