DI-382 Claim for Relocation Payments - Nonresidential - Schedul

OMB Control Number: 1084-0010
Expiration Date: 12/31/2021

DI-382 (03 -2019)
Department of the Interior

Schedule A
Moving And Related Costs – Nonresidential
(Under Sec. 202, P.L. 91-646, as amended)

Section 1 – To Be Completed By Claimant
1. NAME:

2. PROJECT/TRACT:

3. TYPE OF MOVE:

SELF ❑

COMMERCIAL ❑

SELF AND COMMERCIAL ❑

4. MOVING COSTS: (See reverse for allowable/non-allowable expenses)
ITEM

CONTRACTOR/ADDRESS/PHONE NUMBER

AMOUNT CLAIMED

FOR AGENCY USE ONLY

MOVING: .....................................................................................................................

$

$

ELECTRICAL: ............................................................................................................

$

$

MECHANICAL: ...........................................................................................................

$

$

PLUMBING: ................................................................................................................

$

$

CARPENTRY: .............................................................................................................

$

$

OTHER: (list) ..............................................................................................................

$

$

__________ ...............................................................................................................

$

$

__________ ...............................................................................................................

$

$

__________ ...............................................................................................................

$

$

TOTAL ...........................................................

$

0.00

$

0.00

5. STORAGE COSTS:
TYPE OF CLAIM:

INITIAL ❑

SUPPLEMENTARY ❑

FINAL ❑

NAME AND ADDRESS OF STORAGE COMPANY:

STORAGE PERIOD: NUMBER OF MONTHS ______, ARE THE NUMBER OF MONTHS
DATE PROPERTY WAS MOVED: TO STORAGE ___________________________;

ACTUAL ❑

OR ESTIMATED ❑

FROM STORAGE ______________________________

STORAGE COSTS: $ _____________
DESCRIPTION OF PROPERTY STORED: (List each major item separately or attach a Bill of Lading from the moving company showing the
items stored.)

DI-382 Schedule A - Page 1 of 2

OMB Control Number: 1084-0010
Expiration Date: 12/31/2021

DI-382 (03 -2019)
Department of the Interior
6. REMARKS:

7. SIGNATURE:

SIGNATURE:
___________________________________________

___________________________________________

DATE: ___________________________________________

DATE:

___________________________________________

Section 2 – To Be Completed By Agency
MOVING ESTIMATE OBTAINED BY THE AGENCY:

$ ____________________

MOVING COSTS:

$ ____________________

STORAGE COSTS:

$ ____________________

ADVANCE RECEIVED (if any):

$ ____________________

PAYMENT

AMOUNT

SIGNATURE

TITLE

DATE

RECOMMENDED:

_________________

________________________________________

_________________

______________

APPROVED:

_________________

________________________________________

_________________

______________

FBMS INVOICE NO.:_________________
ALLOWABLE MOVING EXPENSES
1. Transportation of personal property not to exceed 50 miles except
where the Agency determines that relocation beyond the 50-mile
Area is justified.
2. Packing, crating, unpacking and uncrating personal property.
3. Disconnecting, dismantling, removing, reassembling and
reinstalling relocated machinery, equipment and other personal
property, including substitute personal property.
4. Storage of the personal property for a period not to exceed
12 months, unless the Agency determines that a longer period is
necessary.
5. Insurance for the replacement value of the personal property in
connection with the move and necessary storage.
6. Any license, permit, or certification required of the displaced person
at the replacement location. However, the payment may be based
on the remaining useful life of the existing license, permit, fees or
certification.
7. The replacement value of property lost, stolen, or damaged in the
process of moving (not through the fault or negligence of the
displaced person, his or her agent or employee) where insurance
covering such loss, theft, or damage is not reasonably available.
8. Professional services determined to be actual, reasonable and
necessary for planning, moving and installing relocated personal
property at the replacement location.

9. Relettering signs and replacing stationery on hand at the time of
displacement and making updates to other media that are made
obsolete as a result of the move.
10. Purchase of substitute personal property.
11. Payment for low value/high bulk personal property.
12. Connection to available nearby utilities from the right-of-way to
improvements at the replacement site.
13. Professional services performed prior to the purchase or lease of a
replacement site to determine its suitability for the displaced person’s
business operation including but not limited to, soil testing, feasibility
and marketing studies (excluding any fees or commissions directly
related to the purchase or lease of such site). At the discretion of the
Agency a reasonable pre-approved hourly rate may be established.
(See appendix A, § 24.303(b).)
14. Impact fees or one time assessments for anticipated heavy utility
usage, as determined necessary by the Agency.
15. Other moving-related expenses that are not listed as ineligible under
Non-allowable Moving Expenses as the Agency determines to be
reasonable and necessary.

NON-ALLOWABLE MOVING EXPENSES
1. Cost of moving any structures of other real property improvement in
which the displaced person reserved ownership.
2. Interest on loan to cover moving expenses.
3. Loss of goodwill.
4. Loss of profits.
5. Loss of trained employees.
6. Additional operating expenses incurred because of operating in a
new location except as specifically provided for.
7. Personal injury.

8. Any legal fee or other cost for preparing a claim for a relocation
payment or for representing the claimant before the Agency.
9. Physical changes to the real property at the replacement location
except as specifically provided for.
10. Costs for storage of personal property on real property already
owned or leased by the displaced person.
11. Refundable security and utility deposits.

DI-382 Schedule A - Page 2 of 2