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Implementation Manual, Forms and Appendices

Click HERE for letters from the Director regarding the 2018 Revisions to the TxCDBG Project Implementation Manual.
Click HERE for a chart of changes to the 2018 manual. Changes added 8/14/2018 are indicated with green text in both the chart and the chapters.  There are 4 minor changes added 8/31/2018 noted with an *asterisk, also indicated in green in the manual text and chart.


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These forms may be updated as needed.


  2018
Effective
 9/1/2018
Complete TxCDBG Implementation Manual (Select forms are ONLY available below)
 Download
Chapter Form No.
Form Description  Availability
Table of Contents 
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Acronym List
Download
Section A Community Development Program Overview
Download
Chapter 1 Administration and Reporting  Download
1 Admin. and Reporting
A102 Administrative Activities Checklist
Download
1 Admin. and Reporting A103
Filing System
Download
1 Admin. and Reporting A104 DR
Disaster Relief Quarterly Report (1 Year)
Download
Chapter 2 Financial Management 
Download
2 Financial Management
A201
Sample Signatory Resolution Download
2 Financial Management
A202 Depository-Authorized Signatories Designation
Download
2 Financial Management
A203 Request for Payment
Download
2 Financial Management
A206
Balance Adjustment Notice
Download
2 Financial Management
A207 Backup for Eligible Costs
Download
2 Financial Management
A208  TxCDBG Match Calculator Download
2 Financial Management
 A209  Direct Deposit Form 74-176 Download
Chapter 3 Environmental Review
Download
3 Environmental Review
A301
Request for Exemption from SHPO Review
Download
3 Environmental Review
A302
Full Environmental Assessment (EA) Checklist
Download
3 Environmental Review
A303
Exempt or Categorical Exclusion Not Subject to 58.5 
Download 
3 Environmental Review
A304
Categorical Exclusion Subject to 58.5
Download
3 Environmental Review
A305
Sample NOI / RROF
Download
3 Environmental Review
A306 Sample Notice of FONSI
Download
3 Environmental Review A307
Floodplain Early Notice and Explanation Sample
Download 
3 Environmental Review A308 Sample Request for Release of Funds (RROF)
Download
3 Environmental Review  A309 Summary of Levels of Environmental Review & Documentation Required in ERR Download
Chapter 4 Contract Special Conditions
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4 Contract Special Conditions
A401 Certification of Pre-Construction Approvals
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Chapter 5 Procurement Procedures
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5 Procurement Procedures
A503 Financial Interest Report (FIR)
Download
5 Procurement Procedures A504 Small Purchase Procurement Record
Download 
5 Procurement Procedures
A505 TDA Construction Contract Change Order
Download
5 Procurement Procedures  A506
Request for Project-Specific Proposal Form Download
5 Procurement Procedures  A507 Response from Service Provider Form Download
5 Procurement Procedures A508 Evaluation of Proposals Form Download
5 Procurement Procedures    Frequently Asked Questions (FAQ) TxCDBG Conflict of Interest Provisions Download 
Chapter 6 Acquisition 
Download
6 Acquisition
A600
Initial Acquisition Report
Download
6 Acquisition
A601 Acquisition Report
Download 
6 Acquisition
A602 HUD Appendix 30 - Guideform - Notice to Owner Involuntary Acquisition
Download 
6 Acquisition
A603 HUD Appendix 31 - Guideform - Voluntary Acquisition Informational Notice - Agencies w/o E.D.
Download
6 Acquisition
A604 HUD Appendix 32 - Voluntary Acquisition Informational Notice - Agencies with E.D.
Download 
6 Acquisition
A605 Sample Notice of Agreement to Donate Download 
6 Acquisition
A606 Sample Notice to Owner for Donations of Easements and Rights of Way
Download 
 
