United States Department of Agriculture
United States Department of Agriculture Food Safety and Inspection Service
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Listed below are the official forms available for downloading or printing. Only official forms are acceptable in the conduct of Agency business, so please carefully read the information and instructions pertaining to the form(s) you wish to use.

Some of our forms have fill-and-print capability; others will have save-and-send capability. When sending forms to us by email, please do not include personal, private, or proprietary information; this is not a secure server.

For best results, use the current version of the Adobe Reader.
Public Use Forms
These are the forms that have been approved by FSIS and the Office of Management and Budget for online use.

Advisory Committee Membership Background Information, AD-755 (DOC)

Application for Approval of Labels, Marking or Device, FSIS Form 7234-1 (Fillable PDF)

Application for Federal Inspection (Meat, Poultry, Egg Product, Catfish and Import Inspection), FSIS Form 5200-2 (Fillable PDF)

Application for Export Certificate, FSIS Form 9060-6 (Fillable PDF)

Application for the Return of Exported Products to the United States, FSIS Form 9010-1 (Fillable & Submittable PDF)

Application for Laboratory Accreditation, FSIS Form 10,110-2 (PDF Only)

Certificate for Export to Japan, FSIS Form 9290-1 (Fillable PDF)

Civil Rights Compliance of State Inspection Programs, FSIS Form 1520-1 (Fillable PDF)

Establishment Application for Export, FSIS Form 9080-3 (Fillable PDF)

Notification of Intent to Import Meat, Poultry, or Egg Products Samples for Laboratory Examination, Research, Evaluative Testing or Trade Show Exhibition, FSIS Form 9540-5 (Fillable PDF)

Nominations for Howard E. Bauman Award for Food Safety, FSIS Form 4450-1 (PDF Only)

Pasteurized Egg Products Recognized Laboratory Program Information Update Request Form, FSIS Form 10,000-8 (PDF Only)

Production Information on Post-Lethality Exposed Ready-to-Eat Products, FSIS Form 10,240-1 - No longer available.

Registration of Meat and Poultry Handlers, FSIS Form 5020-1 (Fillable PDF)

Request for Label Reconsideration, FSIS Form 8822-4 (Fillable PDF)

Veterinary Health Certificate for Fresh/Frozen Pork and Pork Meat Products, FSIS Form 9115-2 (Fillable PDF)

Veterinary Health Certificate for Cooked Pork and Pork Meat Products, FSIS Form 9115-3 (Fillable PDF)
Employee Related Forms
Pen and form 'Sign Here' USDA Administrative (AD) Forms
Looking for Change of Address or other AD forms? Many are available online from USDA.
These are examples of forms that may be needed by FSIS employees and applicants for employment. Many more internal government forms are available from Forms.GOV, the U.S. Government's Official Hub for Federal Forms, including:
  • Employee Benefit and Insurance Forms
  • Standard (SF) and Optional (OF) Forms
  • Thrift Savings Plan Forms
  • Tax Forms

Current FSIS employees should check InsideFSIS, the Agency intranet, for additional information.

Application for 10-Point Veteran Preference, SF-15 (Fillable PDF)

Application for Promotion, FSIS Form 4335-1 (PDF Only)

Declaration for Federal Employment, OF-306 (Fillable PDF)

FEGLI Designation of Beneficiary, SF-2823

FERS Designation of Beneficiary, SF-3102 (Fillable PDF)

Questionnaire for National Security Positions, SF-86 (Fillable PDF)

Questionnaire for Non-Sensitive Positions, SF-85 (Fillable PDF)

Questionnaire for Public Trust Positions, SF-85P (Fillable PDF)

Race and National Origin Identification, SF-181 (Fillable PDF)

W-4 Form, IRS (Fillable PDF)

Last Modified: December 21, 2012



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