The forms listed below are provided for the convenience and use of our extended Sandia family. We'll do our best to keep things current!
All forms are available as Microsoft Word templates or PDFs. When downloaded to your system, you will be able to fill out the Microsoft Word forms on your computer prior to printing.
| Title | Form No. |
|---|---|
| US DOE NNSA Service Center - Homeland Security Presidential Directive (HSPD-12) Badge Request Form Instructions (PDF) | HSPD-12 (3-2006) |
| Affirmative Procurement Report (Word doc, PDF) | SA 2008-APR (5-2007) |
| Contractor/Visitor — Computers: Temporary, One-Time Exception to SNL Policy (Word doc, PDF) | SA 2712-CVC (10-2004) |
| Biographical Data of Consultants/Professionals (Word doc, PDF) | SF 4009-M (7-2005) |
| Approval of Consultant Agreement (Word doc, PDF) | SA 4009-N (8-2004) |
| Physical Activity Readiness Questionnaire (Par-Q) (Word doc, PDF) | SA 4040-PAR (10-2006) |
| Catering Order (Word doc, PDF) | SA 4500-CCC (10-2004) |
| Confined Space Permit Sign-in/Sign-out Sheet for Emergency Response (Word doc, PDF) | SF 2001-CSS http://www.bluerosestudios.com/(8-2006) |
| Report of Occupational Injury/Illness (Word doc, PDF) | SF 2050-P (3-2006) |
| Fair Credit Act Reporting (Word doc, PDF) | SF 2730-FCR (3-2008) |
| Consultant Pre-processing Investigation Form (Word doc | PDF ) | SF 2730-PRO (5-2008) |
| Retiree ECP/United Way (Word doc, PDF) | SF 4003-REC (8-2008) |
| Risk Assessment Questionnaire for AED Placement (Word doc, PDF) | SF 4040-AED (5-2006) |
| Completion Record for Contractor Administered Training (Word doc, PDF) | SF 4300-CRC (5-2004) |
| Catalyst Registration and Prescription Order Form (PDF) | SF 4400-CAT (1-2008) |
| Flexible Spending Account Mid-year Election Change Form (Word doc, PDF) | SF 4400-CFB (11-2008) |
| Direct Member Reimbursement Direction Form (PDF) | SF 4400-CRX (1-2008) |
| Class II Dependent Medical Plan Coverage Information (Word doc, PDF) | SF 4400-CTD (10-2007) |
| Dental Expense Claim (Word doc, PDF) | SF 4400-DEN (6-2004) |
| CVS Caremark Drug Program Direct Member Reimbursement Form (Formerly PharmaCare) (PDF) | SF 4400-DMR (2-2008) |
| Domestic Partner Affidavit Form (Word doc, PDF) | SF 4400-DPA (9-2006) |
| Davis Vision Out-of-Network Transition Form (Word doc, PDF) | SF 4400-DVT (4-2008) |
| Davis Vision Reimbursement Claim Form (PDF) | SF 4400-DVP (4-2008) | Kaiser Permanente Enrollment Application or Change Form (Word doc, PDF) | SF 4400-KAI (6-2001) |
| Kaiser Permanente Authorization for Use/Disclosure of Health Information (Word doc, PDF) | SF 4400-KHI (5-2003) |
| CIGNA Out-of-Network Claim Form (Word doc, PDF) | SF 4400-OON (1-2002) |
| Employee Health Plan Benefits Enrollment/Disenrollment Packet (Word doc, PDF) | SF 4400-PKG (5-2008) |
| HBE Preventive Health-Sleep Assessment Form (Word doc, PDF) | SF 4400-SLP (9-2007) |
| Reimbursement Spending Account Claim (Word doc, PDF) | SF 4400-SSG (1-2003) |
| Superior Vision Care Out-of-Network Claim (Word doc, PDF) | SF 4400-VIS (4-2001) |
| Beneficiary Designation/Coverage Change Form for the Voluntary Term Life Insurance (Word doc, PDF) | SF 4400-VTL (12-2007) |
| Sandia Lab News Classified Ad (Word doc, PDF) | SF 4500-LNC (6-2003) |
| United Healthcare Health Claim Transmittal (Word doc, PDF) | SF 4500-UHC (3-2006) |
| Physician Certificate of Disability (PCII) (Word doc) | SF 4560-G (1-2009) |
| Authorization to Exceed Per Diem (Word doc, PDF) | SF 4600-LR (9-2003) |