6 Acquisition A607 Sample Just Compensation Determination Statement
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6 Acquisition
A608
Sample Owner Release Form for Donated Property
Download 
6 Acquisition
A609 Sample Written Purchase Offer
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6 Acquisition
A610 Administrative Settlement Guideform
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Chapter 7 Davis-Bacon Labor Standards
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7 Labor Standards
A701
Appointment of Labor Standards Officer (LSO)
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7 Labor Standards
A702 Wage Rate Issuance Notice
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7 Labor Standards
A703 Ten Day Confirmation Notice
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7 Labor Standards
A704 Pre-construction Conference Report
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7 Labor Standards
A705 Request for Additional Classification and Rate
Download
7 Labor Standards
A707 Record of Employee Interview
Download
7 Labor Standards A708
Sample DOL Payroll Form
Download 
7 Labor Standards A709
Certificate of Construction Completion (COCC)
Download
7 Labor Standards
A710 Final Wage Compliance Report (FWCR)
Download
7 Labor Standards
A711
Davis-Bacon Coverage Chart
Download 
7 Labor Standards A712 Notice of Payroll Violation
Download
7 Labor Standards A713  Notice of Determination to Assess Liquidated Damages Download
7 Labor Standards A714  Waiver Request Download
Chapter 8 Force Account Labor
Download
8 Force Account Labor
A800
Alternate Force Account Times Sheet
Download
8 Force Account Labor
A801 Personnel Cost Calculation Sheet
Download
8 Force Account Labor A802 Equipment Cost Calculation Sheet
Download
8 Force Account Labor
A803 Administrative Personnel Time Sheet
Download
8 Force Account Labor
A804 Construction Personnel Time Sheet
Download
8 Force Account Labor A806 Multiple TxCDBG Contracts Personnel Time Sheet
Download
8 Force Account Labor
A807 Certificate of Construction Completion for Force Account
Download
8 Force Account Labor
A808
Request to Use Force Account Labor
Download
Chapter 9 [RESERVED]
 
