COMPREHENSIVE LIST OF FORMS AVAILABLE

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CODE.SOFTWARE CODE - FORM TITLE - REVISION DATE

Building 36 AHCS

• 36NSCHKL.FP3 - NINDS/NIDCD Animal Study Proposal Check List - None

Animal and Plant Health Inspection Service

• ANIMAL AND PLANT HEALTH INSPECTION SERVICE (APHIS) - Link to Web Site
• AP2000.FP3 - APHS-2000 - USDA Application for Permit or Courtesy Permit Under 7 CFR

Award Forms

• AWCASHCL.FP3 - Cash Award for Recruitment of Clerical and Stay-in-School Clerical Employees - 9/89
• AWEMPLREC.FPx - Obsolete - Employee Recognition/Award Nomination and Approval Form - Replaced by NIH 2833, NIH Award Nomination (Universal Form). Please use Adobe Acrobat version - NH2833.PDF or MS Word version - NH2833.DOC.
• AWMERITG.FP3 - Nomination for NIH Merit Award - Group - None
• AWMERITI.FP3 - Nomination for NIH Merit Award - Individual - None
• AWSMPUR.FP3 - Nominations for Outstanding Service in Small Purchases - None

Bundled Forms

• BBUDGET1.FP3 - Bundled Budget Forms - Budget listing utilizing the NIH-1590
• BBUDGET3.FP3 - Bundled Budget Forms - Budget listing utilizing the NIH-1861-3
• BIMPAC.FP3 - Bundled Form - IMPAC Monthly Log utilizing the NIH-1590, NIH-1861-1, NIH-1861-3, or NIH-1861-9
• BPERSONNEL.FP3 - Bundled Form - Personnel Forms for New and Former Employees (Note - This form contains the updated Key/Lock Work Request and updated emergency number in the intercom list. If you have been using it, you will need to download this new version and import your data into the new file.)
• BPROCURE.FP3 - Bundled Form - Includes requisition form, FIP Checklist, etc. for use when requesting a purchase.  For the FileMaker Pro 5.0 version, click here: BPROCURE.PF5.
• BPROPERTY.FP3 - Bundled Form - Property Forms and Lists
• BTIMEKEEP.FP3 - Bundled Form - NIH-2386-3 and SF-71
• BTRAVEL.FP3 - Bundled Form - Travel Forms Including the PHS-1558, Foreign Travel, Sponsored Travel Forms, etc. - None
• BTRAVLER.FP3 - Bundled Form - Travel Forms Including the PHS-1558, Foreign Travel, Sponsored Travel Forms, etc. for use by the traveler - None

   

• CD - Commerce Department - Link to forms website.
• CDC75_3.FP3 - CDC-75-3 - Application for Permit to Import or Transport Agents or Vectors of Human Disease - 9/91
• CDCEA101.FP3 - CDC-EA-101 - Transfer of Select Agent - 7/97
• CKLSRVAC.FP3 - Checklist for Service Acquisitions - None

CIT Forms

• CIT ACCOUNT FORMS - Link to Web Site
• DCADPREQ.FP3 - DCRT ADP Request Form - None
• DCBXCODE.FP3 - Box Access Code (BAC) Request Form - 11/18/87
• DCHLXGRP.FP3 - Helix Group Registration - 5/2/94
• DCHLXREG.FP3 - Helix User Registration - None
• DCINTEL.FP3 - DCRT Intel User Registration - Version 1.1
• DCKYWRD.FP5 - ADB Keyword Verification Form - None

NIDDK Forms

• DKPNKSHT.FP3 - NIDDK Pink Sheet - None
• DKPRTCL.FP3 - NIDDK Animal Study Proposal - None

   

• ENRGYSTR.FP3 - NIH OIRM Energy Star Exemption Report - None
• EXTGRWRK.FP3 - Application for Workshop on Extramural Programs and Grant Support - None

NEI Forms

• EYPRFPLN.FP3 - NEI Individual Performance Plan - None

FAES Forms

• FAF.FP3 - Request to FAES for Administration for Fellowship - 8/1/91
• FAFELLOW.FP3 - FAES Fellowship Program - Fellowships - None
• FAG.FP3 - Request to FAES for Administration for Fellowship - 8/1/91
• FAMENTOR.FP3 - FAES Fellowship Program - Mentor-Based Fellowships - None
• FASUMGRT.FP3 - Application for FAES Summer Student Grant - None

   

• FAX.FP3 - FAX Transmittal Sheet - None

Fogarty Center Forms

• FCJVERC.FP3 - Fogarty Center Request for Extension of J-1 Visa by DOS - 3/21/00
• FCNH590.FP3 - Fogarty Center Special Volunteer and Guest Research Assignment (for use with Professional Services) - 5/96
• FCNOTINT.FP3 - Fogarty International Center Notification of International Travel - None
• FCTERM.FP3 - Fogarty Center Program Termination - 12/14/90
• FCVISA.FP3 - Fogarty Center Supporting Documentation for Non-NIH Visiting Program Participant - 1/13/97
• FCVISA01.FP3 - Fogarty Center Supporting Documentation for Non-NIH Visiting Program Participant - 2/09/96

  FEGLI Forms

• FE6.FP3 - FEGLI Claim for Death Benefits - 6/97
• FE6DEP.FP3 - FEGLI Claim for Option C--Family Life Insurance - 6/99
• FE7.FP3 - FEGLI Claim for Accidental Means Dismemberment Benefits - 1/97

   

• FILCLNUP.FP3 - Files Cleanup Campaign - None
• FIPAWARD.FP3 - FIP Contract Award Data Sheet - None
• FIPCHKLS.FP3 - OIRM FIP Justification Checklist - None
• ETHICS FORMS - For all ethics forms used at NIH, go to the NIH Ethics Program website.
• GFTFNDIN.FP3 - Initiative for the Use of Gift Funds - None
• GRAGREE.FP3 - Guest Researcher Agreement - None

GSA Forms

• GSA - General Services Administration - Link to Web Site

NICHD Forms

• HDFORTRVL.FP3 - NICHD Individual Foreign Trip Travel Request - None
• HDMANCLR.FP3 - NICHD Publication and Abstract Clearance Form - 4/00
• HDPRFPLN.FP3 - NICHD Performance Plan - None
• HDPROFSV.FP3 - NICHD Professional Services Contract Worksheet - None
• HDRPRNT.FP3 - NICHD Reprint Order - None

   

• HEALTH INSURANCE - Link to OPM's Web Site
• HISTOBJART.FP3 - DeWitt Stetten, Jr., Museum of Medical Research Background Information on Artifacts - None
• HISTOBJINS.FP3 - DeWitt Stetten, Jr., Museum of Medical Research Background Information on Instruments - None

