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MRPBS - Forms - AD Forms

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Printable VersionPrintable Version

All documents (unless otherwise stated) have been created in Portable Document Format (PDF) and can only be viewed by using Adobe Acrobat Reader.  Some of our forms require Acrobat Reader 4.0 or above to be able to complete the form on-line or to use the links within the forms. The data from these forms can not be submitted or saved to your PC at this time, however, you can complete the form on-line, print it and then mail or fax the form to the appropriate personnel. 

Form

Fillable

Download Format/Size

Description of  Form

Revision 
Date

AD-107

Yes

PDF; 40Kb

Report of Transfer or Other Disposition or Construction of Property

11/89

AD-112

Yes

PDF; 490Kb

Report of Unserviceable, Lost, Stolen, Damaged or Destroyed Property

03/94

AD-139

Yes

PDF; 91Kb

Final Salary Payment Report

10/86

AD-202

Yes

PDF; 145Kb

Travel Authorization

11/96

AD-287-2

Yes

PDF; 39Kb

Recommendation & Approval of Awards

07/94

AD-332

Yes

PDF; 211Kb

Position Description Cover Sheet

04/86

AD-349

Yes

PDF; 16Kb

Change of Address

12/93

AD-435

Yes

PDF; 506Kb

Performance Appraisal
(MS Word Version)

11/86

AD-435a

Yes

PDF; 23Kb

Performance Plan, Progress Review & Appraisal Worksheet
(MS Word Version)

12/86

AD-435b

Yes

PDF; 17Kb

Performance Plan, Performance Plan, Progress Review & Appraisal Worksheet & Performance Plan, Progress Review & Appraisal Worksheet (Continuation Sheet)

11/86

AD-435, 435a, 435b Consolidated

Yes

DOC; 36Kb

Performance Appraisal, Performance Plan, Progress Review & Appraisal Worksheet,

11/86

AD-358

No

PDF; 19Kb

Verification of Imprest Cash

02/92

AD-359

No

PDF; 37Kb

Cashier Account Audit

04/82

AD-581

Yes

PDF; 140Kb

Lump Sum Leave or Compensatory Time Payments

Instructions

02/83

AD-582

Yes

PDF; 165Kb

Authorization for Restored Annual Leave

05/78

AD-616
Single Per
Diem Rate

Yes

PDF; 270Kb

Travel Voucher - Temporary Duty Travel

11/96

AD-616
Multiple Per 
Diem Rates

Yes

PDF;295Kb

Travel Voucher - Temporary Duty Travel

11/96

AD-616R

AD616R
**non-calculated
fields in Section C, 
Block 24**

Yes

PDF; 215Kb

Travel Voucher (Relocation)

11/96

AD-617

Yes

PDF; 143Kb

Travel Voucher (Continuation Sheet, Temporary Duty)

04/88

AD-658

Yes

PDF; 200Kb

Within-Grade Increase Record

09/81

AD-672

Replaced with APHIS-672

       

AD-673

No

PDF; 7Kb

Request To Bill


Instructions (PDF; 7Kb)

07/89

AD-700

Yes

PDF; 87Kb

Procurement Request

04/82

AD-717

No

PDF; 223Kb

Leave Audit

HRO 717 MRPBS Leave Audit (XLS; 17Kb)
Instructions

08/96

AD-728

No

PDF; 974Kb

Request for Authorization For Home to Work Transportation

12/88

AD-838

No

PDF; 18Kb

Purchase Order

07/90

AD-838-B

Yes

PDF; 940Kb

Invoice - Receipt Certification

02/91

AD-838-D

Yes

PDF; 296Kb

BPA --- Invoice Receipt Certification

11/91

AD-881

Yes

PDF; 581Kb

Individual Development Plan

03/83

AD-1043

Yes

PDF; 37Kb

Leave Transfer Program - Donor Application

Instructions (PDF; 12Kb)

04/89

AD-1046

Yes

PDF; 29Kb

Leave Transfer Program- Recipient Application

Instructions (PDF; 49Kb)

04/89

AD-1047

Yes

PDF; 15Kb

Certification Regarding Deparment, Suspension, and Other Responsibility Matters - Primary Covered Transactions

01/92

AD-1048

Yes

PDF; 14Kb

Certification Regarding Deparment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions

01/92

AD-1049

Yes

PDF; 64Kb

Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I - For Grantees Other than Indivuals

05/90

AD-1050

Yes

PDF; 11Kb

Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative II - For Grantees who are Individuals

01/92

AD-1073

Yes

PDF; 98Kb

Recommendation and Approval of Recruitment/Relocation Bonus and/or Retention Allowance

04/91

AD-1074

Yes

PDF; 45Kb

Service Agreement for Receipt of Payment for a Recruitment/Relocation Bonus

04/91

AD-1143

Yes

 

Financial Information System (FFIS) and FFIS Data Warehouse User Registration/Change Request

https://www.nfc.usda.gov/
corporate/index.htm

Instructions (PDF; 12Kb)

02/05

AD-1147

No

Public Transportation Benefit Program Application 

http://www.ocio.usda.gov/
forms/ocio_forms.html

10/04

AD-1187

Yes

DOC; 73Kb

Request for Personnel Security Services
U.S. Department of Agriculture

02/07

AD-1188

Yes

DOC; 63Kb

Justification for Requested Security Clearance 

01/07

AD-1197

Yes

PDF; 751Kb

Personal Identity Verification (PIV) Request for USDA Credential - Request for USDA Identification (I.D.) Badge

Instructions (PDF;43Kb)

HRO 1197 Supplement (PDF; 44Kb)

09/05


Last Modified: December 17, 2008

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