Forms, Issuances and Records Library - Forms |
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 |
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| Forms Listed by Form Number |
Forms listed by Category |
| External Forms | |
Notes to Users
Animal Care Forms, Animal and Plant Health Inspection Services Forms, International Services Forms, Marketing and Regulatory Program Forms, Organizational and Professional Development Forms, Plant Protection And Quarantine Forms, Veterinary Services Forms, Wildlife Services Forms
| AD Forms | ||||
Form |
Fillable |
Title |
Revision Date, Other Info |
Format |
AD 107 |
Yes |
Report of Transfer or Other Disposition or Construction of Property |
11/1989 |
|
AD 112 |
Yes |
Report of Unserviceable, Lost, Stolen, Damaged or Destroyed Property |
03/1994 |
|
AD 139 |
Yes |
Final Salary Payment Report |
10/1986 |
|
AD 202 |
Yes |
Travel Authorization |
11/1996 |
|
AD 287-2 |
Yes |
Recommendation & Approval of Awards |
External Form |
|
AD 332 |
Yes |
Position Description Cover Sheet |
10/2010 |
|
AD 349 |
Yes |
Change of Address |
12/1993 |
|
AD 358 |
No |
Verification of Imprest Cash |
02/1992 |
|
AD 359 |
No |
Cashier Account Audit |
04/1982 |
|
AD 424 |
Yes |
Employee Application for Reimbursement of Expenses Incurred upon Sale or Purchase (or Both) of Residence Upon change of Official Station |
04/1988 |
|
AD 435 |
No |
Performance Appraisal |
10/1994 |
|
AD 435a |
Yes |
Performance Plan, Progress Review & Appraisal Worksheet |
12/1986 |
|
AD 435b |
Yes |
Performance Plan, Performance Plan, Progress Review & Appraisal Worksheet & Performance Plan, Progress Review & Appraisal Worksheet (Continuation Sheet) |
11/1986 |
|
AD 435, 435a, 435b Consolidated |
Yes |
Performance Appraisal, Performance Plan, Progress Review & Appraisal Worksheet |
11/1986 |
|
AD 475 |
No |
And Justice for All (Poster) |
09/2006 |
|
AD 569 |
Yes |
Expense Record for Temporary Quarters |
03/1985 |
|
AD 581 |
Yes |
Lump Sum Leave or Compensatory Time Payments |
02/1983 |
|
AD 582 |
Yes |
Authorization for Restored Annual Leave |
05/1978 |
|
AD 616 Single Per Diem Rate |
Yes |
Travel Voucher - Temporary Duty Travel |
11/1996 |
|
AD 616 Multiple Per Diem Rates |
Yes |
Travel Voucher - Temporary Duty Travel |
11/1996 |
|
AD 616R |
Yes |
Travel Voucher (Relocation) |
11/1996 |
|
AD 616R **non-calculated fields in Section C, Block 24** |
Yes |
Travel Voucher (Relocation) |
11/1996 |
|
AD 617 |
Yes |
Travel Voucher (Continuation Sheet, Temporary Duty) |
04/1988 |
|
AD 658 |
Yes |
Within-Grade Increase Record |
External Form |
|
AD 672 |
Yes |
Reimbursement or Advance of Funds Agreement |
05/2008 |
|
AD 673 |
No |
Request To Bill |
07/1989 |
|
AD 700 |
Yes |
Procurement Request |
04/1982 |
|
AD 717 |
No |
Leave Audit |
08/1996 |
|
AD 728 |
No |
Request for Authorization For Home to Work Transportation |
12/1988 |
|
AD 873 |
Yes |
Property Pass |
06/1983 |
|
AD 838 |
No |
Purchase Order |
07/1990 |
|
AD 838-B |
Yes |
Invoice - Receipt Certification |
02/1991 |
|
AD 838-D |
Yes |
BPA --- Invoice Receipt Certification |
11/1991 |
|
AD 881 |
Yes |
Individual Development Plan |
03/1983 |
|
AD 1000 |
Yes |
Claim for Relocation Inccome Tax Allowance for the Year |
10/2000 |
|
AD 1043 |
Yes |
Leave Transfer Program - Donor Application |
04/1989 |
|
AD 1046 |
Yes |
Leave Transfer Program- Recipient Application |
04/1989 |
|
AD 1047 |
Yes |
Certification Regarding Department, Suspension, and Other Responsibility Matters - Primary Covered Transactions |
01/1992 |
|
AD 1048 |
Yes |
Certification Regarding Department, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions |
01/1992 |
|
AD 1049 |
Yes |
Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other than Individuals |
05/1990 |
|
AD 1050 |
Yes |
Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative II - For Grantees who are Individuals |
01/1992 |
|
AD 1073 |
Yes |
Recommendation and Approval of Recruitment/Relocation Bonus and/or Retention Allowance |
04/1991 |
|
