General Information
Request Date	Click here to enter a date.
State Project No. Format:BB-0000	LaGov Project Number Format: C.bb0000
Note: See form instructions for a translation of State Basin Abbreviations (BB) to LaGov Basin Numbers (bb).
Project Name (100 Char)
LaGov Description (40 Char)
Short ID (State Project No.)
Phase Template	☐ Typical Construction ☐ Atypical Construction (Typical Construction with additional Phases) ☐ Single Phase ☐ FEMA-Reportable Emergency ☐ Ad-Hoc Phase Definition
Other Phase Definitions (Atypical and Ad-Hoc Only)
Active Phase(s)	☐ Project Administration and Management ☐ Project Initiation ☐ Planning ☐ Engineering and Design ☐Construction ☐Operations and Maintenance ☐Monitoring
Project Dates
Project Start Date	Click here to enter a date.
Project Estimated End Date	Click here to enter a date.
Active Phase Dates (Not Applicable for Single Phase Projects)
Project Initiation Start Date	Click here to enter a date.
Project Initiation End Date	Click here to enter a date.
Project Mgmt & Admin Start Date	Click here to enter a date.
Project Mgmt & Admin Estimated End Date	Click here to enter a date.
Project Planning Start Date	Click here to enter a date.
Project Planning Estimated End Date	Click here to enter a date.
Project E&D Start Date	Click here to enter a date.
Project E&D Estimated End Date	Click here to enter a date.
Project Construction Start Date	Click here to enter a date.
Project Construction Estimated End Date	Click here to enter a date.

Project Cost Estimates
Total Proj Estimate CPRA Portion
Total Proj Estimate Partner Portion
Estimated Construction Value (Construction Contract Value)
Phase Cost Estimates (Not Applicable for Single Phase Projects)
Project Initiation CPRA Portion
Project Initiation Partner Portion
Project Mgmt & Admin CPRA Portion
Project Mgmt & Admin Partner Portion
Project Planning CPRA Portion
Project Planning Partner Portion
Project E&D CPRA Portion
Project E&D Partner Portion
Project Construction CPRA Portion
Project Construction Partner Portion
Project OM&M CPRA Portion
Project OM&M Partner Portion
Project Attributes
Project Classifications	☐ Protection ☐ Restoration ☐ Resiliency ☐ Infrastructure ☐ Other
Protection Project Type Groups	☐ HP - Hurricane Protection ☐ OT – Other ☐ N/A - Not Applicable
If Other, describe: (50 Char)
Restoration Project Type Groups	☐ BH - Barrier Island/Headland Restoration ☐ BS - Bank Stabilization ☐ DI – Diversion ☐ HR - Hydrologic Restoration ☐ IN – Infrastructure ☐ MC - Marsh Creation	☐ OR - Oyster Barrier Reef ☐ RR - Ridge Restoration ☐ SP - Shoreline Protection ☐ ET - Earthen Terraces ☐ OT – Other ☐ N/A - Not Applicable
If Other, describe: (50 Char)
Tiered Project Priority Group	☐ C – Construction Started, No Tier Necessary ☐ 1 - Consistent with locations in Master Plan ☐ 2A - Consistent with locations in Master Plan, delayed ☐ 2B - Not consistent with locations in Master Plan, not delayed ☐ 3 - Not consistent with locations in Master Plan, delayed ☐ N/A - Not Applicable
Project Lead	Choose an item.
Current AP Project
Partners (add additional rows as necessary)	Choose an item.
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Funding Program	Choose an item.
In IMPR?
Include in Performance Indicators?

Text
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Narrative Description (750 Char)
Description of Significant Activity (200 Char)
Project Manager’s Comments (1000 Char)

Project Geographical Attributes (copy existing to add additional rows as needed)
Parishes	Choose an item.
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Basin Groups	Choose an item.
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Affected Planning Units	Choose an item.
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Regional Office	Choose an item.

Responsibilities – Person Responsible / Applicant Fields
PMA (Project Definition – Person Responsible)
Program Manager (Project Definition – Applicant)
Project Manager (Level 1 & 2 WBS – Person Responsible)
Permit POC (Level 1 – Applicant)
Task Manager Planning (Level 2 – Applicant)
Task Manager E&D (Level – Applicant)
Task Manager Construction (Level – Applicant)
Construction Contractor (if known) (Level 2 – Attributes)
Task Manager OM&M (Level – Applicant)

Performance Measures
Target - Acres Benefit
Target -Miles of Levee Improved

Initial Budget Request for Single Phase Projects Only

Project Budget Approvals
To/Through	Michelle Klecker, Project Support Manager	Date Approved:
Through:	Division Chief	Date Approved:
From:	Requester	Date Requested:

Initial Project Budget
Project Format: C.BB0000	Phase	Fund	Grant	Commitment Item Category	Funds Center Project Support to complete	Amount
.97	Choose an item.	Choose an item.
.97	Choose an item.	Choose an item.
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Total: (Right Mouse or [F9] in Total Amount to update)	0.00

Initial Budget Request for Construction, Ad-hoc or FEMA Projects Only

Project Budget Approvals
To/Through	Michelle Klecker, Project Support Manager	Date Approved:
Through:	Division Chief	Date Approved:
From:	Requester	Date Requested:

Initial Project Budget
Project (BB-0000)	Phase	Fund	Grant	Commitment Item Category	Funds Center Project Support to complete	Amount
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Total: (Right Mouse or [F9] in Total Amount to update)	0.00

Note: For non-construction Phase Definitions, Select the contents of a Phase field and Delete the “Choose an Item.” Then type in the values you need.