HHS Forms

• HS16.FP3 - HHS-16 - Request to Use Government Furnished Vehicle for Transportation Between Domicile and Place of Employment - 6/83
• HS22.FP3 - HHS-22 - Request for Property Action - 4/98
• HS33.FP3 - HHS-33 - Probationary Employee Certification and Recommendation - New Appointments - 9/80
• HS33A.FP3 - HHS-33A - Probationary Employee Certification and Recommendation - Supervisors/Managers - 9/80
• HS68.FP3 - HHS-68 - Request for Staff Manual Materials and Mailing List Changes - 4/91
• HS99.FP3 - HHS-99 - Authorization to Attend Non-Government Sponsored Meetings - 9/82
• HS170.FP3 - HHS 170 - Employee Suggestion Form - 12/87
• HS171.FP3 - HHS-171 - DHHS Recommendation for Cash Award - 12/87
• HS311.FP3 - HHS-311 - Official Personnel Folder Transmittal - 1/81
• HS342.FP3 - HHS-342 - Report of Survey - Filemaker Pro is not available. Please use Adobe PDF: HHS 342  or Word: HHS 342 (Links take you to HHS's website.)
• HS348.FP3 - HHS-348 - Request for Approval for Acceptance of Payment of Travel Expenses in cash or In Kind - 9/76
• HS348CKL.FP3 - HHS-348 Checklist - 9/76
• HS355.FP3 - HHS-355 - DHHS Employment Agreement for Transfers to and Within the Continental United States - 3/81
• HS355A.FP3 - HHS-355A - DHHS Employment Agreement for Transfers and Appointments Overseas - 2/83
• HS355B.FP3 - HHS-355B - DHHS Employment Agreement for Manpower Shortage Positions in the 50 States and the District of Columbia - 3/81
• HS357.FP3 - HHS-357 - DHHS Notification of U.S. Savings Bond Action, Series EE - 3/95
• HS402.FP3 - HHS-402 - Requisition for Equipment and Supplies - None
• HS410.FP3 - HHS-410 - DHHS Supplemental Information - Expert or Consultant - 12/77
• HS411A.FP3 - HHS-411A - Leave Error Notice - 1/81
• HS411B.FP3 - HHS-411B - Leave Error Notice - 8/76
• HS419.FP3 - HHS-419 - Clearance of Personnel for Separation or Transfer - 7/90
• HS420.FP3 - HHS-420 - Timekeeper's Signature Card - 3/81
• HS441.FP3 - Obsolete - HHS-441 - Assurance of Compliance with the Department of Health and Human Services Regulation Under Title VI of the Civil Rights Act of 1964 - 12/82
• HS441A.FP3 - Obsolete - HHS-441A - Explanation of HHS Form No. 441, Assurance of Compliance with the Department of Health and Human Services Regulation Under Title VI of the Civil Rights Act of 1964 - 3/81
• HS474.FP3 - HHS-474 - Confidential Statement of Employment and Financial Interests - 3/77
• HS476.FP3 - HHS-476 - DHHS Record of Home Address - 1/90
• HS477.FP3 - HHS-477 - Timekeeper Number Change - 3/66
• HS478.FP3 - HHS-478 - Payroll Number Correction - 11/83
• HS481.FP3 - HHS-481 - Employee Claim for Loss or Damage to Personal Property - 3/81
• HS520 - HHS-520 - Request for Approval of Outside Activity - Link goes to the NIH Ethics Program website.
• HS521 - HHS-521 - Annual Report of Outside Activity - Link goes to the NIH Ethics Program website.
• HS532.FP3 - HHS-532 - DHHS Request for Approval of Nominees for Public Advisory Committees - 1/82
• HS565.FP3 - HHS-565 - DHHS Report of Accountable Personal Property - 9/98
• HS581.FP3 - HHS-581 - DHHS Recommendation for Quality Increase - 3/86
• HS596.FP3 - HHS-596 - DHHS Protection of Human Subjects Assurance/Certification/Declaration - 1/82
• HS639A.FP3 - Obsolete - HHS-639A - Assurance of Compliance with Title IX of the Education Amendments of 1972 and the Regulation Issued by the Department of Health and Human services Implementation Thereof - 3/77
• HS651.FP3 - HHS-651 - DHHS Initial Interview and Information EEO Counseling Report - 1/88
• HS652.FP3 - HHS-652 - DHHS Final EEO Counseling Report - 1/88
• HS653.FP3 - HHS-653 - DHHS Small Business-Labor Surplus Set-Aside Review Form - 6/86
• HS690.FP3 - HHS-690 - Assurance of Compliance - 5/97
• HS691.FP3 - HHS-691 - Request for Special Pay for Physicians and Dentists - 6/98
• HS691_1.FP3 - HHS-691-1 - Employee Agreement to Receive Special Pay for Physicians and Dentists Under Title 38 - 6/98
• HSPROOBL.FP3 - DHHS Procurement Officials Certification of Continuing Obligation - 8/20/97
• HSRPYAGR.FP3 - DHHS Installment Repayment Agreement for Transferring Personnel - 8/20/97

   

• HTLTAX.FP3 - Hotel Occupancy Tax Exemption Certificate - 10/86
• HOTEL TAX - Travel Management Policy State Tax Exemption Web Site
• HUSBREV.FP3 - Request for Review of Research Activity Involving Human Subjects - None
• HUSBSLPR.FP3 - Request for Single Project Assurance Negotiation - None

Impac Forms

• IMAPPL.FP5 - Impac Purchase Card Application Form - None
• IMDISPUT.FP3 - I.M.P.A.C. Cardholder Statement of Questioned Item - 9/98
• IMMSC.FP3 - Level IV MSC Security Statement - 5/12/95
• IMLOG.FP3 - Impac Log - None
• IMRCPTST.FP3 - Impac Statement for Recipients of Purchase Card Check Issued for a Professional Service Order - None
• IMUSER.FP3 - Level IV User Security Statement - 5/12/95

   

• IMMUNREQ.FP3 - Travel Immunization Request Form - None
• INFECMTRL.FP3 - Registration of Materials (Potentially) Infectious for Humans - 6/99
• INS - Link to Web Site for Immigration and Naturalization Service Forms
• INVEMREC.FP3 - Inventory of Emergency Operating Records - None
• IRS8233.FP3 - IRS-8233 - Exemption from Withholding on Compensation for Independent (and Certain Dependent) Personal Services of a Nonresident Alien Individual - 10/96

