Date of Report:	Choose date
Project No.:	enter text
Designation:	enter text
Project ID:	enter text

The following plan is submitted for your review and approval in accordance with Chapter 5 of the Montana Department of Transportation Right-of-Way Manual.

1.	Introduction
Narrative summary of the highway project scope of work; sources may include PFR, SOW, or other information provided by the Project Manager.

2.	Project Location and Neighborhood Demographic and Socioeconomic factors.
Descriptive narrative of the impacted area.

3.	Purpose
The plan serves as a reference for the Montana Department of Transportation (MDT) for the implementation of Uniform Act requirements for the project. The overall objective of this plan is to assist MDT and other project personnel in providing effective and timely relocation services to those displaced by the project, identify potential hardships, and outline recommendations for mitigation of such hardships to the property occupant(s). The scope of the plan includes the evaluation of project impacts to potentially displaced persons and businesses, along with estimating potential relocation costs. It identifies issues that may affect relocation efforts and project schedules. It also provides strategies for mitigating relocation issues to assist in maintaining the project schedule.

4.	Guiding Documents & Regulations
The Department’s Relocation Assistance Program implements the applicable provisions of the Federal Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended (Uniform Act), and the associated regulations in the Code of Federal Regulations (49 CFR 24).

5.	Assurances
The Department will inform the public of relocation payments and services that will be available and will provide such relocation payments and services. No person lawfully occupying real property will be required to move from the acquired dwelling, business, farm, or non-profit operation without being provided with a written assurance at least ninety (90) days prior to the earliest date by which they could be required to vacate the property. No person to be displaced shall be required to move from a residential dwelling unless at least one comparable replacement dwelling has been made available to the person. Residential needs and available housing have been inventoried and are reported herein. From the analysis and correlation of such inventories, a realistic and adequate plan has been developed and is set forth herein which provides for the timely and efficient relocation of displaced persons.

6.	Relocation Impacts
The table below identifies and describes potential displaced persons:
Unit Count Property Address Dwelling Type Size (sf) Bedrooms Bathrooms Owner/Tenant Names text text text text text text text text text text text text text text text text text text text text text

7.	Analysis of Current Replacement Real Estate Inventory and Market Trends.
Provide a summary of current inventory and trends in the market. Because of the time this report will be filed, any specific properties available would likely not be available. Insert a table if applicable.

8.	Replacement Properties
Describe each displaced person from the table in #6. Include: description of the property, critical issues, estimated relocation costs (moving, housing & incidental expenses). Include project total relocation cost estimate.

ELECTRONIC SIGNATURE CONSENT

By my signature/typewritten name, I declare under penalty of perjury and the laws of the State of Montana that the foregoing is true and correct and contains no willful falsifications or misrepresentations.

Signature (Typed Name)	Date	Place of Signature (City, State)

MDT Relocation Agent

Signature (Typed Name)	Date	Place of Signature (City, State)

MDT Acquisition Manager