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 D
Reestablishment Expenses – Nonresidential
(Under Sec. 202. P.L. 91-646, as amended)

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

2. PROJECT/TRACT:

3. REESTABLISHMENT EXPENSES: (See reverse for allowable/non-allowable expenses)
ITEM (list)

FOR AGENCY USE ONLY

AMOUNT CLAIMED

1. ........................................................................................ $

$

2. ........................................................................................ $

$

3. ........................................................................................ $

$

4. ........................................................................................ $

$

5. ........................................................................................ $

$

6. ........................................................................................ $

$

7. ........................................................................................ $

$

8. ........................................................................................ $

$

9. ........................................................................................ $

$

10. ...................................................................................... $

$

11. ...................................................................................... $

$

12. ...................................................................................... $

$

13. ...................................................................................... $

$

14. ...................................................................................... $

$

0.00

TOTAL. ............................................................................... $

$

0.00

4. REMARKS:

5. SIGNATURE:

SIGNATURE:
___________________________________________

DATE: ___________________________________________

___________________________________________
DATE:

___________________________________________

DI-382 Schedule D - Page 1 of 2

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

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

Section 2 – To Be Completed By Agency
REESTABLISHMENT EXPENSES ........................

$ ________________

ADVANCE RECEIVED (if any) ..............................

$ ________________

PAYMENT

AMOUNT

SIGNATURE

TITLE

DATE

RECOMMENDED:

_________________

________________________________________

_________________

______________

APPROVED:

_________________

________________________________________

_________________

______________

FBMS INVOICE NO.:_________________
REMARKS:

REESTABLISHMENT EXPENSES CAN ONLY BE PAID TO A BUSINESS HAVING NOT MORE THAN 500 EMPLOYEES WORKING AT THE
SITE ACQUIRED OR DISPLACED BY A PROGRAM OR PROJECT, WHICH SITE IS THE LOCATION OF ECONOMIC ACTIVITY OR A FARM OR
NONPROFIT ORGANIZATION. 49CFR24.2(a)(24)
INELIGIBLE EXPENSES

ELIGIBLE EXPENSES
1.

Repairs or Improvements to the replacement property as required
by Federal, State, or local law, code or ordinance.

1.

Purchase capital assets, such as office furniture, filing cabinets,
machinery, or trade fixtures.

2.

Modifications to the replacement property to accommodate the
business operation or make replacement structures suitable for
conducting the business.

2.

Purchase of manufacturing materials, production supplies,
product inventory, or other items used in the normal course of the
business operation.

3.

Construction and installation costs for exterior signing to
advertise the business.

3.

Interest on money borrowed to make the move or purchase the
replacement property.

4.

Redecoration or replacement of soiled or worn surfaces, such as
paint, paneling, or carpeting.

4.

Payment to a part time business in the home which does not
contribute materially to the household income.

5.

Licenses, fees and permits when not paid as part of moving
expenses.

6.

Advertisement of replacement location.

7.

Estimated increased costs of operation during the first two years
at the replacement site for such items as lease or rental charges,
personal or real property taxes, insurance premiums and utility
charges (excluding impact fees).

8.

For businesses, farms or nonprofit organizations this includes
machinery, equipment, substitute personal property, and
connections to utilities available within the building; it also
includes modifications to the personal property, including those
mandated by Federal, State or local law, code or ordinance,
necessary to adapt it to the replacement structure, the
replacement site, or the utilities at the replacement site, and
modifications necessary to adapt the utilities at the replacement
site to the personal property.

9.

Other items that the Agency considers essential to the
reestablishment of the business.

DI-382 Schedule D - Page 2 of 2