IRTA Forms

• IRTAAGRE.FP3 - NIH Intramural Research Training Award Program IRTA Fellowship Agreement - 3/13/98
• IRTAPROV.FP3 - NIH Intramural Research Training Award Program Program Provisions - 3/13/98
• IRTASPAG.FP3 - Obsolete - NIH Intramural Research Training Award Program Supplemental IRTA Fellowship Agreement - None
• IRTASTAG.FP3 - Obsolete - NIH Student Support IRTA Program Student Support IRTA Fellowship Agreement - 11/1/94

   

• I-9.FP3 - I-9 - Employment Eligibility Verification - 11/21/91
• MANLOG.FP3 - Manual Log Voluntary Leave Transfer - None
• MVA - All States - Link to Web Site
• MVA - Maryland - Link to Web Site

NCI Forms

• NCIASP.FP5 - NCI Animal Study Proposal (NIH 2643-1) - 4/02

NIMH Forms

• MH1616_1.FP3 - NIH-1616-1 - NIMH Request for Publication and Speech Clearance - 9/96

NIH Forms

• NH29_2.FP3 - NIH-29-2 - Request for Safety Glasses - Please use Adobe Acrobat version - NH29_2.PDF.
• NH69.FP3 - NIH-69 - Request for Services - 4/77
• NH75.FP5 (Version 5) - NIH-75 - Request for Translating Service - 10/04
• NH79_3.FP3 - NIH-79-3 - NIH Centralized Animal Order Request - 10/90
• NH88_1.FM - NIH-88-1 - Request for Purchase and Use of Radioactive Materials - Please use Adobe Acrobat version - NH88_1.PDF
• NH88_12.FP3 - NIH-88-12 - Monthly Laboratory Contamination Survey - 12/99
• NH88_16 - NIH-88-16 - Isotope Receipt, Utilization and Disposal Record - Obsolete
• NH88_22.FP3 - NIH-88-22 - Radiation Safety Branch User Registration Record - Obsolete
• NH88_37.FP3 - NIH-88-37 - Radiation Safety Training Orientation Documentation - Obsolete
• NH254.FP3 - NIH-254 - Report of Loss or Damage of Property - 5/92
• NH356.FP5 - (Version 5) - NIH-356 - NIH Visiting Program Acceptance Notice - 3/03
• NH368.FP3 - NIH-368 - Property Pass - 11/86
• NH414_6.FP3 - NIH-414-6 - NIH Manual Chapter Review Record - 1/93 - Please use the Adobe Acrobat version - NH414_6.PDF.
• NH414_7.FP3 - NIH-414-7 - NIH Manual Chapter Concurrence and Approval Record - 8/99 - Please use the Adobe Acrobat version - NH414_7.PDF.
• NH433.FP3 - NIH-433 - Request to Change NIH Directory Information - 7/94
• NH465_1.FP3 - NIH-465-1 - Application for Radionuclide Authorization - 4/02 - Please use the Adobe Acrobat or the Word version of this form.
• NH488.FP5 - NIH-488 - Contract Property Administration Completion Report - 1/92
• NH489_1.FP3 - NIH-489-1 - Nomination for NIH-Sponsored Courses - 11/88
• NH552_2.FP3 - NIH-552-2 - Transportation Section Moving Data Record - 12/64
• NH590.FP5 - NIH-590 - Special Volunteer and Guest Researcher Assignment - 1/99 (Note 1: Includes a version for use with the Courtesy Contract and a version for NICHD.) (Note 2: File can only be used with version 5. For earlier versions, use NH590.FP3.)
• NH649.FP3 - NIH-649 - Report of Property Transfer - 7/91
• NH649_1.FP3 - NIH-649-1 - Shipping/Transfer Order & Receipt Document - 8/86
• NH649_2.FP3 - NIH-649-2 - Report of Loss, Damage or Destruction of Property - 5/78
• NH649_3.FP3 - NIH-649-3 - Donation of Contractor-Acquired Property - 1/92
• NH649_4.FP3 - NIH-649-4 - Transfer of Government Property Title to SBIR Contractor-Awardee - 12/86
• NH649_6.FP3 - NIH-649-6 - Report of Lease Property Returned to Vendor - 12/94
• NH750_2.FP5 - NIH-750-2 - Request for Medical Determination and Report of Findings - 6/98
• NH750_3.FP3 - NIH-750-3 - Medical Qualification Determination Questionnaire - None
• NH827.FP3 - NIH-827 - Request for Conference Room - 9/92
• NH827_1.FP3 - NIH-827-1 - Request for Off-Campus Conference Space - 9/95
• NH829_1.FP3 - NIH-829-1 - Request for Appointment to NIH Visiting Program - 3/99
• NH829_2.FP3 - NIH-829-2 - Request for NIH Visiting Fellowship Award - Please use Adobe Acrobat version - NH829_2.PDF.
• NH829_5.FP3 - NIH-829-5 - Notification of Termination of Visiting Program Participation - 1/90
• NH829_5.FP5 (Version 5) - NIH-829-5 - Notification of Termination of Visiting Program Participation - 1/90
• NH829_6.FP5 (Version 5) - NIH-829-6 - J-1 Exchange Visitor Program--Certification of Health Insurance Coverage - 4/04
• NH829_7.FP3 - NIH-829-7 - Request for NIH Supplemental Visiting Fellowship Award - 5/95
• NH1154_3.FP3 - NIH-1154-3 - Final Certification of Acceptable Costs for Negotiated Contracts - 8/86
• NH1192.FP3 - NIH-1192 - Animal Health and Shipping Certificate - 11/80
• NH1256_1.FP3 - NIH-1256-1 - Request for Audit of Cost or Pricing Proposal - 1/96
• NH1382_2.FP3 - NIH-1382-2 - Motor Vehicle Trip Ticket - 9/93
• NH1531_1.FP3 - NIH-1531-1 - Request for Special Report from Taps - 12/81
• NH1533.FP3 - NIH-1533 - Nomination for DCRT Computer Training - 12/90
• NH1590.FP3 - NIH-1590 - Acquisition Worksheet - 9/92
• NH1616_1.FP3 - NIH-1616-1 - Request for Publication and Speech Clearance - 9/96
• NH1616_2.FP3 - NIH-1616-2 - Request for Publication and Speech Clearance - 11/73 (Note - Includes NICHD version)
• NH1616_3.FP3 - NIH-1616-3 - Request for NIAID Approval of Publication or Presentation - 7/92
• NH1625.FP3 - NIH-1625 - Equipment Temperature Record - 3/70
• NH1688.FP3 - NIH-1688 - Project Objectives - 1/85
• NH1688_1.FP5 - NIH-1688-1 - Project Objectives - 9/02
• NH1705.FP3 - NIH-1705 - Authorization to Use GSA Supply Sources - None
• NH1742.FP3 - NIH-1742 - Agency Agreement and Clearance - 7/99 - Please use Adobe Acrobat version - NH1742.PDF
• NH1757_1.FP7 - NIH-1757-1 - Justification for Other than Full and Open Competition (JOFOC) - Recommendation/Concurrence/Approval - Please use Adobe Acrobat version - NH1757_1.PDF.
• NH1757_7.FP7 - NIH-1757-7 - Justification for Other than Full and Open Competition (JOFOC) 8(a) Sole Source for Biodefense Recommendation/Concurrence/Approval - Please use Adobe Acrobat version - NH1757_7.PDF
  
