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Indian Affairs Specific Forms and Guidance
Forms and Guidance
| Title | Description |
|---|---|
| Mortgage HB Attachment 3: Leasehold Mortgage Loan Checklist | This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
| Mortgage HB Attachment 4: Leasehold Acknowledgement Incomplete Letter | This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
| Mortgage HB Attachment 5: Leasehold Acknowledgement Complete Letter | This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
| Mortgage HB Attachment 6: Leasehold ROW Acknowledgement Complete Letter | This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
| Mortgage HB Attachment 7: NEPA Cat Ex Checklist | This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
| Mortgage HB Attachment 8: Superintendent Recommendation Memorandum | This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
| Mortgage HB Attachment 9: Leasehold Approved Decision Letter | This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
| Motor Vehicle Operator Report | [Note: This document is for IA Internal Use Only] This form is used by Safety Managers as detailed in 25 IAM 4 and 25 IAM 4-H. |
| New Contractor or Volunteer - IA Onboarding Checklist | [Note: This form is for IA Internal Use Only] This form is to be used as a checklist to facilitate access to the correct systems, etc. for new contractors or volunteers, as needed. |
| New IA (Federal) Employee - IA Onboarding Checklist | [Note: This form is for IA Internal Use Only] This form is to be used as a checklist to facilitate access to the correct systems, etc. for new Indian Affairs employees. |
| Notice of Hazard | [Note: This document is for IA Internal Use Only] This is the notice the IA Inspector issues for a RAC 1 or RAC 2 deficiency. For more information, see 25 IAM 3-H, Volume 4. |
| Notice of Hazard Identification Report | [Note: This form is for IA Internal Use Only] This form is used to track and report on the Notice of Hazard form(s) issued. |
| Notice of Project Completion | Form used as part of the Housing Improvement Program (HIP) |
| Obligation in Expired Fund Request Form | This form is intended for use when requesting an FBMS override to record an obligation in an expired fund |
| Occupational Safety and Health Program Evaluation Corrective Action Plan | [Note: This form is for IA Internal Use Only] This is a Word form used by the Division of Safety & Risk Management (see 25 IAM 3) (please open using Chrome due to issues with IE and Excel/Word docs.) |
| Occupational Safety and Health Training Report | [Note: This form is for IA Internal Use Only] This form is used by the Division of Safety & Risk Management. |
| OSHA Notice and/or Site Visit Quarterly Report | [Note: This form is for IA Internal Use Only] This form is used by the Division of Safety & Risk Management. |
| Priority Calculation Form - Manual Entry | Form used as part of the Housing Improvement Program (HIP); this form is to be used if applicant information must be calculated and entered into the TAPR form manually |
| Property Damage from Accidental Causes | [Note: This form is for IA Internal Use Only] This form is used by the Division of Safety & Risk Management. |
| Request for Additional Funds (RAF) | Welfare Assistance program form |
| Request for Final Inspection/Re-inspection and Certificate of Occupancy | [Note: This form is for IA Internal Use Only] This form is used by the Division of Safety and Risk Management. |
| Request RACA to Schedule a Zoom Session(s) | [Note: This form is for IA/DOI Internal Use Only] This is a Word form that should be used by a DOI program/office to request RACA’s assistance with scheduling a Zoom session(s) for a planned consultation/listening session (please open using Chrome due to issues with IE and Excel/Word docs.) |
| ROW: 60-day Notice of Intent for BIA Approval without Consent of Landowner(s) Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Administrative Modification Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Amendment Acknowledgment Letter | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Applicant's Letter of Intent (LOI) Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Applicant's Request to Amend Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Assignment Acknowledgment Letter | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Assignment of ROW Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Assignment/Amendment Decision Letter Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: BIA Approval without Consent of Landowners | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: BIA Consent of Behalf of Non Compos Mentis | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: BIA Consent on Behalf of Deceased Landowner(s) | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: BIA Consent on Behalf of Orphaned Minors | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: BIA Consent on Behalf of the POA | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: BIA Consent on Behalf of Whereabouts Unknown | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: BIA's Reply Letter Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Cancellation/Termination of Easement Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Consent of Owner for Renewal/Assignment/Amendment/Mortgage of Existing ROW Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Consent of Owner to Grant a ROW Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Grant of Easement Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Letter for a Complete ROW Application | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Letter for an Incomplete ROW Application | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Notice of an Extension | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Notice of Decision to Applicant | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Notice of Decision to Landowner(s) | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Permission to Overlap on ROW Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: Rights-of-Way Checklist | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| ROW: ROW Amendment Template | Form/checklist/template for use as documented in the Rights-of-Way (ROW) Handbook (52 IAM 9-H). |
| Safety and Health Action Plan Report | [Note: This form is for IA Internal Use Only] This is a Word form used by the Division of Safety & Risk Management (see 25 IAM 3) (please open using Chrome due to issues with IE and Excel/Word docs.) |
| Safety and Heath Action Plan Status Report | [Note: This form is for IA Internal Use Only] This is a Word form used by the Division of Safety & Risk Management (see 25 IAM 3) (please open using Chrome due to issues with IE and Excel/Word docs.) |
| Sample Affidavits for Corrective Deeds and Affidavits | [Note: This form is for IA Internal Use Only] The Sample Affidavits are to be used as part of the 52 IAM 7: Corrective Deeds and Affidavits policy. |
| Satisfaction of HIP Grant Agreement (Sample) | Form used as part of the Housing Improvement Program (HIP) |
| Serious Incident Report (Emergency Management Briefing Report) | [Note: This form is for IA Internal Use Only] This is a Word template to be used as indicated in 92 IAM 1: Overview (Emergency Management) to report a serious incident (please open using Chrome due to issues with IE and Excel/Word docs.) |
| Tort Claim Payments and Third Party Recoveries | [Note: This form is for IA Internal Use Only] This form is used by the Division of Safety & Risk Management (see 25 IAM 5 and 25 IAM 5-H). |
| Undelivered Orders (UDOs) Certification Template | This form is referenced in 27 IAM 6: Undelivered Orders Review. |
| Vehicle Acquisition Justification Form | [Note: This form is for IA Internal Use Only] Fillable form from the Division of Property Management |
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