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Caltrans > SER > Forms and Templates

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Last Updated: Friday, May 10, 2013 11:32 AM

Forms and Templates

NEPA Assignment New Forms, Spreadsheet and Spreadsheet Instructions for use with NEPA ASSIGNMENT AND CE ASSIGNMENT MOUs
Categorical Exemption/Exclusion Form (CE/CE) (posted 10-01-12)	Internal Quality Control Certification Sheet External Quality Control Certification Sheet Quality Control Checklist
Categorical Exclusion Checklist (posted 10-01-12)	Environmental Document Review Checklist (posted 12-21-12)
NEPA Projects Tracking Spreadsheet NEPA Projects Tracking Spreadsheet Instructions	Instructions for using uniform Environmental Filing System Specifications for Uniform Filing System Tabs Template for Uniform Filing System Tabs
Air Quality Conformity Analysis Annotated Outline Air Quality Conformity Findings Checklist (posted 10-01-12) Air Quality Conformity Public Notice Language Air Pollution Standards Table (posted 5-10-13)
Annotated Outlines/Re-Validation Form
IS/EA Annotated Outline (posted 10-01-12) EIR/EA Annotated Outline (posted 10-01-12) EIR/EIS Annotated Outline (posted 10-01-12)	NEPA Only EIS (posted 10-01-12) NEPA Only EA (posted 10-01-12)
ED Review Matrix (posted 06-24-10)	Draft EIR/EIS Distribution List Sample (posted 03-26-13) Final EIR/EIS Distribution List Sample (posted 03-26-13)
NEPA/CEQA Re-Validation Form (posted 06-2011)	FONSI Sample
Programmatic Section 4(f) Evaluation (posted 02-08-13)	Title VI Policy Statement
Notices
CEQA Notice of Intent to adopt ND or MND... Notice of Exemption (NOE) Notice of Preparation (NOP) Notice of Completion (NOC) & Environmental Document Transmittal Notice of Determination (NOD)	NEPA Notice of Availability- FONSI Notice of Intent - EIS Sample (posted 10-01-12) Notice of Statute of Limitations on Claims (posted 10-01-12)
CEQA
EIR Certification Form CEQA Checklist	Negative Declaration (ND) Mitigated Negative Declaration (MND)
	Statement of Overriding Considerations Form PDF , Word Findings PDF , Word
Biological Technical Documents and Frequently Asked Questions (FAQs)
Quality Control Guidance for Standard Biological Technical Documents and Reports	General Biological Technical Document Format FAQs
Natural Environment Study (NES) Natural Environment Study (Minimal Impact) (NES MI) Guidance for District submittals for Alternative Natural Environment Study (Minimal Impact) (NES MI) - No Effect	NES and NES MI FAQs
Biological Assessment (BA) Biological Evaluation (BE) no longer in use	BA and BE FAQs
Noise Guidance
Annotated Noise Study Report Outline PDF , Word, Figure 5.1
Environmental Commitment Compliance
PS&E / Ready to List Review Tool	Certification of Environmental Compliance PDF , Word
Environmental Certification PDF , Word	Environmental Commitment Record Mitigation Monitoring and Reporting Record (MMRR) and Permits, Agreements, and Mitigation (PAM)
Other
Floodplain Forms: Location Hydraulic Study Summary of Floodplain Encroachment Report	FHWA Approves use of the IS/EA and DEIR/EIS formats
Central/North Region Style Guide for Environmental Documents This Style Guide is posted for informational purposes. Use of this Style Guide is optional. Note: This guide references EA-IS and EIS-EIR templates that are no longer in use by the Department; the most current guidance on document content and organization is found in the outlines above and organization is found in the outlines above and in Chapters 31, 32 and 35, 36, 37 of the SER.

Level of Service (LOS) Graphics - These graphics depict the levels of service for various highway facilities and are useful for environmental documents when discussing the Purpose and Need for a project. Each graphic is available in TIF (archive-quality) and GIF (publication-quality) format.

Levels of Service for Two-Way Intersections	Download TIF format (5 MB)	Download GIF format (50 KB)
Levels of Service for Freeways	Download TIF format (4.7 MB)	Download GIF format (88 KB)
Levels of Service for Signalized Intersections	Download TIF format (6.8 MB)	Download GIF format (60 KB)
Levels of Service for Unsignalized Intersections	Download TIF format (7.9 MB)	Download GIF format (51 KB)
Levels of Service for Multi-Lane Highway	Download TIF format (1.5 MB)	Download GIF format (81 KB)
Levels of Service for Two-Lane Highways	Download TIF format (4.9 MB)	Download GIF format (65 KB)

(Last content update: 09/27/2012: MtC, MSapp)