• NH1767_1.FP3 - NIH 1767-1 - DCRT Account Authorization - Please see the CIT Account Forms website.
• NH1767_2.FP3 - Obsolete - NIH 1767-2 - DCRT Information Change Notice
• NH1767_3.FP3 - NIH 1767-3 - DCRT Outside Account Authorization Interagency Agreement - Please see the CIT Account Forms website.
• NH1767_4.FP3 - NIH 1767-4 - Interagency Agreement for Annual Renewal of DCRT Outside Account Authorization - Please see the CIT Account Forms website.
• NH1767_5.FP3 - NIH 1767-5 - Deregistration Official Authorization for DCRT Accounts - Please see the CIT Account Forms website.
• NH1820.FP7 (Version 7) - NIH-1820 - Notification of Proposal to Make an Award - 1/96
• NH1861_1.FP5 - NIH-1861-1 - Purchase Request - 6/94
• NH1861_3.FP3 - NIH-1861-3 - Requisition Worksheet - 11/89
• NH1861_9.FP3 - NIH-1861-9 - Requisition Worksheet - 10/92
• NH1872.FP3 - NIH-1872 - Request for Trade-in or Exchange of Government-Owned Property - 1/96
• NH1884 - NOTE - This form should not be done in electronic format. Shipping requests will soon be done via DelPro and these forms have unique Serial Numbers which are needed in the shipping unit's tracking system. This system can not accept duplicate Serial Numbers.
• NH1884_1.FP3 - NIH-1884-1 - Commercial Invoice - 12/89
• NH1962_1.FP3 - NIH-1962-1 - Request for and Authorization (or Approval) of Overtime Work - 7/72
• NH1962_2.FP3 - NIH-1962-2 - Overtime Request and Approval Record - 4/86
• NH1962_8.FP3 - NIH-1962-8 - Request for Approval and Authorization of Overtime - Please use Adobe Acrobat version - NH1962_8.PDF
• NH1964_1.FP3 - NIH-1964-1 - Record of Witness of Disposal of Controlled Substances - 8/92
• NH2027.FP3 - NIH-2027 - Report of Leave as Shown in Itinerary of Travel Voucher - 12/72
• NH2028.FP5 - NIH-2028 - Request for Permanent Change of Station Orders--Civilian Personnel and Other Appointed Persons - 10/02.  This file is the form only.  The pamphlet is here (Adobe Acrobat file).
• NH2028-1.FP5 - NIH-2028 - Request for Permanent Change of Station Orders--Non-FTE Persons - 10/02
• NH2066.FP3 - NIH-2066 - Record of Personal Appeal Items - 10/81
• NH2138.FP3 - NIH-2138 - Key/Lock Work Request - 1/89
• NH2144.FP3 - NIH-2144 - Fellowship Termination Notification - 7/90
• NH2179.FP3 - NIH-2179 - Agreement for the Loan of Property to NIH - 9/91
• NH2245.FP3 - NIH-2245 - Application for Continuing Education Program Staff Training in Extramural Programs (STEP) - 9/95
• NH2252_1.FP3 - NIH-2252-1 - Knowledges, Skills, and Abilities (KSA) Job Analysis - 3/91
• NH2252_2.FP3 - NIH-2252-2 - Knowledges, Skills, and Abilities (KSA) Crediting Plan - 3/91
• NH2252_3.FP3 - NIH-2252-3 - Knowledges, Skills, and Abilities (KSA) Supplemental Form - 3/91
• NH2272.FP3 - NIH-2272 - Record of Congressional Inquiry Received by Telephone - None
• NH2298.FP3 - NIH-2298 - Authorization to Release Student Information - 5/95
• NH2318.FP3 - Obsolete - NIH-2318 - Determinations and Findings Nonapplicability of the Privacy Act (P.L. 93-579)
• NH2333.FP3 - NIH-2333 - NRSA Special Action/Change Notice - 3/86
• NH2345.FP3 - NIH-2345 - Report of Rental Equipment and Services Received - 7/81
• NH2369_1.FP3 - NIH-2369-1 - Application for Permit to Introduce Rodents and Rodent Products - 5/00 - Please use Adobe Acrobat version - NH2369_1.PDF
• NH2386_3.FP3 - NIH-2386-3 - Administrative Time and Leave Record - 1/80
• NH2388.FP3 - NIH-2388 - Declaration for Exportation of Biologic Materials - 8/89
• NH2408.FP3 - NIH-2408 - Request for Entertainment Funds - 2/04 - Please use Adobe Acrobat version - NH2408.PDF.
• NH2450.FP3 - NIH-2450 - Request for Cardkey and Record of Registration - 2/92
• NH2489.FP3 - Personal Property Loan Record - 6/88 - Obsolete and replaced by NIH 2489-2 and NIH 2489-3 below.
• NH2489_1.FP5 (Version 5) - NIH-2489-1 - Record of Loan-Donation of Personal Property to Foreign Countries - 6/94
• NH2489_2.FP3 - NIH-2489-2 - Record of Personal Property Loan (to Non-Federal Government Organizations or Individuals) - 10/99
• NH2489_3.FP3 - NIH-2489-3 - Record of Personal Property Loan (to Federal Organizations or Individuals) - 10/99
• NH2500.FP3 - NIH-2500 - Notification of Organization Change - 9/84 (The Adobe Acrobat version has been updated, but the older Filemaker version is still accepted.)
• NH2512_2.FP3 - NIH-2512-2 - Request for Organization Change - 8/90
• NH2513.FP3 - NIH-2513 - Record of Expenses for Travel Reimbursement - 6/82
• NH2539_4.FP3 - NIH-2539-4 - Acknowledgment of Application and Report of Action Taken - 11/90
• NH2542_1.FP3 - NIH-2542-1 - Election of Health Insurance Plan Through FAES - 5/90 (Electronic versions of this form are unacceptable. If your Administrative Office does not have a copy, contact OFM at 496-5635, 31-B1B06.)