AD 1074 |
Yes |
Service Agreement for Receipt of Payment for a Recruitment/Relocation Bonus |
04/1991 |
|
AD 1101 |
No |
Approval and Report of Travel Funds Received from Non-Federal Sources |
03/2004 |
|
AD 1143 |
Yes |
Financial Information System (FFIS) and FFIS Data Warehouse User Registration/Change Request |
08/2011 |
|
AD 1147 |
No |
Public Transportation Benefit Program Application |
External Form |
OCIO Form Side 1 DOC |
AD 1185 |
No |
Pre-Tax Parking Application |
06/2004 |
|
AD 1187 |
Yes |
Request for Personnel Security Services - U.S. Department of Agriculture |
02/2007 |
|
AD 1188 |
Yes |
Justification for Requested Security Clearance |
08/2009 |
|
AD 1197 |
Yes |
Personal Identity Verification (PIV) Request for USDA Credential - Request for USDA Identification (I.D.) Badge |
09/2005 |
|
AD 3018 |
Yes |
USDA Telework Agreement Form |
N/A |
|
AD 3030 |
Yes |
Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants |
12/2012 |
|
| APHIS Forms | ||||
Form |
Fillable |
Title |
Revision Date, Other Info |
Format |
APHIS 1 |
Yes |
Request and Authorization for Occasional or Irregular Unscheduled Overtime |
03/1983 |
|
APHIS 3 |
N/A |
Request for Clearance/Approval of Issuance |
N/A |
Replaced with MRP 3 |
APHIS 11-R |
Yes |
Information Systems Security Incident Form |
09/2006 |
|
APHIS 12 |
Yes |
Change Management Request Form |
03/2006 |
|
APHIS 14-R |
Yes |
FTS 2001 Calling Card Tracking Sheet Generic Cards Without Names |
10/2004 |
|
APHIS 29 |
Yes |
Occupational Medical Monitoring Program - Occupational Exposures |
11/2003 |
|
APHIS 40 |
Yes |
Employee Exit Inventory |
04/1998 |
|
APHIS 47 |
Yes |
Transmittal and Receipt for Accountable Items |
04/2001 |
|
APHIS 62-R |
Yes |
Employee Travel Advance Request |
06/2011 |
|
APHIS 63 |
Yes |
Justification for Non-Competitive Federal Assistance |
10/1982 |
|
APHIS 66-R |
No |
Job Analysis - Major Duty Identification |
08/1982 |
|
APHIS 67-R |
No |
Job Analysis - Knowledge, Skills and Abilities Determination |
08/1984 |
|
APHIS 68-R |
No |
Job Analysis Rating Plan |
08/1982 |
|
APHIS 71 |
Yes |
Summary of Information Collections (Pubic Burden) |
01/1996 |
|
APHIS 79 |
Yes |
Worksheet for Calculating Costs to the Federal Government for Information Collection |
09/1996 |
|
APHIS 80-R |
No |
Export Certificate Record |
03/1986 |
|
APHIS 90 |
No |
Report of Reimbursable Services Rendered |
N/A |
|
APHIS 94 |
Yes |
Record of Public Funds Received |
06/2006 |
|
APHIS 103 |
Yes |
Annual Agreements Meeting |
03/2012 |
|
APHIS 106 |
No |
APHIS Local Registration Authority (LRA) Request for Training and Acknowledgment of Role Responsibilities |
02/2009 |
|
APHIS 109-R |
Yes |
Detailed Cost Analysis |
06/1996 |
|
APHIS 131 |
Yes |
VTC Request Form |
08/2012 |
|
APHIS 135 |
Yes |
Form Processing and Reproduction Record |
01/2007 |
|
APHIS 147-R |
No |
Annual Salary Computation Sheet For Appointments Above the Minimum Rate |
05/1992 |
|
APHIS 160-R |
No |
Annual Hazardous Materials Inventory |
03/1992 |
|
APHIS 162 |
No |
Serious Accident Preliminary Report |
03/1992 |
|
APHIS 164 |
No |
Hazardous Materials Certification Statement |
03/1992 |
|
APHIS 167-E |
Yes |
Fluorescent Lamps and Other Mercury-Containing Universal Waste Recycling Program Container Request Form |
11/2003 |
|
APHIS 168 |
Yes |
Hazardous Waste Disposal Request Form |
11/2003 |
|
APHIS 176 |
No |
Travel Savings Form |
04/2006 |
|
APHIS 187-R |
No |
Request for Publication/Material |
05/1997 |
|
APHIS 188 |
Yes |
Printing Request |
05/2007 |
|
APHIS 192 |
No |
Application for Credit Account and Request for Services |
12/2002 |
|
APHIS 203 |
Yes |
Request for Access to NFC's Travel System |
09/2004 |
|
APHIS 240-R |
No |
APHIS Office Ergonomic Evaluation Checklist (OEEC) |
03/2003 |
|
APHIS 256-1 |
No |
Safety Inspection Checklist (General Safety) |
04/1995 |
|
APHIS 256-2 |
No |
Safety Inspection Checklist (Animal Handling Facilities and Equipment, Bird Quarantine Facilities, and Greenhouses) |
01/1995 |
|
APHIS 256-3 |
