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Forms, Issuances and Records Library - Forms

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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

Title

Available Format 

AD 107

Report of Transfer or Other Disposition of Construction of Property

PDF

AD 112

Report of Unserviceable, Lost or Damaged Property

PDF

AD 287-2

Recommendation and Approval of Cash Award or Quality Increase

PDF

Sample

AD 435

Performance Appraisal

PDF, DOC

AD 435A

Performance Plan, Progress Review, and Appraisal Worksheet

PDF, DOC

AD 435B

Performance Plan, Progress Review, and Appraisal Worksheet (Continuation)

PDF, DOC

AD 582

Authorization For Restored Annual Leave Under P.L. 93-181 Or P.L. 94-172

PDF

AD 700

Procurement Request

PDF

AD 838

Purchase Order

PDF

AD 1073

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

Fillable PDF

AD 1074

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

Fillable PDF

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

APHIS Forms

Title

Available Format 

APHIS 3

Request for Clearance/Approval of Issuance

PDF

APHIS 9

Merit Promotion Interest Statement

PDF

APHIS 11R

Information Systems Security Incident Reporting Form

PDF

APHIS 12

Change Management Request Form

PDF

APHIS 14R

FTS 2001 Calling Card Tracking Sheet Generic Cards Without Names

PDF

APHIS 29

Occupational Medical Monitoring Program Occupational Exposures

PDF

APHIS 47

Transmittal and Receipt for Accountable Items

PDF

APHIS 48

APHIS Outstanding Supervisor Award Justification

PDF

APHIS 62-R

Travel Advance Request for Employees Without a Government Travel Credit Card 

PDF

APHIS 66-R

Job Analysis - Major Duty Identification

PDF

APHIS 67-R

Job Analysis - Knowledge, Skills and Abilities Determination

PDF

APHIS 68-R

Job Analysis - Rating Plan

PDF

APHIS 71

Summary of Information Collections (Pubic Burden)

PDF (Employees Only)

APHIS 79

Worksheet for Calculating Costs to the Federal Government for Information Collection

PDF (Employees Only)

APHIS 80-R

Export Certificate Record

PDF

APHIS 83i

Paperwork Reduction Act Submission

PDF (Employees Only)

APHIS 94

Record of Public Funds Received 

PDF

APHIS 109-R

Detailed Cost Analysis

PDF

APHIS 135

Form Processing and Reproduction Record

PDF (Employees Only)

APHIS 144

APHIS Desktop Security Exception Request (DSER)

PDF

APHIS 147-R

Annual Salary Computation Sheet For Appointments Above the Minimum Rate

PDF

APHIS 160

Annual Hazardous Materials Inventory

PDF

APHIS 162

Serious Accident Preliminary Report

PDF

APHIS 164

Hazardous Materials Certification Statement

PDF

APHIS 176

Travel Savings

PDF

Sample

APHIS 188

Printing Request

PDF (Employees Only)

APHIS 192

Application For Credit Account

PDF

APHIS 203

Request for Access to NFC's Travel System

PDF

APHIS 240-R

Office Ergonomic Evaluation Checklist

PDF

APHIS 256-1

Safety Inspection Checklist (General Safety)

PDF

APHIS 256-2

Safety Inspection Checklist (Animal Handling Facilities and Equipment, Bird Quarantine Facilities, and Greenhouses)

PDF

APHIS 256-3

Safety Inspection Checklist (Laboratories)

PDF

APHIS 256-4

Safety Inspection Checklist (Machine/Workshop)

PDF

APHIS 256-5

Safety Inspection Checklist (Hazardous Chemical Storage, Explosives Storage, and Waste Disposal)

PDF

APHIS 257

Hazard Communication Standard Checklist

PDF

APHIS 258

Respirator Use Approval

PDF

APHIS 260

Medical Alert Card (Employee)