• NH2542_2.FP3 - NIH-2542-2 - Election of Health Insurance Plan Through Private Company - 7/90 (Electronic versions of this form are unacceptable. If your Administrative Office does not have a copy, contact OFM at 496-5635, 31-B1B06.)
• NH2544.FP3 - NIH-2544 - Professional Services Acquisitions - 11/85
• NH2555.FP3 - NIH-2555 - Order for Supplies or Services - 12/94
• NH2555_1.FP3 - NIH-2555-1 - Purchase Order Terms and Conditions for Supplies and Services - 11/91
• NH2555_4.FP3 - NIH-2555-4 - Addendum to Terms and Conditions of Purchase Order - 11/91
• NH2558.FP3 - OMS Medical Evaluation of Functional Activities - 4/97
• NH2560.FP3 - NIH-2560 - Request for Restoration of Annual Leave - 11/84
• NH2562.FP3 - NIH-2562 - Report of Joint Endeavor Between NIH and Commercial, For-Profit Organizations - 9/88
• NH2570.FP3 - NIH-2570 - Checklist for Microfilming Projects - 11/90
• NH2573.FP3 - NIH-2573 - Request for Mailing and Distribution Services - 7/85
• NH2581.FP3 - NIH-2581 - Tentative Estimate of Foreign Area Allowances and Differentials - 5/88
• NH2582.FP3 - NIH-2582 - Contractor's Release for All Contracts - 6/86
• NH2585.FP3 - Obsolete - NIH-2585 - Individual Performance Plan - 10/90
• NH2590.FP3 - NIH-2590 - Request for Intramural Research Training Award (IRTA) - 5/97
• NH2590_2.FP3 - NIH-2590-2 - Request for Supplemental Intramural Research Training Award (Supplemental IRTA) - 6/97
• NH2590_3.FP3 - NIH-2590-3 - Request for Student Support Intramural Research Training Award (Student Support IRTA) - 11/94
• NH2590_4.FP3 - NIH-2590-4 - Request for Technical Intramural Research Training Award (Technical IRTA) - 7/95
• NH2604.FP5 - NIH-2604 - Delegation of Acquisition Authority - 4/01
• NH2604_1.FP5 - NIH-2604-1 - Request for Ordering Official Authority - 4/01
• NH2619.FP3 - NIH-2619 - Request for Transmission of Telegraphic Message - 3/87
• NH2652.FP3 - NIH-2652 - Code Sheet for the NIH Special Volunteer Program and Guest Researcher Assignment - 4/88
• NH2657 - NIH 2657 - Supplemental Information to Form HHS 520 - Link goes to the NIH Ethics Program website.
• NH2666.FP3 - NIH-2666 - Request for Summer Intramural Research Training Award (Summer IRTA) - 3/90
• NH2674.FP3 - NIH Loan Repayment Programs forms - Please see the NIH Loan Repayment Programs website for all forms.
• NH2676_1.FP3 - NIH-2676-1 - DHHS Employee Emergency Payment Request Promissory Repayment Agreement, and Salary Offset Authorization - 12/90
• NH2676_2.FP3 - NIH-2676-2 - DHHS Amendment to Employee Emergency Payment Request Promissory Repayment Agreement, and Salary Offset Authorization - 12/90
• NH2683.FP3 - NIH-2683 - Certification that Property is Free from Hazards - 7/91
• NH2684.FP5 - NIH-2684 - Approval for Use of Foreign Flag Carrier - 8/02
• NH2685_1.FP3 - Notification of Mailing Address for Non-Employee Workers - 08/90
• NH2690.FP3 - NIH-2690 - Registration Document for Recombinant DNA Experiments - 8/90
• NH2696.FP3 - NIH-2696 - Evaluation of Employee Suggestion - 6/91
• NH2705 series - The NIH Transhare Program forms are available in Adobe Acrobat format only - NIH 2705 series.
• NH2709.FP3 - NIH-2709 - Ridefinders Network Application - Please use Adobe Acrobat version only - NH2709.PDF.
• NH2735.FP3 - NIH-2735 - Hand-Carry Delivery Slip - 6/93
• NH2736_1.FP3 - NIH-2736-1 - Justification for Temporary Limited Appointment - 11/93
• NH2736_2.FP3 - NIH-2736-2 - Request for Certification of Eligibles for Temporary Limited Positions - 11/93
• NH2736_3.FP3 - NIH-2736-3 - Employee's Statement of Understanding Regarding Temporary Appointment - 11/93
• NH2737.FP3 - NIH-2737 - Administrative Exit Checklist - Please use NIH 2737-2 below.
• NH2737_1.FP3 - NIH-2737-1 - Clearance of Personnel for Separation or Transfer - Please use NIH 2737-2 below.
• NH2737_2.FP5 - NIH-2737-2 - Clearance of Personnel for Separation or Transfer - 8/97
• NH2741.FP3 - NIH-2741 - Request to Cannibalize Personal Property - 12/93
• NH2760.FP3 - NIH-2760 - NIH Excess (Surplus) Personal Property Screening Record - 3/96
• NH2765_1.FP3 - NIH-2765-1 - Request for Controlled Substances for Nonhuman Use - 8/00
• NH2765_2.FP3 - NIH-2765-2 - Controlled Substance Record for Nonhuman Use - 8/00
• NH2765_3.FP3 - NIH-2765-3 - Intra-Institute Controlled Substance Transfer Notification - 8/00
• NH2778.FP3 - NIH-2778 - Senior Executive Service Performance Plan - 11/97
• NH2778.FP5 (Version 5) - NIH-2778 - Senior Executive Service Performance Plan - 11/97
• NHFACIL.FP3 - Occasional Use of NIH-Controlled Facilities by the Public - None
• NHPRTCL.FP5 - NIH Animal Study Proposal - 3/02

