Forms

skip navigation
Home Resources Program Reviews & Reports Training Facility Inspection Videos Checklists Biosafety in Microbiological and Biomedical Laboratories (BMBL) Containment Facility Design and Construction (Secondary Barriers) Containment for Work with Eastern Equine Encephalitis virus Guidance for the Inactivation of Select Agents and Toxins Guidance on the Use of Infectious Waste Treatment and Radiation Facilities Outside of Registered Space Guidelines for Avian Influenza Viruses Incident Response Plan Long Term Storage NIH Guidelines Prudent Practices in the Laboratory: Handling and Management of Chemical Hazards SA Grams Security Related Information Synthetic Genomics About Us Forms APHIS/CDC Form 1 - Application for Registration for Possession, Use, and Transfer of Select Agents and Toxins APHIS/CDC Form 2 - Request to Transfer Select Agents and Toxins APHIS/CDC Form 3 - Report of Theft, Loss or Release of Select Agents or Toxins APHIS/CDC Form 4 - Report of the Identification of a Select Agent or Toxin APHIS/CDC Form 5 - Request for Exemption of Select Agents and Toxins for Public Health or Agricultural Emergency or Investigational/Experimental Product Helpful Information Regulations Legislation Privacy Statement FOIA Act Accessibility Statement Related Links Operations Security Risk Assessments Select Agents & Toxins Select Agents and Toxins List Select Agents and Toxins - Exclusions Select Agents and Toxins - Restricted Experiments Permissible Toxin Amounts FAQ's General FAQ's Report of the Identification of a Select Agent or Toxin FAQ's Security FAQ's Security Risk Assessments FAQ's Transfers FAQ's Last Updated: Friday, December 30, 2011
Forms Some documents are available for viewing, printing, and downloading (saving) in Adobe Acrobat's portable document file (PDF) format. You will need the Adobe Acrobat Reader 6.0 or above on your computer and configured to work on your browser to access the file. If you do not have the latest version of Adobe Acrobat Reader, you may download a free copy from If you will be completing the form electronically, download the fillable PDF below, then complete, print and sign the form. If you will be completing the form by hand, use the print-only PDF, then print, complete and sign the form. All completed forms must be submitted via fax or mailed directly to CDC or APHIS. All forms for the Select Agents Program have been reviewed and approved by the Office of Management and Budget as prescribed by the Paperwork Reduction Act of 1995. The only authorized location to obtain these forms is this website (www.selectagents.gov). APHIS/CDC Form 1, Application for Registration for Possession, Use, and Transfer of Select Agents and Toxins APHIS/CDC Form 2, Request to Transfer Select Agents and Toxins APHIS/CDC Form 3, Report of Theft, Loss or Release of Select Agents or Toxins APHIS/CDC Form 4, Report of the Identification of a Select Agent or Toxin APHIS/CDC Form 5, Request for Exemption of Select Agents and Toxins for Public Health or Agricultural Emergency or Investigational/Experimental Product	Change Text Size: A A A Print This Page
*Website is being revamped based on Revised Select Agent regulations.
Home \| Resources \| About Us \| Forms \| Helpful Information \| Operations \| Select Agents & Toxins \| FAQ's