No |
Safety Inspection Checklist (Laboratories) |
04/1995 |
|
APHIS 256-4 |
No |
Safety Inspection Checklist (Machine/Workshop) |
04/1995 |
|
APHIS 256 |
No |
Safety Inspection Checklist (Hazardous Chemical Storage, Explosives Storage, and Waste Disposal) |
06/1997 |
|
APHIS 257-R |
No |
Hazard Communication Standard Checklist |
07/1996 |
|
APHIS 258 |
No |
Respirator Use Approval |
11/1998 |
|
APHIS 259-R |
Yes |
Workplace Incident Report |
12/2012 |
|
APHIS 260 |
No |
Medical Alert Card (Employee) |
12/2007 |
|
APHIS 260-A |
No |
Medical Alert Card |
12/2007 |
|
APHIS 264-R |
Yes |
Facility Environmental Inventory Report |
06/2003 |
|
APHIS 265-R |
Yes |
Individual Discovery Report |
06/2003 |
|
APHIS 266-R |
Yes |
Hazardous Waste Accumulation Inspection Form |
06/2003 |
|
APHIS 267-R |
Yes |
Monthly Hazardous Waste (Generator) Activity Report |
06/2003 |
|
APHIS 270-R |
No |
APHIS Hazard Assessment Form |
N/A |
|
APHIS 301 |
No |
Incident Record Discharge of a Non-Lethal Personal Protective Device (NLPPD) |
08/2001 |
|
APHIS 302 |
No |
Inventory Control Record for Non-Lethal Personal Protective Devices (NLPPD) |
08/2001 |
|
APHIS 329 |
Yes |
Contract Delivery Receipt |
08/1982 |
|
APHIS 511-R |
No |
APHIS ID/Access Request |
06/2004 |
|
APHIS 512-R |
Yes |
APHIS Data Center Visitor Log |
01/2011 |
|
APHIS 513 |
Yes |
APHIS User Account Control Form |
05/2007 |
|
APHIS 514 |
Yes |
APHIS Data Center Access Control Form |
09/2007 |
|
APHIS 515-R |
Yes |
Incident Report |
06/2004 |
|
APHIS 516 |
No |
Remote Access Account Control Form |
06/2008 |
|
APHIS 520 |
Yes |
Risk Acceptance Form |
05/2012 |
|
APHIS 601 |
Yes |
Fundamentals of APHIS Human Resource Management (FARHM) Application Form |
09/2004 |
|
APHIS 602 |
No |
Managing Performance & Conduct Application Form |
01/2004 |
|
APHIS 603 |
Yes |
Learning Contract |
02/2004 |
|
APHIS 672 |
Yes |
Reimbursement or Advance of Funds Agreement |
05/2008 |
|
APHIS 672-A |
Yes |
Reimbursement or Advance of Funds Agreement Continuation Form |
05/2008 |
|
APHIS 2007 |
No |
Qualifications of Veterinary Biologics Personnel |
11/2001 |
|
APHIS 7001 |
Yes |
United States Interstate and International Certificate of Health Examination for Small Animals |
11/2010 |
|
APHIS 7005 |
No |
Record of Acquisition & Dogs and Cats on Hand |
06/1995 |
|
APHIS 7006 |
Yes |
Record of Disposition of Dogs and Cats |
06/1995 |
|
APHIS 7006-A |
Yes |
Continuation Sheet for Record of Disposition of Dogs and Cats |
01/1990 |
|
APHIS 7020 |
Yes |
Record of Acquisition, Disposition or Transport of Animals (Other than Dogs and Cats) |
04/1993 |
|
| CA Forms | ||||
Form |
Fillable |
Title |
Revision Date, Other Info |
Format |
CA 1 |
Yes |
Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation CA-1 Form Explained (PPS) |
External Form |
|
CA 2 |
Yes |
Notice of Occupational Disease and Claim for Compensation |
External Form |
|
| IS Forms | ||||
Form |
Fillable | Title |
Revision Date, Other Info | Format |
IS 1 |
No |
Assignment History and Preference List |
03/2004 |
|
IS 2 |
No |
Background and Skills Resume |
03/2004 |
|
IS 3 |
No |
Requirements for Position |
03/2004 |
|
IS 4 |
No |
Rotational Assignments Bid Form |
03/2004 |
|
IS 5 |
No |
Candidate Scoring Form |
03/2004 |
|
IS 6 |
No |
Candidate Tally Form |
03/2004 |
|
IS 10 |
No |
Assignment and Policy Commitment |
03/2004 |
|
IS 11 |
No |
Foreign Service Limited Non-Career Appointment Agreement |
N/A |
|
IS 436-R |
No |
Foreign Service Members Performance Appraisal |
03/2004 |
|
IS 437-R |
No |
Foreign Service Member's Accomplishment Statement |
03/2004 |
|
IS 438-R |
No |
Foreign Service Member's Supervisory Assessment |
03/2004 |
|
| GSA Forms | ||||
Form |
Fillable |
Title |
Revision Date, Other Info | Format |
GSA 1334 |
Yes |
Request for Transfer of Excess Real and Related Personal Property |
06/1977 |
|
GSA 1781 |
Yes |
Motor Vehicle Accountability and Data Record |
09/2009 |
|
GSA 3080 |
No |
Household Goods Carrier Evaluation Report |
09/2001 |