NINDS Forms

• NSAWCASH.FP3 - NINDS Cash Award Program for Clerical and Administrative Support Referral Form - None
• NSAWEMMO.FP3 - NINDS Employee of the Month Nomination Form - None
• NSAWSCHG.FP3 - NINDS Documentation for Change in AWS Day Off - None
• NSBNSEP.FP3 - NINDS Clearance of Personnel for Separation or Transfer - None
• NSDEVPLN.FP3 - NINDS Individual Development Plan - 8/98
• NSGRNTCH.FP3 - NINDS Change Request on Extramural Program Application or Grant/Award - None
• NSIRTANW.FP3 - NINDS New IRTA Package Form - None
• NSMNCNTR.FP3 - NINDS Maintenance Contracts - None
• NSMNHRCH.FP3 - NINDS Man-Hours Chart - None
• NSPRFPLN.FP3 - NINDS Performance Appraisal System - 4/96
• NSPRFSRV.FP3 - NINDS Professional Services Request Form - None
• NSPRGRPT.FP3 - NINDS Annual Progress Report Abstract - None
• NSPRTCL.FP3 - NINDS Animal Study Proposal - 3/00
• NSPSNEVL.FP3 - NINDS Factor Evalaution System Position Evaluation Statement - None
• NSSERPRT.FP3 - NINDS Rental of Serp Equipment - None
• NSSPVLAG.FP3 - NINDS Special Volunteer Program Service Agreement - None
• NSTEMPPO.FP3 - NINDS Applicant supply File Referral Temporary Positions - None
• NSTRAIN.FP3 - NINDS Training Request/Authorization Form - None
• NSTRNEVL.FP3 - NINDS Training Course Evaluation - None
• NSVOLEML.FP3 - NINDS Employer's Special Volunteer Agreement - None
• NSWOMCLN.FP3 - NINDS Tracking of Women & Minorities in Clinical Studies - 3/8/96
• OBCCAUTH.FP3 - Obsolete - Ober United Travel Agency Charge Card Authorization - 
• OBFSTFAX.FP3 - Ober FastRes Fax Form - 6/9/98 - Replaced by WTSFSTFX.FP3
• OBFRQTRV.FP3 - Ober United Travel Agency Very Important Traveler Profile - Replaced by WTSFRQTR.FP3

Optional Forms

• OF5.FP3 - OF-5 - Inquiry as to Availability - 3/82
• OF8.FP3 - OF-8 - Position Description - 1/85
• OF11.FP3 - OF-11 - Reference Request - Federal Records Centers - 7/87
• OF41.FP3 - (Contains Full Page Version) - OF-41 - Routing and Transmittal Slip - 1/94
• OF69.FP3 - OF-69 - HHS Assignment Agreement IPA - 2/89 - Please use the Adobe Acrobat file: OF69-HHS.PDF
• OF108.FP3 - OF-108 - Daily Vehicle Use Record - 10/92
• OF132.FP3 - OF-132 - Property Disposal Authorization and Survey Report - 8/90
• OF306.FP3 - OF-306 - Declaration for Federal Employment - 9/94
• OF310.FP3 - OF-310 - Protection of Human Subjects - Assurance Identification/Certification/Declaration - 9/92
• OF311.FP3 - OF-311 - Application for Federal Employee Commercial Garnishment - 3/97
• OF333.FP3 - Obsolete - OF-333 - Procurement Integrity Certification for Procurement Officials - 10/92
• OF363.FP3 - OF-363 - Memorandum of Call - 7/94
• OF510.FP3 - OF-510 - Privacy and Public Burden Statements - 9/94
• OF612.FP3 - OF-612 - Optional Application for Federal Employment - 9/94
• OF630.FP3 - OF-630 - Leave Recipient Application Under the Voluntary Leave Transfer Program - 6/89
• OF630A.FP3 - OF-630A - Request to Donate Annual Leave to Leave Recipient (Within Agency) Under the Leave Transfer Program - 6/89
• OF630B.FP3 - OF-630B - Request to Donate Annual Leave to Leave Recipient (Outside Agency) Under the Leave Transfer Program - 6/89

•  OM0990_31.FP3 - OMB-0090-31 - DHHS Applicant Background Survey - None

OPM Forms

• OP913B.FP3 - OPM-913B - Change Form - Recognitions and Agreements - 7/94
• OP117017.FP3 - Obsolete - OPM-1170/17 - Supplemental Qualifications Statement List of College Courses and Certificate of Scholastic Achievement - None
• OP117029.FP3 - Obsolete - OPM-1170/29 - Supplemental Qualifications Statement Medical and Dental Officer - 6/79
• OP1390.FP3 - OPM-1390 - Executive Personnel Transaction - 4/79
• OP1397.FP3 - OPM-1397 - U.S. OPM Worksheet for Special Salary Rate Requests - 5/98
• OP1482.FP3 - OPM-1482 - FEGLI Agency Certification of Status of Reemployed Annuitants - 2/93
• OP1510.FP3 - OPM-1510 - Certification of Agency Offer of Position and Required Documentation (for Discontinued Service Retirement Under CSRS or FERS) - 10/94
• OP1515.FP3 - OPM-1515 - Military Service Deposit Election - 10/91
• OP1519.FP3 - OPM-1519 - Survivor's Military Service Election Deceased Employee Covered by CSRS or CSRS Offset - 1/93
• OP1537.FP3 - OPM-1537 - Current/Former Spouse's Notification of Application for Refund of Retirement Deductions - 5/85
• OP1555.FP3 - OPM-1555 - Election of Coverage Federal Employees Retirement System - 6/87
• OP1635.FP3 - OPM-1635 - Welfare to Work Program - 4/97

 