Chapter 10 Civil Rights Requirements 
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10 Civil Rights Requirements
A1001 Sample Equal Opportunity Guidelines for Construction Contractors
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10 Civil Rights Requirements A1002 Sample Section 3 Plan
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10 Civil Rights Requirements
A1003 Sample Excessive Force Policy
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10 Civil Rights Requirements A1004 Sample Section 504 Policy Against Discrimination based on Handicap and Grievance Procedure
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10 Civil Rights Requirements
A1005 Sample Notices - Civil Rights
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10 Civil Rights Requirements A1006 Section 504 Self-Evaluation Review
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10 Civil Rights Requirements
A1007 Sample Fair Housing Month Proclamation
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10 Civil Rights Requirements
A1008 Designation Form for Civil Rights Officer
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10 Civil Rights Requirements
A1009 Sample Fair Housing Public Service Announcement
Download 
10 Civil Rights Requirements
A1010 Limited English Proficiency Sample Plan
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10 Civil Rights Requirements
A1011 Section 3 Annual Report
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10 Civil Rights Requirements
A1011 FY 2017 Section 3 Annual Report Download
10 Civil Rights Requirements
A1012 Prime Contractor - Section 3
Download
10 Civil Rights Requirements A1013 Sample Citizen Participation Plan
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10 Civil Rights Requirements
A1014 Sample Civil Rights Resolution
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10 Civil Rights Requirements
A1015
Sample Fair Housing Policy
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10 Civil Rights Requirements
A1016 Civil Rights Responsibilities Checklist
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10 Civil Rights Requirements
A1017 Civil Rights Affidavit of Posting
Download
Chapter 11 Contract Amendments 
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11 Contract Amendments
A1101 Contract Amendment - Modification Request
Download
Chapter 12 Contract Closeout
Download
12 Contract Closeout
A1200 Project Completion Report (PCR)
Download
Chapter 13 Monitor Review
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13 Monitor Review
A1301 Monitor Checklist
Download
13 Monitor Review A1302
 Self-Monitoring Review Checklist and Certification
Download
Chapter 14 Audit Requirements
Download
14 Audit Requirements
A1401
Audit Certification Packet
Download 
    Audit Certification Form Online Submission
 Click HERE
14 Audit Requirements
A1402 Sample Request for Proposals for Audit Services
Download
Section B Planning
Download
B Planning
B1 Sample Environmental Exemption Letter - Best practice
Download 
B Planning
B2 Sample Filing System Guide for Planning Projects
Download 
B Planning B4 Sample Public Advertisement for Planning Services
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B Planning
B5 Sample Request for Proposals, Cover Letter
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B Planning
B6 Sample Request for Proposals for Planning Services
Download 
B Planning
B7 Sample Proposal Rating Sheet for Planning Services
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B Planning
B8 Planning Quarterly Progress Report
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B Planning
B10 Sample Public Hearing Notice
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B Planning
B11 Beneficiary Report for Planning & Capacity Building Fund
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B Planning
B12 Sample Closeout Letter
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B Planning
B13 Planning Monitoring Checklist
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Section C Housing Rehabilitation 
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C Housing Rehabilitation
C1 Housing Annual Beneficiary Report Instructions
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C Housing Rehabilitation
C2
Sample Housing Rehabilitation Guidelines
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C Housing Rehabilitation C2a
Status of Compliance with Lead-Based Paint Regulations
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C Housing Rehabilitation
C2b Certification of Lead-Based Paint Exemption
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C Housing Rehabilitation C3 Housing Rehabilitation Work Write-up and Cost Estimate Worksheet
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C Housing Rehabilitation
C4 Housing Rehabilitation Change Order Request Approval
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C Housing Rehabilitation C5 Housing Rehabilitation Payment Request
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C Housing Rehabilitation
C6
Housing Rehabilitation Case File Review
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C Housing Rehabilitation
C7 Summary of Major Lead-Based Paint Regulations
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C Housing Rehabilitation C8 Home Inspector Qualification Certification
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C Housing Rehabilitation  C9 Sample Release of Lien Final Download
Section C Part II OSSF
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CII OSSF
CII1 OSSF Instructions
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CII OSSF
 CII2 Sample OSSF Guidelines
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CII OSSF
 CII3 OSSF Checklist
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CII OSSF
CII504 OSSF Small Purchase Procurement Record
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CII OSSF
CII505 Construction Contract Change Order
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CII OSSF
CII709 Certificate of Construction Completion for OSSF Projects
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CII OSSF
 CII709I Certificate of Construction Completion for OSSF Projects (Individual Homeowner)
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Section D Texas Capital Fund 
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D Texas Capital Fund D1 TCF Contractor-Company Agreement Certification and Guide  Download
D Texas Capital Fund
D5
Quarterly Employee Certification Report (ECR)
Download
D Texas Capital Fund D7
2018 TCF Survey Questionnaire
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D Texas Capital Fund
 D7 2018 TCF Survey Questionnaire en Español
 Download
D Texas Capital Fund D8  TCF Aggregate Benefit Report
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D Texas Capital Fund
D1200
TCF Project Completion Report (PCR)
Download
Section E Self-Help Centers
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Section F Small Towns Environment Program STEP
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F STEP
F1
STEP Volunteer Time Distribution Sheet Download
F STEP F2 STEP Equipment-Materials Time Distribution Sheet
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F STEP
F3 STEP Equipment Cost Calculation Sheet
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F STEP F4 STEP Contract Amendment Checklist
Download
F STEP
F5 STEP Certificate of Construction Completion
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F STEP
F6
STEP 24 CFR Part 70 Use of Volunteers
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Appendices (Word Versions only)
 
Appendix A
Links to Resources including State and Federal Regulations
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Appendix B
Required Contract Provisions Download
Appendix C
Sample Code of Conduct Policy
Download
Appendix D
Sample Administration Services RFP Packet
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Appendix E
Sample Engineering Services RFQ Packet
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Appendix F
Sample Construction Bid Packet
Download
Appendix F*
 HUD-4010 Required Contract Provisions
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Appendix G
Sample Material Bid
Download
Appendix H Pre-Application Procurement Q&A Download
Appendix I Conflict of Interest Policy Download
 
POLICY ISSUANCE 18-02 Posted 10/31/18
POLICY ISSUANCE 18-03 Posted 11/07/18