|
GSA 3807 |
No |
Motor Vehicle Operator's License and Driving Record |
08/1989 |
|
| HRO Forms | ||||
| Form No. |
Fillable | Title | Revision Date, Other Info | Format |
Action Items for Moving/Closing and Office |
Yes |
Action Items for Moving/Closing and Office |
05/2012 |
|
Accretion of Duties |
Yes |
Promotion Resulting From Additional Duties and Responsibilities |
N/A |
|
Certification for Foster Child |
Yes |
Certification Form for Foster Child/Grandchild |
01/2011 |
|
Fair Labor Standards Act (FLSA) |
No |
Fair Labor Standards Act Coding Worksheet |
N/A |
|
HRO 106 |
Yes |
NFC Reporting Center Access Request Form |
09/2011 |
|
HRO 109 |
Yes |
Request for Report/Human Resources Information |
10/2010 |
|
HRO 112 |
No |
Student Career Experience Program Working Agreement |
03/2009 |
|
HRO 127 |
Yes |
Inquiry for Positions Requiring Possession of Firearms |
07/1997 |
|
HRO 135 |
Yes |
NFC Sensitive Data Security Agreement |
N/A |
|
HRO 343SH |
Yes |
Housing Subsidy Request for the Summer Intern Program |
06/2010 |
|
HRO 345-F |
Yes |
Time and Attendance Log |
N/A |
|
HRO 444c |
Yes |
Personnel Documents Transmittal - Processing Documents |
06/2010 |
|
HRO 444d |
Yes |
Human Resources Document Transmittal Benefits Documents |
11/2010 |
|
HRO 710 |
No |
Notice of Obligation to Pay Health Benefits Premiums While in Nonpay Status |
N/A |
|
HRO 717 |
Yes |
MRPBS Leave Audit |
07/2007 |
|
HRO 1197 |
Yes |
Background Investigation Supplement |
09/2010 |
|
Notice of Obligation to Pay Health Benefits Premiums While in Nonpay Status |
Yes |
Notice of Obligation to Pay Health Benefits Premiums While in Nonpay Status |
N/A |
|
PATS/PRISM Customer Access ID Request Form |
No |
Request for PATS/PRISM ID |
N/A |
|
Property Receipt Form |
No |
Property Receipt Form |
N/A |
|
| MRP Forms | ||||
| Form No. |
Fillable | Title | Revision Date, Other Info | Format |
MRP 3 |
Yes |
Request for Clearance/Approval of Issuance |
03/2012 |
|
MRP 4 |
Yes |
Request For Authorization of Relocation Expenses |
06/2011 |
|
MRP 5 |
No |
Self Certification Medical Statement |
05/2003 |
|
MRP 10-R |
Yes |
Request for Special Travel |
07/1998 |
|
MRP-13 |
Yes |
Request for Special Travel |
03/2010 |
|
MRP 18-R |
Yes |
Work Restriction Evaluation |
Removed 06/12 |
Obsolete |
MRP 19-R |
Yes |
Work Schedule |
08/2000 |
|
MRP 20-R |
No |
Change in Motor Vehicle Trade-in |
10/2002 |
|
MRP 26 |
No |
WC Long Term Management |
03/2009 |
|
MRP 27 |
No |
WC Short Term Management |
03/2009 |
|
MRP 28 |
No |
WC Telephone Log |
03/2009 |
|
MRP 29 |
No |
Long Term Management Rating Scale |
03/2009 |
|
MRP 30 |
No |
Reasonable Accommodation Reassignment |
03/2011 |
|
MRP 40R |
No |
When Injured at Work Checklist - Occupational Illness or Disease |
05/2012 |
|
MRP 41R |
No |
When Injured at Work Checklist - Traumatic Injury |
05/2012 |
|
MRP 52-R |
No |
Request |
01/1997 |
|
MRP 62-R |
Yes |
Employee Travel Advance Request |
09/2012 |
|
MRP 65 |
No |
Annual Vehicle Inspection |
08/2000 |
|
MRP 74-R |
No |
Vehicle Sharing Checklist |
06/2006 |
|
MRP 75 |
No |
Federal Vehicle Registration |
06/2006 |
|
MRP 111 |
No |
Space Condition Report - Used to document the condition of leased space when you move in or out. |
03/2009 |
|
MRP 112 |
Yes |
Lease Market Survey - When searching for new space, complete this form for each potential location you visit. |
01/2009 |
|
MRP 113 |
Yes |
Space Requirements Questionnaire - General Requirements for Space |
11/2010 |
|
MRP 114 |
Yes |
Request for Changes to Space and Field Office and MRP 113Lease of Facilities |
01/2007 |
|
MRP 123 |
No |
Reasonable Suspicion and Post-Accident/Unsafe Practice Checklist |
08/2010 |
|
MRP 124-R |
No |
Safety Checklist for Towing/Carrying Equipment |
06/2006 |
|
MRP 125-R |
No |
Defensive Driver Training Log |
10/2002 |
|
MRP 135-R |
No |
Motor Vehicle Authorization |
06/2000 |
|
MRP 139 |
No |
Employee Record of Commute in Government Vehicle |
12/2000 |
|
MRP 139-R |
No |
Employee Record of Commute in Government Vehicle |