• OS544.FP3 - OS-544 - Sign-in/Sign-out Sheet - 12/85

PHS Forms

• PH50.FP3 - PHS-50 - Application for Appointment as a Commissioned Officer in the U.S. Public Health Service Commissioned Corps - 7/97
• PH398BIO.FP3 - PHS-398 - Biographical Sketch (Biography page ONLY. For intramural use) - 5/95
• PH416_1.FP3 - PHS-416-1 - Application for a Public Health Service Individual National Research Service Award - 8/95
• PH416_5.FP3 - PHS-416-5 - Research Fellowship Activation Notice (For intramural use only) - 3/95
• PH416_11.FP3 - PHS-416-11 Request for Approval of Travel Expenditures Postdoctoral and Special Research Fellows Training in Government Laboratories - 12/81
• PH488.FP3 - PHS-488 - Claim for Temporary Lodging Allowance (TLA) - 5/99
• PH838.FP3 - Commissioned Officers' Effectiveness Report - Please use the Adobe Acrobat file:  PH838.PDF - 11/01
• PH1345.FP3 - PHS-1345 - Request and Authority for Leave of Absence - 9/77
• PH1485.FP3 - PHS-1485 - DHHS Grant Continuation - 6/83
• PH1558.FP3 - PHS-1558 - Request for Travel Reservations - 8/75
• PH1637_1.FP3 - PHS-1637-1 - Public Health Service Commissioned Officer's Request for Dependency Determination - 4/92
• PH1637_3.FP3 - PHS-1637-3 - DHHS, PHS Parent's Dependency Affidavit - 9/81
• PH1637_4.FP3 - PHS-1637-4 - DHHS, PHS Child's Dependency Statement - 3/90
• PH1662.FP5 - Request for Personnel Action - Commissioned Officer - 6/97
• PH1813.FP3 - PHS-1813 - Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps - 7/97
• PH2977.FP3 - PHS-2977 - Quarters Allowance Certificate PHS Commissioned Officer Without Dependents - 5/90
• PH2988.FP3 - PHS-2988 - Voucher for Reimbursement for Travel - Dependents of PHS Commissioned Officers - 9/92
• PH4392.FP3 - PHS-4392 - Billet Description - 11/94
• PH4392_1.FP3 - PHS-4392 - Billet Description - 11/94
• PH4469_1.FP3 - PHS-4469-1 - Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP) Evaluation Questionnaire - 6/94
• PH4772.FP3 - PHS-4772 - Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP) Status Report - 10/93
• PH5141.FP3 - PHS-5141 - Appointment Affidavit - 2/92
• PH5141_1.FP3 - PHS-5141-1 - Appointment Affidavit Reserve Corps - 2/00
• PH6040.FP3 - PHS-6040 - Notice of Intramural Research Project - 5/92
• PH6059.FP3 - PHS-6059 - Request for Overseas Station Allowances - 6/99
• PH6106.FP3 - PHS-6106 - Agreement to Receive an Allowance Under the Federal Physicians Comparability Allowance Program - 9/88
• PH6127.FP3 - PHS-6127 - Commissioned Corps Inactive Reserve Corps Questionnaire - 11/96
• PH6186.FP3 - PHS-6186 - Request for Advance of Station Housing Allowance - 11/91
• PH6342_1.FP3 - PHS-6342-1 - PHS Unit Honor Award Nomination Record - 2/97
• PH6342_2.FP3 - PHS-6342-2 - PHS Individual Honor Award Nomination Record - 2/97
• PH6349.FP3 - PHS-6349 - Annual Report on Possible Misconduct in Science - 10/91
• PH6353_1.FP3 - PHS-6353-1 - Request for Voluntary State Income Tax Withhholding from Retired Pay - 5/96
• PH6363.FP3 - PHS-6363 - DHHS-PHS-Commissioned Corps Request to Establish/Change Mailing Address - 3/97
• PH6364.FP3 - PHS-6364 - PHS Employee Discovery or Invention Report (NIH Version) - 1/93
• PH6373.FP3 - PHS-6373 - DHHS, PSC, Extramural Training Agreement - 9/96
• PH6374.FP3 - PHS-6374 - DHHS, PSC, Intramural Training Agreement - 9/96
• PH6385.FP3 - PHS-6385 - Status Report on Commissioned Corps Officers During Probation - 3/93
• PH7017.FP3 - PHS-7017 - Reeemployment Priority List Registration - 7/94
• PH7017-1.FP3 - PHS-7017-1 - Reemployment Priority List Employee Disposition Record - 7/94
• PH7034.FP3 - PHS-7034 - Application for Assimilation into the Regular Corps - 2/98
• PH7036.FP3 - PHS-7036 - Reimbursement Request for Adoption Expenses - 4/98

 

• POTERMS.FP3 - Purchase Order Terms and Conditions 8/96
• PPQ526.FP3 - PPQ-526 - USDA Application and Permit to Move Live Plant Pests or Noxious Weeds - 9/95
• PROPCODE.FP3 - Request for Property Classification/Property Manufacturer Codes - None
• PRSMDHST.FP3 - Personal Medical History - None
• PSADDCHG - Postal Service Change of Address Forms - NOTE - This is a web link only to the Postal Services web site.
• RADBADGE.FP3 - Obsolete - Film Badge Registration Form, Radiation Safety Branch
• RADDISC.FP3 - Radioactive Materials Package Discrepancy/Problem Reporting Form - None
• RADORNT.FP3 - Authorized User Acknowledgement Form - None
• RETIRANU.FP3 - Retirement Annuity Estimate - None
• RI38_124.FP3 - RI 38-124 - Voluntary Contributions Election - 9/94 (includes Employee Information pages)
• RI76_10.FP3 - RI 76-10 - FEGLI Assignment of Federal Employees' Group Life Insurance - 1/95
• RSACCHND.FP3 - Reasonable Accommodations for Handicapped Employees During Inclement Weather - None
• RSTANNLV.FP3 - Request for Restoration of Annual Leave - None
• RWHSLST.FP3 - R&W Rental Listing Form - 7/30/99
• SAVINGS BONDS - U.S. Savings Bond Forms - NOTE - This is a web link only to the Treasury Dept. bonds web site
• SB2253E.FP3 - Authorization for Purchase and Request for Change United States Inflation-Indexed Savings Bonds - None
• SERPPUR.FP3 - Request for Purchase of Rented Equipment - None
• SESRECRT.FP3 - DHHS, NIH, Senior Executive Service Recertification Form - None

