FHWA Emergency Relief (ER) Forms
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| Form Number | Form Name | Revision Date | Form Owner | Format |
|---|---|---|---|---|
| Agreements and Exhibits | ||||
| For FHWA ER Permanent Repair Work use LAP Agreements and Exhibits | Varies by Form | Program Management | LAP Forms | |
| 350-000-15 | Local Agency Emergency Repair Agreement for FHWA Emergency Relief (ER) | 04/28/2025 | Program Management | Word Form |
| 350-000-15A | Local Agency Emergency Repair Agreement - Exhibit A - Detailed Damage Inspection Report(s) | 05/12/2021 | Program Management | Word Form |
| 350-000-15B | Local Agency Emergency Repair Agreement - Exhibit B - Schedule of Financial Assistance | 08/18/2021 | Program Management | Word Form |
| 350-000-15C | Local Agency Emergency Repair Agreement - Exhibit C - Title VI Assurances | 05/12/2021 | Program Management | Word Form |
| 350-000-15D | Local Agency Emergency Repair Agreement - Exhibit D - Recipient Resolution | 05/12/2021 | Program Management | Word Form |
| 350-000-15E | Local Agency Emergency Repair Agreement - Exhibit E - State Financial Assistance (Single Audit Act) | 02/26/2025 | Program Management | Word Form |
| 350-000-15F | Local Agency Emergency Repair Agreement - Exhibit F - Contract Payment Requirements | 04/02/2024 | Program Management | Word Form |
| 350-000-15G | Local Agency Emergency Repair Agreement - Exhibit G - FHWA 1273 | 10/24/2023 | Program Management | Word Form |
| 350-000-15H | Local Agency Emergency Repair Agreement - Exhibit H - Alternative Advance Payment Financial Provisions | 04/25/2024 | Program Management | Word Form |
| 350-000-15I | Local Agency Emergency Repair Agreement - Exhibit I - State Funds Addendum | 02/26/2025 | Program Management | Word Form |
| 350-000-15J | Local Agency Emergency Repair Agreement - Exhibit J - State Financial Assistance | 02/26/2025 | Program Management | Word Form |
| 350-000-15O | Local Agency Emergency Repair Agreement - Exhibit O - Terms & Conditions of Construction in Department Right of Way | 05/12/2021 | Program Management | Word Form |
| Invoicing | ||||
| 525-010-53 | Local Programs Invoicing Template | 09/25/2025 | Program Management | Excel Form |
| 525-010-54 | Local Programs Project Monitoring Status Report | 02/13/2024 | Program Management | Word |
| 525-010-54 | Instructions for the Local Programs Project Monitoring Status Report | 02/13/2024 | Program Management | |
For assistance, please contact CO-LocalPrograms@dot.state.fl.us.