| Contract Associate — Travel Authorization (Word doc, PDF) | SF 4600-LRA (5-2004) |
| Nonemployee Expense Voucher (Excel, PDF) | SF 4601-C (8-2007) |
| Staff Augmentation Contract Associate Travel and Business Expense Invoice (Excel, PDF) | SF 4601-CAT (7-2008) |
| Beneficiary Designation Change Form for the Basic Supplemental (Retiree Form) (Word, PDF) | SF 4805-GA (12-2007) |
| Beneficiary Designation Change Form for the Primary Group Term Life Insurance ( For Use by Current Employees and Those Who Retire After December 31, 2006) (Word, PDF) | SF 4805-PGT (12-2007) |
| Property Billable to Sandia National Laboratories (Word doc, PDF) | SF 6110-AA (7-1997) |
| Residual Inventory of Material or Equipment Furnished by or Acquired for Sandia (Word doc, PDF) | SF 6110-AC (10-1996) |
| Assignment of Payments (Word doc, PDF) | SF 6430-AOP (4-2000) |
| Request for Financial Approval (Word doc, PDF) | SF 6430-RFA (1-2006) |
| Articles for Process and Fabrication Laboratory Procurement (Word doc, PDF) | SF 6431-E (4-2000) |
| Summary of Estimated Cost/Price (Word doc, PDF) | SF 6432-A (10-1996) |
| Certificate of Current Cost or Pricing Data (Word doc, PDF) | SF 6432-AAA (7-2005) |
| Raw Materials Estimate (Word doc, PDF) | SF 6432-AB (10-1996) |
| Purchased Parts and/or Services Estimate (Word doc, PDF) | SF 6432-AC (10-1996) |
| Engineering and/or Inspection Direct Labor and Burden Estimate (Word doc, PDF) | SF 6432-AD (10-1996) |
| Manufacturing and Assembly Labor and Burden Estimate (Word doc, PDF) | SF 6432-AE (10-1996) |
| Certificate of Claim for Exemption from Submission of Certified Cost or Pricing Data (Word doc, PDF) | SF 6432-CCE (10-1996) |
| Standard Terms & Conditions CI Commercial Items (PDF) | SF 6432-CI (3-2005) |
| Standard Terms & Conditions Commercial Leases (PDF) | SF 6432-CL (12-2004) |
| Contract Management Summary Report (Word doc, PDF) | SF 6432-CM (8-2003) |
| Standard Terms & Conditions Construction (PDF) | SF 6432-CN (12-2004) |
| Standard Terms & Conditions Consulting (PDF) | SF 6432-CO (3-2005) |
| Standard Terms & Conditions Cost Reimbursement Contracts (PDF) | SF 6432-CR (3-2005) |
| Standard Terms & Conditions Commercial Services (PDF) | SF 6432-CS (3-2005) |
| Standard Terms & Conditions Educational Services (PDF) | SF 6432-EI (12-2004) |
| Standard Terms & Conditions Firm-Fixed Price Contracts (PDF) | SF 6432-FP (12-2004) |
| Payment Bond (Word doc, PDF) | SF 6432-H (3-2000) |
| Performance Bond (Word doc, PDF) | SF 6432-I (3-2000) |
| Standard Terms & Conditions International Commercial (PDF) | SF 6432-IN (10-2003) |
| Contractor's Release Under Contract (Word doc | PDF) | SF 6432-J (3-2000) |
| Standard Terms & Conditions Fixed Price Contracts/New Independent States of the Former Soviet Union (PDF) | SF 6432-NI (4-1995) |
| Standard Terms & Conditions Production Material (PDF) | SF 6432-PC (10-1999) |
| Standard Terms & Conditions Purchase Orders (PDF) | SF 6432-PO (1-2002) |
| Quotation Bond (Excel) | SF 6432-QB (8-2006) |
| Standard Terms & Conditions Time and Material or Labor Hour Contracts (PDF) | SF 6432-TM (12-2004) |
| Contractor/Consultant Badge/Clearance Request Form (Word doc, PDF) | SF 7643-CEC (11-2007) |
| U.S. Department of Energy NNSA Service Center Clearance Request/Recertification/Suitability Form (Word doc, PDF) | SF 7643-DOE (9-2005) |
| Electronic Funds Transfer Agreement (Word doc, PDF) | SF 9424-EFT (9-2006) |
| Time Record of Contractor's Employees (Excel, PDF) | SF 9537-F (8-2003) |