10/2002 |
|
MRP 145-R |
Yes |
Superior Qualifications Appointments |
10/2002 |
|
MRP 146-R |
Yes |
Statement of Understanding |
10/2002 |
|
MRP 147-R |
Yes |
Annual Salary Computation Sheet for Superior Qualifications Appointments |
10/2002 |
|
MRP 208 |
No |
Request to Engage in Non-Federal Employment or Activity |
06/2000 |
|
MRP 210-R |
Yes |
Flexible Workplace Agreement |
N/A |
|
MRP 211R |
No |
Flexible Workplace Employee/Supervisor Checklist |
N/A |
Abolished |
MRP 219 |
No |
Nonstandard Tour of Duty or Split-Shift |
03/2000 |
|
MRP 250-R |
Yes |
Release to Obtain Student Loan Information |
03/2003 |
|
MRP 251-R |
Yes |
MRP Service Agreement for Receipt of Repayment of Student Loan(s) |
03/2003 |
|
MRP 252-R |
Yes |
Recommendation and Approval of the Repayment of Student Loan(s) |
03/2003 |
|
MRP 263 |
No |
Tour of Duty Schedule |
03/2000 |
|
MRP 315-R |
No |
Vehicle Condition Questionnaire |
06/2006 |
|
MRP 345-R |
No |
Time and Attendance Log |
10/2001 |
|
MRP 346 |
Yes |
Designation of Tour of Duty |
09/2008 |
|
MRP 347 |
Yes |
Substitute of Earned Paid Time Off for Annual/Sick Leave Indebtedness |
10/2008 |
|
MRP 350 |
Yes |
Statement or Earnings and Leave (SEL) Waiver Request Form (or Cancellation) |
10/2007 |
|
MRP 352 |
Yes |
webTA Access Request Form |
07/2011 |
|
MRP 400 |
Yes |
Request to Schedule and Electronic Information System |
01/2007 |
|
| OF Forms | ||||
| Form No. |
Fillable | Title |
Revision Date, Other Info | Format |
OF 5 |
No |
Inquiry as to Availability |
03/1982 |
|
OF 8 |
No |
Position Description |
01/1985 |
|
OF 69 |
No |
Assignment Agreement |
02/1989 |
|
OF 108 |
No |
Daily Vehicle Use Record |
10/1992 |
|
OF 306 |
Yes |
Declaration of Federal Employment |
10/2011 |
|
OF 510 |
No |
Applying for Federal Job |
09/1994 |
|
OF 612 |
Yes |
Optional Application for Federal Employment |
06/3006 |
|
OF 1129 |
Yes |
Cashier Reimbursement Voucher and/or Accountability Report |
02/1982 |
|
| OPM Forms | ||||
| Form No. |
Fillable | Title | Revision Date, Other Info | Format |
OPM 71 |
Yes |
Request for Leave or Approved Absence (this form replaces the SF-71) |
External Link |
|
OPM 630B |
Yes |
Request to Donate Annual Leave to Recipient (Outside Agency) Under the Leave Transfer Program) |
06/2001 |
|
OPM 1637 |
Yes |
Application to Become a Leave Recipient Under the Emergency Leave Transfer Program |
06/2001 |
|
OPM 1638 |
Yes |
Request to Donate Annual Leave to the Emergency Leave Transfer Program |
06/2001 |
|
OPM 1639 |
Yes |
Transfer of Donated Annual Leave To/From the Emergency Leave Transfer Program |
06/2001 |
|
| Other Forms | ||||
| Form No. |
Fillable | Title | Revision Date, Other Info | Format |
Certification of Accomplished Ethics Orientation |
No |
Certification of Accomplished Ethics Orientation |
N/A |
|
Certification Regarding Lobbying |
No |
Certification Regarding Lobbying |
N/A |
|
Declaration of Domestic Partnership |
Yes |
Declaration of Domestic Partnership |
06/2010 |
|
I 9 |
Yes |
Employment Eligibility Verification |
08/2009 |
|
FMS 2231 |
Yes |
FastStart Direct Deposit |
11/1992 |
|
OFI Form 86C |
No |
Special Agreement Checks |
02/2002 |
|
RI 20-97 |
Yes |
Estimated Earnings During Military Service |
External Link |
|
Self Insurance Information |
No |
Self Insurance Information |
N/A |
|
W 4 |
Yes |
Employee's Withholding Allowance Certificate |
01/2012 |
|
WH 380-E |
Yes |
FMLA Medical Certification for Employee’a serious Health Condition |
External Link |
|
WH 380-F |
Yes |
FMLA Medical Certification for a Family Member’a serious Health Condition |
External Link |
|
WH 385 |
External Link |
FMLA Medical Certification for Serious Injury or Illness of Covered Service member for Military Family Leave |
01/2009 |
|
| PPQ Forms | ||||
| Form No. |
Fillable | Title | Revision Date, Other Info | Format |
PPQ 203 |
Yes |
Foreign Site Certificate of Inspection and/or Treatment |
07/2007 |
|
PPQ 205 |
No |
Shippers Declaration |
12/2012 |
|
PPQ 227-R |
No |
