Colonia Self-Help Center - Program Forms

(All documents are provided in PDF format unless otherwise noted.)

Following are links to form sections located below on this page:

General Forms
Project Completion Report
Colonia Description
24 CFR 570 - CDBG (Justia.com)
OMB Circular A-87
OMB Circular A-133
Lead-Based Pain Notifications – http://epa.gov/lead/pubs/brochure.htm

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Individual Housing Activity Files
1005	Verification of Employment (Fannie Mae)
02	Activity File Documentation Checklist
	Intake Application
03	Intake Application Supplement
	Asset Verification
	Income Certification
05a	Approval of Assistance Letter (DOC)
05b	Denial of Assistance Letter (DOC)
08	Homeowner’s Service Agreement and Certification to Participate
09	Reconstruction Feasibility Form
10	Receipt of Lead-Based Paint Notification
11	Re-Occupancy Notice – Lead Hazard
12	Work Write-Up (Email OCI staff to request the work write-up)
13	Building Contractor Eligibility Verification
14	Pre-Construction Conference and Notice to Proceed
15	Change Order Request Form
16	Final Bills Paid Affidavit by Contractor
17	Lien Waiver Affidavit by Subcontractor
18	Lien Waiver [Final] by Contractor
19	Record of Oral Verification

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Reports
Disclosure Report
Acquisition Report
SHC Quarterly Report (Email OCI staff to request the quarterly report.)

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Draw Requests
A203	Request for Payment / Purchase Voucher (PDF on texasagriculture.gov)
20	Administrative Personnel Time Sheet (also used for Force Account construction)
21	Personnel Cost Calculation
22	Administrative Draw Checklist
23	Public Service Draw Checklist
24	Residential Rehab Draw Checklist
25	Reconstruction/New Construction Draw Checklist
26	Homeownership Assistance Draw Checklist
27	Public Facility Draw Checklist
28	Building Contractor’s Request for Payment Form
29	Mileage Record
30	Procurement Record

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Davis-Bacon Labor Standards
Refer to the Department’s Labor Standards page for Davis-Bacon compliance

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Procurement
24 CFR 85.36 - Procurement
24 CFR 84.40 - Procurement Nonprofits
Overview of Procurement Requirements
Local Government Code Chapter 262 - Purchasing and Contracting Authority of Counties
Procurement Flowchart for TxCDBG Construction Projects

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Environmental
Refer to the Environmental Clearance page in the Program Services area for Environmental Clearance forms.
24 CFR Part 58

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Amendments
Amendment/Modification Checklist
Contract Budget Change Request