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Local Public Agency Forms and Brochures

Local Public Agency Brochure Distribution

There has been some confusion in the past with local agencies and consultants handing out Washington State Department of Transportation (WSDOT) relocation assistance brochures and displaced persons contacting WSDOT for information or to file their appeal.

So, WSDOT is now asking local agencies to prepare their own relocation brochures and not use WSDOT's. Our brochures should only be used for our highway improvement projects, because they list our regional offices, along with appeal information, etc. It is up to the acquiring agency to provide appropriate information to displacees.

Until a local agency can prepare brochure(s) of their own, they can use the generic brochures available on our Web site.

Another option is to disburse the FWHA brochure, which can be obtained online. The address is: www.fhwa.dot.gov/realestate.


Acquisition Brochure - Transportation Property Needs and You
Generic version (pdf, 44kb)

Relocation Forms
Generic versions

Relocation Brochures
Generic brochures


Local Public Agency Forms List
(docx 24kb)

LPA-001:  Right-of-Way Procedures (docx 32kb)

LPA-002:  PFE Parcel Worksheet (docx 30kb)

LPA-003:  Waiver of Appraisal (docx 26kb)

LPA-004:  Administrative Offer Summary (docx 52kb)

LPA-005:  Certificate of Appraisal (docx 29kb)

LPA-006:  Determination of Value (docx 35kb)


LPA-011: Project Review Worksheet (docx 39kb)

LPA-012: Parcel Review Worksheet (docx 38kb)

LPA-013: Residential Relocation Review Worksheet (docx 38kb)

LPA-014: Non-Residential Relocation Review Worksheet (docx 40kb)

LPA-015: PPO Relocation Review Worksheet (docx 37kb)

LPA-016: Certification Review Oversight Report (docx 28kb)

LPA-017: Certification Review Transmittal letter (Cert 1 and 2) (docx 33kb)

LPA-018: Certification Review Transmittal letter (Cert 3) (docx 34kb)

LPA-019: Sample Size Determination Form (xlsx 19kb)


LPA-383:  No Right of Way Certification (docx 17kb)

LPA-384:  Right of Way Certificate (#1) – No Relocation (docx 17kb)

LPA-385:  Right of Way Certificate (#1) – Residential Relocation (docx 17kb)

LPA-386:  Right of Way Certificate (#1) – Non-Residential Relocation (docx 18kb)

LPA-387:  Right of Way Certificate (#1) – Residential and Non-Residential Relocation (docx 17kb)

LPA-388:  Right of Way Certificate (#2) – No Relocation (docx 17kb)

LPA-389:  Right of Way Certificate (#2) – Residential Relocation (docx 17kb)

LPA-390:  Right of Way Certificate (#2) – Non-Residential Relocation (docx 18kb)

LPA-391:  Right of Way Certificate (#2) – Residential and Non-Residential Relocation (docx 17kb)

LPA-392:  Right of Way Certificate (#3) – No Relocation (docx 22kb)

LPA-393:  Right of Way Certificate (#3) – Residential Relocation (docx 22kb)

LPA-394:  Right of Way Certificate (#3) – Non-Residential Relocation (docx 22kb)

LPA-395:  Right of Way Certificate (#3) – Residential and Non-Residential Relocation (docx 22kb)

LPA-397:  Certification Worksheet (xlsx 32kb)

LPA-398:  Certification Worksheet - Design Build (xlsx 33kb)

LPA-399:  WSDOT Local Agency Certification Concurrence Letter (docx 27kb)