Local Assistance Program Guidelines (LAPG) Forms

The following files comprise the Exhibits portion of the most recent LAPG chapters, including all updates issued in Local Programs Procedures (LPPs). Content is provided in an unprotected, MS Word format, so that you may copy and paste for your own purposes (onto agency or company letterhead, etc.); however, neither Caltrans nor the Division of Local Assistance are responsible for liability resulting from the alteration and use of any forms herein provided.

Ch. 1 Introduction and Overview (no forms) Ch. 13 Intelligent Transportation Systems (ITS) Program (13a, 13b)
Ch. 2 Financing the Federal-Aid Highway Program (no forms) Ch. 14 Traffic Congestion Relief Program (TCRP).
Ch. 3 Federal-Aid Routes & Functional Classifications (no forms) Ch. 15 Formerly State and Local Transportation Partnership Program (SLTPP). Now reserved for future use.
Ch. 4 Surface Transportation Program (STP) g04forms.docx  Ch. 16 Formerly Traffic Systems Management (TSM). Now reserved for future use.
Ch. 5 Congestion Mitigation and Air Quality (CMAQ) (no forms) Ch. 17 TSM Match Funds (no forms)

Ch. 6 Highway Bridge Replacement and Rehabilitation HBRR)

LAPG 6-A: HBP Application/Scope Definition
LAPG 6-B: HBP Special Cost Approval Checklist
LAPG 6-D: Scope/Cost/Schedule Change Request
Exhibit 6-E Sample Funding Commitment Letter (PDF)
Exhibit 6-F Sample Funding Sheet for Commitment Letter (PDF)

Ch. 18 Optional Federal Exchange and State Match Programs

Exhibit 18-F: Sample Invoice for Exchange/Match Program (DOCX)

Ch. 7 Seismic Safety Retrofit (no form) Ch. 19 Grade Separation (no forms)
Ch. 8 Transportation Enhancement Activities (TEA) (no forms) Ch. 20 Environmental Enhancement and Mitigation(EEM)
Ch. 9 Highway Safety Improvement Program (HSIP)
Application Form for Cycle 10 HSIP
Ch. 21 Bicycle Transportation Account (BTA)
Ch. 10 High Risk Rural Roads Program (N/A) Ch. 22 Active Transportation Program (ATP)
Exhibit 22-A: Award Information for ATP Projects(Word)
Exhibit 22-B: Request for Time Extension (PDF) or EX22B(Word)
Exhibit 22-C: State Only Finance Letter(Word)
Exhibit 22-D: Request for Scope Change(Word)
Exhibit 22-E Instructions-Request-for-Scope-Change(PDF)
Exhibit 22-F: Request for State ATP funding(Word)
Exhibit 22-G: Funding Distribution Change Request(PDF)
Exhibit 22-G: Funding Distribution Change Request Instruction(PDF)
New Funding Allocation Request Form(PDF) (supersedes Exhibits 22-N and 22-O)
Exhibit 22-P: Plan Scope of Work(Excel)
Exhibit 22-R: Non-Infrastructure Work Plan(Excel)
LAPG 22-T: Active Transportation Program Completion/Final Delivery Report(PDF)
Ch. 11 Emergency Relief Program g11forms
For ER Projects utilize the following LAPM Forms:
Exhibit 3-A: Request for Authorization to Proceed with Preliminary Engineering (F-PDF)EX03A(Word)
Exhibit 3-B: Request for Authorization to Proceed with Right of Way (F-PDF)EX03B(Word)
Exhibit 3-C: Request for Authorization to Proceed with Utility Relocation (F-PDF)EX03C(Word)
Exhibit 3-D: Request for Authorization to Proceed with Construction (F-PDF)EX03D(Word)
Exhibit 3-E: Request for Authorization to Proceed Data Sheet(s)(F-PDF)
Exhibit 3-F: Instructions for Request for Authorization Data Sheet(PDF)           
Ch. 23 Local Agency STIP Projects g23forms (PDF)
New Funding Allocation Request Form 
Ch. 12 Other Federal Programs Ch. 24 Federal Safe Routes to School

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