Request for U.S. Customs Action |
04/2001 |
|
PPQ 236 |
No |
Notice of Shipment and Report of Inspection of Imported Plants -Grown Under Post entry Quarantine |
08/2000 |
|
PPQ 250 |
No |
Aircraft Clearance or Safeguard Order |
02/2007 |
|
PPQ 252-R |
No |
Quarterly Inspection Checklist for Handling of Regulated Garbage - Airport Caterer |
08/1991 |
|
PPQ 301 |
Yes |
Remedial Measures Billing |
04/2007 |
|
PPQ 309A |
Yes |
Pest Interception Record |
09/2008 |
|
PPQ 368 |
Yes |
Notice of Arrival and Instructions |
05/2009 |
|
PPQ 370 |
Yes |
Daily Grasshopper Survey Data |
07/2010 |
|
PPQ 391 |
Yes |
Specimens for Determination |
08/2002 |
|
PPQ 449-R |
Yes |
Temperature Recording Calibration Report (In-Transit Cold Treatment) |
09/2008 |
|
PPQ 505 |
Yes |
Plant and Plant Product Declaration Form |
08/2011 |
|
PPQ 505B |
Yes |
Plant and Plant Product Declaration Supplemental Form |
08/2011 |
|
PPQ 519 |
Yes |
Compliance Agreement |
09/2012 |
|
PPQ 523 |
Yes |
Emergency Action Notification |
07/2002 |
|
PPQ 525 |
Yes |
Application for Permit to Receive Soil |
01/2008 |
|
PPQ 526 |
Yes |
Application for Permit to Move Live Plant Pests or Noxious Weeds |
12/2011 |
|
PPQ 546 |
Yes |
Agreement for Post entry Quarantine |
07/2009 |
|
PPQ 553 |
No |
Certificate of Heat Treatment |
12/2003 |
|
PPQ 571 |
No |
District of Columbia Plant Health Certificate |
02/2001 |
|
PPQ 572 |
Yes |
Application for Inspection and Certification of Plants and Plant Products for Export |
04/2005 |
|
PPQ 575 |
No |
Monthly Summary of Export Certificates Issued |
02/2002 |
|
PPQ 576 |
Yes |
Attachment Sheet for PPQ Form 577 or PPQ Form 579. Instructions for PPQ Form 576. |
04/2005 |
|
PPQ 577 |
No |
View the Phytosanitary Certificate |
02/2001 |
|
PPQ 578 |
No |
View an Export Certificate |
02/2001 |
|
PPQ 579 |
No |
View a Phytosanitary Certificate for Reexport |
02/2001 |
|
PPQ 585 |
Yes |
Application for Permit to Import Timber or Timber Products |
07/2007 |
|
PPQ 586 |
Yes |
Application for Permit to Transit Plants and/or Plant Products Through the United States |
01/2011 |
|
PPQ 587 |
Yes |
Application for Permit to Import Plants or Plant Products |
07/2009 |
|
PPQ 588 |
Yes |
Application for Permit to Import Prohibited Plants or Plant Products for Experimental Purposes |
11/2004 |
|
PPQ 621 |
Yes |
Application for Protected Plant Permit to Engage in the Business of Importing, Exporting or Re-exporting Terrestrial Plants or Plant Products that are Protected |
11/2004 |
|
PPQ 625 |
No |
Claim and Bond |
06/2000 |
|
PPQ 626 |
No |
Petition for Remission or Mitigation of Forfeiture |
04/2000 |
|
PPQ 816 |
Yes |
Contract Pilot and Aircraft Acceptance |
03/2008 |
|
PPQ 926 |
No |
Karnal Bunt Compensation Claim Form |
02/2002 |
|
PPQ 927 |
No |
Karnal Bunt Compensation Worksheet |
02/2002 |
|
PPQ 950 |
No |
Importation of Solid Wood Packing Materials |
12/1998 |
|
| Savings Bond Forms | ||||
Form |
Fillable |
Title |
Revision Date, Other Info |
Format |
PD F 1048 E |
Yes |
Claim for Lost, Stolen or Destroyed United States Savings Bonds |
03/2008 |
|
| Standard Forms | ||||
| Form No. |
Fillable | Title | Revision Date, Other Info | Format |
SF LLL |
Yes |
Disclosure of Lobbying Activities |
External Link |
|
SF-1 |
Yes |
Printing and Binding Requisition |
07/1979 |
|
SF-8 |
Yes |
Unemployment Compensation for Federal Employees (UCFE) Program, Unemployment Insurance (UI) for Federal Workers - Take this form with you if you go to file a claim |
06/1987 |
|
SF 15 |
Yes |
Application for 10-Point Veteran Preference |
External Link |
|
SF 18 |
Yes |
Request for Quotation |
06/1995 |
|
SF 39 |
No |
Request for Referral of Eligibles |
11/1988 |
|
SF 52 |
Yes |
Request for Personnel Action |
07/1991 |
|
SF 61 |
Yes |
Appointment Affidavits |
External Link |
|
SF 71 |
Yes |
Request for Leave or Approved Absence |
Replaced by OPM-71 |
|
SF 78 |
Yes |
Certificate of Medical Examination |
10/1969 |
|
SF 85 |
Yes |
Questionnaire for Non-Sensitive Positions |
09/1995 |
|
SF 85P |
