CDOT Form 443 Relocation Checklist and Record of Correspondence - Colorado

CDOT Form 443 is a Colorado Department of Transportation form also known as the "Relocation Checklist And Record Of Correspondence". The latest edition of the form was released in May 1, 2017 and is available for digital filing.

Download an up-to-date CDOT Form 443 in PDF-format down below or look it up on the Colorado Department of Transportation Forms website.

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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

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

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