Forms and Templates

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Subject Area

• PEAR
• NEPA Assignment
• Air Quality
• Annotated Outlines/Re-Validation Form
• Notices
• CEQA
• Biological Technical Documents and FAQs
• Cultural Studies
• Noise Guidance
• Environmental Commitment Compliance
• Water Quality
• Other

PEAR

• Blank PEAR Format (DOCX) (37 KB)
• Blank Mini-PEAR Format (DOCX) (36 KB)
• Attachment A - PEAR Environmental Studies Checklist (DOCX) (35 KB) (posted 08-08-18)
• Attachment B - Blank PEAR Support Cost Matrix (PERT Version) (XLSX) (515 KB) (posted 03-01-19)
• Attachment D - PEAR Environmental Commitments Cost Estimate (DOCX) (19 KB)

NEPA Assignment

New Forms, Spreadsheet and Spreadsheet Instructions for use with NEPA Assignment and CE Assignment MOUs

• Categorical Exemption/Exclusion Form (CE/CE) (DOCX) (posted 01-04-19)
• Categorical Exclusion Checklist (DOCX) (posted 02-07-19)
• Internal Quality Control Certification Sheet (DOCX) (posted 06-11-18)
• External Quality Control Certification Sheet (DOCX) (posted 06-11-18)
• Quality Control Checklist (DOC) (posted 04-02-18)
• Instructions for using uniform Environmental Filing System (DOC)
• Specifications for Uniform Filing System Tabs (PDF)
• Template for Uniform Filing System Tabs (DOC)
• Environmental Document Review Checklist (DOCX) (posted 08-02-17)

Air Quality

• Air Pollution Standards Table (DOCX) (posted 04-08-19)
• Air Quality Report Annotated Outline (DOCX) (posted 12-15-17)
• Air Quality Conformity Analysis Annotated Outline (DOCX) (posted 02-12-14)
• Air Quality Conformity Analysis Cover Letter (sample) (DOCX) (posted 07-27-18)
• Air Quality Conformity Findings Checklist (DOCX) (posted 04-08-2019)
• Air Quality Conformity Public Notice Language (DOCX)
• Conformity Streamlining Exemption Form (DOCX) (posted 09-04-18)
• Ambient Air Quality Standards can be found on the California Air Resources Board website

Annotated Outlines/Re-Validation Form

• IS/EA Annotated Outline (DOCX) (posted 02-21-18)
• EIR/EA Annotated Outline (DOCX) (posted 02-21-18)
• EIR/EIS Annotated Outline (DOCX) (posted 02-21-18)
• NEPA Only EIS (DOCX) (posted 02-21-18)
• NEPA Only EA (DOCX) (posted 02-21-18)
• Summary of AO Updates and Grandfathering Guidance (PDF) (posted 11-30-17)
• ED Review Matrix (XLS) (posted 06-24-10)
• Draft EIR/EIS Distribution List Sample (DOCX) (posted 04-27-16)
• Final EIR/EIS Distribution List Sample (DOCX) (posted 04-27-16)
• NEPA/CEQA Re-Validation Form (DOCX) (posted 06-14-2016)
• FONSI Sample (DOCX) (posted 09-08-17)
• Programmatic Section 4(f) Evaluation (DOCX) (posted 02-08-13)
• The Title VI Policy Statements can be found on the Caltrans Title VI website

Notices

CEQA

• Notice of Intent to Adopt a ND or MND: Follow the guidance in Chapter 11 and Appendix HH of the PDPM
• The following notices can be downloaded from the State Clearinghouse’s CEQA Document Submission website.
  • Notice of Exemption (NOE) 
  • Notice of Completion (NOC)
  • Notice of Preparation (NOP)
  • Notice of Determination (NOD)

NEPA

• Notice of Availability - FONSI (DOCX)
• Notice of Intent - EIS Sample (DOCX) (posted 10-01-12)
• Notice of Statute of Limitations on Claims (DOCX) (posted 11-20-18)
• FHWA Guidance for Submitting Notice of Statute of Limitations to the Federal Register (PDF) (posted 11-20-18)
  Note: Larry Vinzant has retired. Send draft SOLs to Shawn Oliver and David Tedrick for review.

CEQA

• EIR Certification Form (DOCX)
• CEQA Checklist (DOCX) (posted 01-17-19)
• Negative Declaration (ND) (DOCX)
• Mitigated Negative Declaration (MND) (DOCX)
• Statement of Overriding Considerations Form (DOCX)
• Findings (DOCX)

Biological Technical Documents and Frequently Asked Questions (FAQs)

• Quality Control Guidance for Standard Biological Technical Documents and Reports (PDF)
• Natural Environment Study (NES) (DOCX) (posted 11-02-2018)
• NESMI (DOCX) (posted 11-02-2018)
• Guidance for District submittals for Alternative Natural Environment Study (Minimal Impact) (NES MI) - No Effect (PDF)
• Biological Assessment (BA) (DOCX) (posted 05-03-2018)
• USFWS Biological Assessment Checklist (DOCX) (posted 07-24-2014)
• NMFS Biological Assessment Checklist (DOCX) (posted 07-02-2014)

Cultural Studies

• Cultural Resources Compliance Document templates

Noise Guidance

• Annotated Noise Study Report Outline (DOCX) (posted 04-01-15)
  (to be completed by the Noise Specialist)
  • Figure 5.1 (PDF)
• Annotated Noise Abatement Decision Report Outline (DOCX) (posted 10-04-12)
  (to be completed by the Project Engineer)

Environmental Commitment Compliance

• PS&E / Ready to List Review Tool (DOCX)
• Certificate of Environmental Compliance at CCA (MS 600) (DOCX) (posted 03-02-18)
• Certificate of Environmental Compliance at Project Closeout (MS 800) (DOCX) (posted 03-02-18)
• Environmental Certification (DOCX) (posted 05-05-14)
• Environmental Commitments Record (ECR) (DOCX) (posted 1-22-2015)

Water Quality

• Water Quality Assessment Report Template (DOCX) (posted 02-09-18)
• Water Quality Scoping Questionnaire (DOCX) (posted 02-12-18)

Other

• Floodplain Forms: Location Hydraulic Study (DOCX)
• Floodplain Forms: Summary of Floodplain Encroachment Report (DOCX)
• Sample ESR (PDF)
• The following forms can be found on the Natural Resources Conservation Service website under FPPA Forms and Resources:
  • Form NRCS-CPA-106 (corridor type projects)
  • Form AD-1006 (non-corridor type projects)