Yes |
Questionnaire for Public Trust Positions |
09/1995 |
|
SF 85P-S |
Yes |
Supplemental Questionnaire for Selected Positions |
09/1995 |
|
SF 86 |
Yes |
Questionnaire for National Security Positions SF-86 ACCEPT GUIDELINES Revised 02/14/2000 by OPM - Items Required for Investigation Processing |
External Link |
|
SF 86A |
Yes |
Continuation Sheet for Questionnaires SF 86, SF85P & SF85 |
09/1995 |
|
SF 91 |
Yes |
Motor Vehicle Accident Report |
02/1993 |
|
SF 94 |
No |
Statement of Witness |
02/1993 |
|
SF 95 |
Yes |
Claim for Damage, Injury, or Death |
07/1985 |
|
SF 97 |
No |
N/A |
||
SF 120 |
Yes |
Report of Excess Personal Property |
04/1957 |
|
SF 122 |
Yes |
Transfer Order, Excess Personal Property |
06/1974 |
|
SF 126 |
Yes |
Report of Personal Property for Sale |
07/1978 |
|
SF 129 |
Yes |
Solicitation Mailing List Application |
10/1997 |
|
SF 135 |
Yes |
Records Transmittal and Receipt |
07/1985 |
|
SF 144 |
Yes |
Statement of Prior Service |
External Link |
|
SF 145 |
No |
Telephone Service Request |
06/1982 |
|
SF 181 |
Yes |
Ethnicity and Race Identification |
08/2005 |
|
SF 182 |
Yes |
Request, Authorization, Agreement and Certification of Training |
12/2006 |
|
SF 256 |
Yes |
Self Identification of Disability |
External Link |
|
SF 269 |
|
Financial Status Report (Long Form) |
External Link |
|
SF 269A |
|
Financial Status Report (Short Form) |
External Link |
|
SF 270 |
|
Request for Advance or Reimbursement |
External Link |
|
SF 294 |
Yes |
Subcontracting Report for Individual Contracts |
09/2001 |
|
SF 295 |
Yes |
Summary Subcontract Report Subcontracting Plan Evaluation Checklist Subcontracting Plan Review and Clearance Sheet |
09/2001 |
|
SF 368 |
Yes |
Product Quality Deficiency Report |
06/2007 |
|
SF 424 |
Yes |
Application for Federal Assistance |
Expires 04/12 |
|
SF 424A |
Yes |
Budget Information - Non-Constructions Programs |
External Form |
|
SF 424B |
No |
Assurances - Non-Construction Programs |
External Form |
|
SF 425 |
Yes |
Federal Financial Report (for cooperative agreements and grants awarded by APHIS on/after 10/01/2008) |
External Form |
|
SF 1080 |
No |
Voucher for Transfers Between Appropriations and/or Funds |
04/1982 |
|
SF 1152 |
Yes |
Designation of Beneficiary (Unpaid Compensation) |
External Link |
|
SF 1164 |
Yes |
Claim for Reimbursement for Expenditures on Official Business |
06/1998 |
|
SF 1165 |
No |
Receipt for Cash - Subvoucher |
06/1983 |
|
SF 1187 |
Yes |
Request for Payroll Deductions for Labor Organization Dues |
03/1989 |
|
SF 1188 |
No |
Cancellation of Payroll Deductions for Labor Organization Dues |
01/1979 |
|
SF 1190 |
No |
Foreign Allowances Application, Grant and Report |
01/1998 |
|
SF 1199A |
Yes |
Direct Deposit Sign-Up Form |
06/1997 |
|
SF 1449 |
No |
Solicitation/Contract/Order for Commercial Items |
10/1995 |
|
SF 2801 |
Yes |
Application for Immediate Retirement (CSRS) |
External Link |
|
SF 2802 |
Yes |
Application for Refund of Retirement Deductions (CSRS) |
External Link |
|
SF 2803 |
Yes |
Application to Make Deposit or Redeposit (CSRS) |
External Link |
|
SF 2804 |
Yes |
Application to Make Voluntary Contributions (CSRS) |
External Link |
|
SF 2804a |
No |
Information Regarding Voluntary Contributions |
External Link |
|
SF 2808 |
Yes |
Designation of Beneficiary (CSRS) |
External Link |
|
SF 2809 |
Yes |
Employee Health Benefits Election Form (FEHB) |
External Link |
|
SF 2817 |
Yes |
Life Insurance Election (FEGLI) |
External Link |
|
SF 2818 |
Yes |
Continuation of Basic Life Insurance (FEGLI) |
External Link |
|
SF 2822 |
No |
Request For Insurance (FEGLI) |
External Link |
|
SF 2823 |
Yes |
Designation of Beneficiary (FEGLI) |
External Link |
|
SF 3102 |
Yes |
Designation of Beneficiary (FERS) |
External Link |
|
SF 3107 |
No |
Application for Immediate Retirement (FERS) |
External Link |
|
SF 3108 |
Yes |
Application to Make Service Credit Payment (FERS) |
External Link |
|
SF 3109 |
Yes |
Election of coverage (FERS) |
External Link |
|
SF 3112 |