PDF Engish Version
PDF Spanish Version

APHIS 260a

Medical Alert Card

PDF English Version
PDF Spanish Version

APHIS 264-R

Facility Environmental Inventory Repor

PDF

APHIS 265-R

Individual Discovery Report

PDF

APHIS 266-R

Hazardous Waste Accumulation Inspection Form

PDF

APHIS 267-R

Monthly Hazardous Waste (Generator) Activity Report

PDF

APHIS 511-R

APHIS ID/Access Request

PDF

APHIS 513

APHIS User Account Control Form

PDF

APHIS-514

APHIS Data Center Access Control Form

DOC

APHIS 515-R

Incident Report

PDF

APHIS 516

Remote Access Account Control Form

PDF

APHIS-672

Reimbursement or Advance of Funds Agreement

PDF

APHIS-672A

Reimbursement or Advance of Funds Agreement Continuation Form

PDF

APHIS 2007

Qualifications of Veterinary Biologics Personnel

PDF

APHIS 7005

Record of Acquisition & Dogs and Cats on Hand

PDF

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

IS Forms

Title

Available Format 

IS Form 1

Assignment History and Preference List

PDF

IS Form 2

Background and Skills Resume

PDF

IS Form 3

Requirements for Position

PDF

IS Form 4

Rotational Assignments Bid Form

PDF

IS Form 5

Candidate Scoring Form

PDF

IS Form 6

Candidate Tally Form

PDF

IS Form 10

Assignment and Policy Commitment

PDF

IS Form 11

Foreign Service Limited Non-Career Appointment Agreement

PDF

IS Form 436-R

Foreign Service Members Performance Appraisal

PDF

IS Form 437-R

Foreign Service Member's Accomplishment Statement

PDF

IS Form 438-R

Foreign Service Member's Supervisory Assessment

PDF

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

MRP Forms

Title

Available Format 

MRP 5-R

Self Certification Medical Statement

PDF

MRP 10-R

Request for Special Travel

PDF

MRP-13

Request for Special Travel

DOC

MRP 18-R

Work Restriction Evaluation

PDF

MRP 20-R

Change in Motor Vehicle Trade-in

PDF

MRP 73-1R

High Mileage Driver Commitment

PDF

MRP 74-R

Vehicle Sharing Checklist

PDF

MRP 75

Federal Vehicle Registration

PDF

MRP 114

Request for Changes to Space and Field Offices and Lease of Facilities

PDF

MRP 124-R

Safety Checklist for Towing/Carrying Equipment

PDF

MRP 135-R

Motor Vehicle Authorization

PDF

MRP 139

Employee Record of Commute in Government Vehicle

PDF

MRP 139-R

Employee Record of Commute in Government Vehicle

PDF

MRP 145-R

Superior Qualifications Appointments

Fillable PDF

MRP 146-R

Statement of Understanding

Fillable PDF

MRP 147-R

Annual Salary Comp Sheet for Superior Qualifications Appointments

Fillable PDF

MRP 210-R

MRP Flexible Workplace Work Agreement

PDF

MRP 219

Nonstandard Tour of Duty or Split-Shift

PDF

MRP 250-R

Release to Obtain Student Loan Information

Fillable PDF

MRP 251-R

MRP Service Agreement for a Receipt of Repayment of Student Loan(s)

Fillable PDF

MRP 252-R

Recommendation and Approval for the Repayment of Student Loan(s)

Fillable PDF

MRP 263

Tour of Duty Schedule

PDF

MRP 315-R

Vehicle Condition Questionnaire

PDF

MRP 345

Time and Attendance Log

PDF

MRP 346

Designation of Tour of Duty

DOC

MRP 347

Substitution of Earned Paid Time Off for ANnual/Sick Leave Indebtedness

DOC

MRP 350

Statement or Earnings and Leave (SEL) Waiver Request Form (or Cancellation)

PDF

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

OF Forms

Title

Available Format 

OF 8

Position Description

PDF

OF 69

Assignment Agreement

PDF

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

PPQ Forms

Title

Available Format 

 

Plant Export Certificates and Forms

 

PPQ 203

Foreign Site Certificate of Inspection and/or Treatment

PDF

PPQ 205

Shippers Declaration

PDF

PPQ 227-R

Request for U.S. Customs Action

PDF

PPQ 236

Notice of Shipment and Report of Inspec. of Imported Plants -Grown Under Postentry Quarantine

