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.

Chapter 1 Introduction and Overview (no forms)
Chapter 2 Financing the Federal-Aid Highway Program (no forms)
Chapter 3 Federal-Aid Routes & Functional Classifications (no forms)
Chapter 4 Surface Transportation Program (STP)
g04forms.docx (superseded by LAPG 25-L)
Chapter 5 Congestion Mitigation and Air Quality (CMAQ)(no forms)
Chapter 6 Highway Bridge Replacement and Rehabilitation HBRR)(no forms)
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)
Chapter 7 Seismic Safety Retrofit (no form)
Chapter 8 Transportation Enhancement Activities (TEA) (no form)
Chapter 9 Highway Safety Improvement Program (HSIP)
Application Form for Cycle 10 HSIP
Chapter 10 High Risk Rural Roads Program (no form)
Chapter 11 Emergency Relief Program
Emergency Relief Forms
Chapter 12 Other Federal Programs (no form)
Chapter 13 Intelligent Transportation Systems (ITS) Program
13a 13b
Chapter 14 Traffic Congestion Relief Program (TCRP) (no forms)
Chapter 15 Formerly State and Local Transportation Partnership Program (SLTPP). Now reserved for future use.
Chapter 16 Formerly Traffic Systems Management (TSM). Now reserved for future use.
Chapter 17 TSM Match Funds (no forms)
Chapter 18 Optional Federal Exchange and State Match Programs
Exhibit 18-F: Sample Invoice for Exchange/Match Program (DOCX)
Chapter 19 Grade Separation (no forms)
Chapter 20 Environmental Enhancement and Mitigation(EEM) (no forms)
Chapter 21 Bicycle Transportation Account (BTA) (no forms)
Chapter 22 Active Transportation Program (ATP)
Exhibit 22-A: Award Information for ATP Projects
Exhibit 22-B: Request for Time Extension
Exhibit 22-C: State Only Finance Letter
Exhibit 22-D: Request for Scope Change
Exhibit 22-E Instructions-Request-for-Scope-Change
Exhibit 22-F: Request for State ATP funding
Exhibit 22-G: Funding Distribution Change Request
Exhibit 22-G: Funding Distribution Change Request Instruction
Exhibit 22-P: Plan Scope of Work
Exhibit 22-R: Non-Infrastructure Work Plan
LAPG 22-T: Active Transportation Program Completion/Final Delivery Report
Superseded by LAPG 25 Exhibits; see Office Bulletin #21-04
Chapter 23 Local Agency STIP Projects
g23forms superseded by LAPG 25 Exhibits; see Office Bulletin #21-04
Chapter 24 Federal Safe Routes to School (no forms)
Chapter 25 State Programs for Local Agency Projects
LAPG 25-A Allocation/Time Extension Form (PDF)
Exhibit 25-C State-Only Finance Letter (Word)
Exhibit 25-D Request for Project Scope Change (Local ATP Projects) (Word)
Exhibit 25-D1 Instructions – Request for Project Scope Change (PDF)
Exhibit 25-E Request for State-Only Funding for STIP Project (Word)
Exhibit 25-F Request for State-Only Funding for ATP Project (Word)
Exhibit 25-G Request for Funding Distribution Change (Local ATP Projects) (Word)
Exhibit 25-G1 Instructions – Request for Funding Distribution Change (PDF)
Exhibit 25-H State/Federal Finance Letter (PDF)
Exhibit 25-I Project Programming Request (Excel)
Exhibit 25-I1 Instructions – Project Programming Request (PDF)
Exhibit 25-K Local Road Rehabilitation Project Certification (Word)
Exhibit 25-L Pavement Management System (PMS) Certification (Word)
Exhibit 25-M Notice of SB 184 Project Start for Local STIP Projects (Word)
Exhibit 25-O Award Information (Word)
Exhibit 25-P Plan Scope of Work (Excel)
Exhibit 25-R ATP Non-Infrastructure Work Plan (Excel)
Exhibit 25-S Project Delivery Report – Local Partnership Program (Excel)
LAPG 25-T ATP Completion/Final delivery Report (PDF)
LAPG 25-U ATP Application Form (PDF)
Exhibit 25-W Project Delivery Report (Excel)
Exhibit 25-Y Interim ATP Count Methodology (PDF)

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