CDOT Form 443 "Relocation Checklist and Record of Correspondence" - Colorado

What Is CDOT Form 443?

This is a legal form that was released by the Colorado Department of Transportation - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the Colorado Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of CDOT Form 443 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

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Download CDOT Form 443 "Relocation Checklist and Record of Correspondence" - Colorado

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COLORADO DEPARTMENT OF TRANSPORTATION
Project Code:
Parcel No:
Project No:
RELOCATION CHECKLIST AND
Location:
RECORD OF CORRESPONDENCE
Name of displaced person(s):
►NOTE: Check only boxes that are applicable to this particular
owner or tenant.◄
RESIDENTIAL PARCELS:
Relocation brochure delivered
First Negotiation Contact delivered with Certificate of Legal Residency
Demographic Information delivered
90 days written notice delivered
30 day written notice delivered
Moving costs explained
Replacement housing explained
Offered assistance in locating replacement property
DSS inspection performed prior to purchase or renting
Relocation Agreement (CDOT Form #591) signed if acquisition is proceeding to condemnation
BUSINESS, FARM AND NONPROFIT ORGANIZATION:
Relocation brochure delivered
First Negotiation Contact/90 Day Notice delivered with Certificate of Legal Residency
Demographic Information delivered
30 day written notice delivered
Moving costs explained
Inventory given to moving companies
Two estimates received
Site search explained
Storage explained
Related non residential eligible expenses (connection to utilities, professional services, impact fees) explained
Reestablishment expenses explained
Fixed payment for moving expenses (In-Lieu) explained
Additional comments:
I certify that I understand the subject parcel is to be used in connection with a Federal Aid project. That I have no
direct or indirect, present or contemplated, future personal interest in any relocation payments or benefits. That
the following chronological record, to the best of my knowledge, is a true account of contacts with, and activities
in behalf of displaced person(s).
Real Estate Specialist signature
Title:
Date:
CDOT Form 443 05/17
Page 1 of 2
Previous editions are obsolete and may not be used
COLORADO DEPARTMENT OF TRANSPORTATION
Project Code:
Parcel No:
Project No:
RELOCATION CHECKLIST AND
Location:
RECORD OF CORRESPONDENCE
Name of displaced person(s):
►NOTE: Check only boxes that are applicable to this particular
owner or tenant.◄
RESIDENTIAL PARCELS:
Relocation brochure delivered
First Negotiation Contact delivered with Certificate of Legal Residency
Demographic Information delivered
90 days written notice delivered
30 day written notice delivered
Moving costs explained
Replacement housing explained
Offered assistance in locating replacement property
DSS inspection performed prior to purchase or renting
Relocation Agreement (CDOT Form #591) signed if acquisition is proceeding to condemnation
BUSINESS, FARM AND NONPROFIT ORGANIZATION:
Relocation brochure delivered
First Negotiation Contact/90 Day Notice delivered with Certificate of Legal Residency
Demographic Information delivered
30 day written notice delivered
Moving costs explained
Inventory given to moving companies
Two estimates received
Site search explained
Storage explained
Related non residential eligible expenses (connection to utilities, professional services, impact fees) explained
Reestablishment expenses explained
Fixed payment for moving expenses (In-Lieu) explained
Additional comments:
I certify that I understand the subject parcel is to be used in connection with a Federal Aid project. That I have no
direct or indirect, present or contemplated, future personal interest in any relocation payments or benefits. That
the following chronological record, to the best of my knowledge, is a true account of contacts with, and activities
in behalf of displaced person(s).
Real Estate Specialist signature
Title:
Date:
CDOT Form 443 05/17
Page 1 of 2
Previous editions are obsolete and may not be used
Date
Remarks/Action Taken/Interviews/Telephone Conversations/Assistance Given/ Letters Sent/Payoffs
CDOT Form 443 05/17
Page 2 of 2
Previous editions are obsolete and may not be used
Page of 2