PDF-Pg. 1
PDF-Pg. 2 

PPQ 250

Aircraft Clearance or Safeguard Order

PDF (Employees Only)

PPQ 252-R

Quarterly Inspection Checklist for Handling of Regulated Garbage - Airport Caterer

PDF

PPQ 309A

Pest Interception Record

PDF

PPQ 368

Notice of Arrival

PDF

Instructions

PPQ-449-R

Temperature Recording Calibration Report (In-Transit Cold Treatment)

PDF

Instructions

PPQ-505

Plant and Plant Product Declaration Form

PDF

PPQ 519

Compliance Agreement

PDF

MS Word

PPQ 523

Emergency Action Notification

PDF

PPQ 525

Application for Permit to Receive Soil

PDF

PPQ 526

Application for Permit to Move Live Plant Pests, Biological Control Agents, or Noxious Weeds

PDF

PPQ 546

Agreement for Postentry Quarantine

PDF

PPQ 553

Certificate of Heat Treatment

PDF

PPQ 571

District of Columbia Plant Health Certificate

PDF

PPQ 572

Application for Inspection and Certification of Plants and Plant Products for Export 

PDF

PPQ 575

Monthly Summary of Export Certificates Issued

PDF

PPQ 576

Attachment Sheet for PPQ Form 577 or PPQ Form 579. Instructions for PPQ Form 576.

PDF

PPQ 585

Application for Permit to Import Timber or Timber Products

PDF

PPQ 586

Application for Permit to Transit Plants and/or Plant Products Through the United States

PDF

PPQ 577

View the Phytosanitary Certificate

PDF

PPQ 578

View an Export Certificate

PDF

PPQ 579

View a Phytosanitary Certificate for Reexport

PDF

PPQ 587

Application for Permit to Import Plants or Plant Products

PDF

PPQ 588

Application for Permit to Import Prohibited Plants or Plant Products for Experimental Purposes

PDF

PPQ 621

Application for Protected Plant Permit to Engage in the Business of Importing, Exporting or Re-exporting Terrestrial Plants or Plant Products that are Protected

PDF

PPQ 625

Claim and Bond

PDF

PPQ 626

Petition for Remission or Mitigation of Forfeiture

PDF

PPQ 816

Contract Pilot and Aircraft Acceptance

PDF


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

SF Forms

Title

Available Format 

SF 71

Application for Leave

PDF, WPF

SF 1164

Claim for Reimbursement for Expenditures on Official Business

PDF

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

VS Forms

Title

Available Format 

VS 1-36A

Application For Veterinary Accreditation

PDF

VS 4-24

Brucellosis Vaccination Record

PDF

VS 4-26

Brucellosis Vaccination Record

PDF

VS 4-33

Brucellosis Test Record

PDF

VS 4-54

Brucellosis Test Record - Market Cattle Testing Program

PDF

VS 5-18

Record of Animals Moved

PDF

VS 5-18a

Record of Animals Acquired

PDF

VS 5-22

Application for Scrapie Flock Certification Program

PDF

VS 10-4

Specimen Submission

PDF

VS 10-13

Owner/Shipper Certificate Fitness to Travel to a Slaughter Facility

PDF

VS 10-13a

Owner/Shipper Certificate Fitness to Travel to a Slaughter Facility - Continuation Sheet

PDF

VS 17-8

Agreement of Pet Bird Owner

PDF

VS 17-23

Importation of Pet Birds

PDF

VS 17-29

Declaration of Importation (Animals, Animal Semen, Animal Embryos, Birds, Poultry, or Hatching Eggs)

PDF

VS 17-128

Application/Permit for Ratite(s) or Ratite Hatching Eggs and Space Reservation Request

PDF

VS 17-135A

United States Permit to Transit Poultry, Pigeons, Hatching Eggs or Birds

PDF

VS 17-145

U.S. Origin Health Certificate For The Export Of Horses From The United States To Canada

PDF

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

WS Forms

Title

Available Format 

WS 160 (Contains the forms WS 160a, WS 160b, and WS 160c)

Adverse Effects Incident Information Report

PDF-Instructions
PDF-Forms


 

Last Modified: December 18, 2008

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