Yes |
Documentation in Support of Disability Retirement Application |
External Link |
|
SF 3112-1 |
N/A |
Pamphlet - Information About Disability Retirement - CSRS |
External Link |
|
SF 3112-2 |
N/A |
Pamphlet - Information About Disability Retirement (FERS) |
External Link |
|
SF 3113 |
N/A |
Pamphlet - Applying for Immediate Retirement under FERS |
External Link |
|
| TSP Forms | ||||
Form |
Fillable |
Title |
Revision Date, Other Info |
Format |
TSP 1 |
No |
Thrift Savings Plan - Election Form |
External Form |
|
TSP 1-C |
No |
Thrift Savings Plan - Catch Up Contributions Election Form |
External Form |
|
TSP 3 |
No |
Thrift Savings Plan - Designation of Beneficiary |
External Form |
|
| VS Forms | ||||
Form |
Fillable |
Title |
Revision Date, Other Info |
Format |
VS 1-36A |
Yes |
Application For Veterinary Accreditation |
04/2010 |
|
VS 1-9 R |
No |
Fee Basis Agreement |
09/2006 |
|
VS 2-11 |
Yes |
Report of Diseased Animals Found at Slaughter Establishments |
06/2012 |
|
VS 4-8 |
Yes |
Ivermectin Corn Submission Form |
03/2010 |
|
VS 4-9 |
Yes |
Request for Reagents or Supplies (with Instructions) |
N/A |
|
VS 4-10 |
Yes |
NVSL Customer Contact Information Update |
N/A |
|
VS 4-11 |
Yes |
Request for Training at the NVSL |
N/A |
|
VS 4-12 |
Yes |
N/A |
||
VS 4-24 |
No |
Brucellosis Vaccination Record |
08/1983 |
|
VS 4-26 |
No |
Brucellosis Vaccination Record |
08/1983 |
|
VS 4-33 |
No |
Brucellosis Test Record |
02/1992 |
|
VS 4-54 |
No |
Brucellosis Test Record Market Cattle Testing |
07/1981 |
|
VS 5-14 |
Yes |
Dip Sample Data |
08/2009 |
|
VS 5-18 |
No |
Record of Animals Moved |
12/2003 |
|
VS 5-18a |
No |
Record of Animals Acquired |
12/2003 |
|
VS 5-22 |
No |
Application for Scrapie Flock Certification Program |
06/2007 |
|
VS 5-38 |
Yes |
Parasite Submission Forma & Instructions |
09/2009 |
|
VS 6-35 |
Yes |
Report of Thoracic Granulomas in Regual Kill Animals |
02/2004 |
|
VS 10-3 |
Yes |
Request for Salmonella Serotyping Form & Instructions |
10/2009 |
|
VS 10-4 |
Yes |
Specimen Submission |
08/2009 |
|
VS 10-4a |
Yes |
Specimen Submission Form (continuation page) |
08/2009 |
|
VS 10-13 |
No |
Owner/Shipper Certificate Fitness to Travel to a Slaughter Facility |
09/2002 |
|
VS 10-13a |
No |
Owner/Shipper Certificate Fitness to Travel to a Slaughter Facility - Continuation Sheet |
09/2002 |
|
VS 11-2 |
Yes |
Application for Chronic Wasting Disease Herd Certification Program (CWD HCP) Approval, Renewal, or Reinstatement of a State |
08/2012 |
|
VS-16-3 |
Yes |
Application for Permit To: Import or Transport Controlled Material or Organisms or Vectors |
04/2009 |
|
VS-16-7 |
Yes |
Additional Information for Cell Cultures and Their Products |
12/2011 |
|
VS-17-8 |
No |
Agreement of Pet Bird Owner |
N/A |
|
VS 17-23 |
No |
Importation of Pet Birds |
08/1989 |
|
VS 17-29 |
No |
Declaration of Importation (Animals, Animal Semen, Animal Embryos, Birds, Poultry, or Hatching Eggs) |
11/2009 |
|
VS 17-31 |
Yes |
Dourine and Glanders Import Test Report |
05/1973 |
|
VS 17-37 |
Yes |
Certification of Inspection of Export Animals |
07/2011 |
|
VS 17-41 |
Yes |
Notice of Animals Not Shipped |
08/2011 |
|
VS 17-128 |
No |
Application/Permit for Ratite(s) or Ratite Hatching Eggs and Space Reservation Request |
12/1994 |
|
VS 17-129 |
Yes |
Application for Import or in Transit Permit |
05/1996 |
|
VS 17-131 |
Yes |
USDA BSE Surveillance Data Collection Form |
12/2006 |
|
VS 17-135A |
No |
United States Permit to Transit Poultry, Pigeons, Hatching Eggs or Birds |
01/1995 |
|
VS 17-137 |
Yes |
Aquaculture Facility Export Registration |
03/2006 |
|
VS 17-145 |
No |
U.S. Origin Health Certificate For The Export Of Horses From The United States To Canada |
05/2000 |
|
Worksheets |
No |
Laboratory Proficiency Test Worksheets |
N/A |
|
| WS Forms | ||||
Form |
Fillable | Title |
Revision Date, Other Info | Format |
WS 160 |
No |
Adverse Effects Incident Information Report |
06/1999 |
(Contains the forms WS 160a, WS 160b, and WS 160c) |