Standard Forms

• SF8.FP3 - SF-8 - Notice to Federal Employee About Unemployment Insurance - 6/87
• SF15.FP3 - SF-15 - Application for 10-Point Veteran Preference - 2/90
• SF18.FP3 - SF-18 - Request for Quotation - 6/95
• SF26.FP3 - SF-26 - Award/Contract - 4/85
• SF30.FP3 - SF-30 - Amendment of Solicitation/Modification of Contract - 10/83
• SF33.FP3 - SF-33 - Solicitation, Offer and Award - 9/97
• SF39.FP3 - SF-39 - Request for Referral of Eligibles - 11/88
• SF52.FP3 - SF-52 - Request for Personnel Action - 6/30/93
• SF52.FP5 (Version 5) - SF-52 - Request for Personnel Action - 6/30/93
• SF59.FP3 - SF-59 - Request for Approval of Noncompetitive Action - 1/79
• SF61.FP3 - SF-61 - Appointment Affidavits - 6/96
• SF62.FP3 - SF-62 - Agency Request to Pass Over a Preference Eligible or Object to an Eligible - 10/79
• SF71.FP3 - SF-71 - Application for Leave - 12/98
• SF75.FP3 - SF-75 - Request for Preliminary Employment Data - 8/98
• SF78.FP3 - SF-78 - U.S. Civil Service Commission Certificate of Medical Examination - 10/69
• SF81.FP3 - SF-81 - Request for Space - 2/89
• SF85P_S.FP3 - SF-85P-S - Supplemental Questionnaire for Selected Positions - 9/95
• SF88.FP3 - SF-88 - Report of Medical Examination - 3/89
• SF93.FP3 - SF-93 - Report of Medical History - 6/96
• SF113A.FP3 - SF-113A - Monthly Report of Federal Civilian Employment - 8/94
• SF115.FP3 - SF-115 - Request for Records Disposition Authority - 3/91
• SF115A.FP3 - SF-115A - Request for Records Disposition Authority - Continuation - 3/91
• SF120.FP3 - SF-120 - Report of Excess Personal Property - 4/57
• SF120A.FP3 - SF-120A - Report of Excess Personal Property Continuation Sheet - 4/57
• SF121.FP3 - Annual Report of Utilization and Disposal of Excess and Surplus Personal Property - 5/96
• SF122.FP3 - SF-122 - Transfer Order Excess Personal Property - 6/74
• SF123.FP3 - SF-123 - Transfer Order Surplus Personal Property - 6/82
• SF123A.FP3 - SF-123A - Transfer Order Supplies Personal Property Continuation Sheet - 5/98
• SF126.FP3 - SF-126 - Report of Personal Property for Sale - 7/78
• SF126A.FP3 - SF-126-A - Report of Personal Property for Sale Continuation Sheet - 2/65
• SF135.FP3 - SF-135 - Records Transmittal and Receipt - 7/85
• SF135A.FP3 - SF-135A - Records Transmittal and Receipt (Continuation) - 7/85
• SF152.FP3 - SF-152 - Request for Clearance or Cancellation of a Standard or Optional Form - 2/96
• SF171.FP3 - SF-171 - Application for Federal Employment - 6/88 (Obsolete)
• SF180.FP3 - SF-180 - Request Pertaining to Military Records - 7/86
• SF181.FP3 - SF-181 - Race and National Origin Identification - 5/82
• SF256.FP3 - SF-256 - Self-Identification of Handicap - 8/87
• SF258.FP3 - SF-258 - Request to Transfer, Approval, and Receipt of Records to National Archives of the United States - 9/95
• SF278 - SF-278 - Public Financial Disclosure Reports - Link goes to the NIH Ethics Program website.
• SF282.FP3 - SF-282 - Mandatory Title Check - 4/79
• SF293.FP3 - SF-293 - Notice to Separated Employee Concerning Disposition of Official Personnel Folder/Merged Records Personnel Folder and Employee Medical Folder - 7/89
• SF298.FP3 - SF-298 - Report Documentation Page - 2/89
• SF308.FP3 - SF-308 - Request for Wage Determination and Response to Request - 5/85
• SF329.FP3 - SF-329 - Administrative Wage Garnishment Form - 11/98
• SF364.FP3 - SF-364 - Report of Discrepancy - 2/80
• SF424.FP3 - SF-424 - Application for Federal Assistance - 4/92
• SF424B.FP3 - SF-424B - Assurances -- Non-Construction Programs - 4/92
• SF424C.FP3 - SF-424C - Budget Information - Construction Programs - 4/92
• SF424D.FP3 - SF-424D - Assurances -- Construction Programs - 4/92
• SF450.FP3 - Obsolete - SF-450 - This has been replaced by form OGE-450
• SF813.FP3 - SF-813 - Verification of a Military Retiree's Service in Nonwartime Campaigns or Expeditions - 8/94
• SF1012.FP3 - SF-1012 - Travel Voucher - 10/77
• SF1034.FP3 - SF-1034 - Public Voucher for Purchases and Services other than Personal - 10/67
• SF1035.FP3 - SF-1035 - Public Voucher for Purchases and Services other than Personal (Continuation Sheet) - 9/73
• SF1035A.FP3 - SF-1035A - Public Voucher for Purchases and Services other than Personal - Memorandum - (Continuation Sheet) - 9/73
• SF1038.FP3 - SF-1038 - Advance of Funds Application and Account - 10/77
• SF1081.FP3 - SF-1081 - Voucher and Schedule of Withdrawals and Credits - 9/82
• SF1152.FP3 - SF-1152 - Designation of Beneficiary Unpaid Compensation of Deceased Civilian Employee - 11/91
• SF1153.FP3 - SF-1153 - Claim for Unpaid Compensation of Deceased Civilian Employee - 4/82
• SF1154.FP3 - SF-1154 - Public Voucher for Unpaid Compensation Due A Deceased Civilian Employee - 9/67
• SF1187.FP3 - SF-1187 - Request for Payroll Deductions for Labor Organization Dues - 3/89
• SF1190.FP3 - SF-1190 - Foreign Allowances Application, Grant and Report - 1/98
• SF1199A.FP3 - SF-1199A - Direct Deposit Sign-up Form - 6/87
• SF1303.FP3 - SF-1303 - Request for Federal Cataloging/Supply Support Action - 4/94
• SF1411.FP3 - SF-1411 - Contract Pricing Proposal Cover Sheet - 10/95
• SF1448.FP3 - SF-1448 - Proposal Cover Sheet - 10/95
• SF1449.FP5 - SF-1449 - Solicitation/Contract/Order for Commercial Items - 4/02
• SF2800.FP3 - SF-2800 - CSRS Application for Death Benefits - 3/92
• SF2801.FP3 - SF-2801 - CSRS Application for Immediate Retirement Under the Civil Service Retirement System - 1/90
• SF2801_1.FP3 - SF-2801-1 - CSRS Certified Summary of Federal Service - 1/90
• SF2801_2.FP3 - SF-2801-2 - CSRS Spouse's Consent to Survivor Election - 1/90
• SF2801_3.FP3 - SF-2801-3 - CSRS Election of Former Spouse Survivor annuity or Combination Current/Former Spouse Annuity - 1/90
• SF2801D.FP3 - SF-2801-Schedule D - CSRS Agency Checklist of Immediate Retirement Procedures - 1/90
• SF2802.FP3 - SF-2802 - CSRS Application for Refund of Retirement Deductions - 1/91
• SF2802B.FP3 - SF-2802B - CSRS Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the Civil Service Retirement System - 1/91
• SF2803.FP3 - SF-2803 - FEGLI Application to Make Deposit or Redeposit - 6/92
• SF2804.FP3 - SF-2804 - Application to Make Voluntary Contributions, Civil Service Retirement System - 2/99
• SF2805.FP3 - SF-2805 - Request for Recovery of Debt Due the United States - 4/80
• SF2806.FP3 - SF-2806 - CSRS Individual Retirement Record - 2/80
• SF2806_1.FP3 - SF-2806-1 - CSRS Notice of Correction of Individual Retirement Record - 2/80
• SF2807.FP3 - SF-2807 - Register of Separations and Transfers Civilian Service Retirement System - 7/80
• SF2808.FP3 - SF-2808 - Designation of Beneficiary - 2/99
• SF2809.FP3 - SF-2809 - FEHB Health Benefits Registration Form - 8/92
• SF2809_1.FP3 - SF-2809-1 - FEHB Health Benefits Election Form - 7/99
• SF2809A.FP3 - Obsolete - SF-2809A - FEHB Information for Federal Civilian Employees and U.S. Postal Service Employees - 6/90
• SF2810.FP3 - SF-2810 - FEHB Notice of Change in Health Benefits Enrollment - 6/95
• SF2811.FP3 - SF-2811 - Transmittal and Sumary Report to Carrier - 6/84
• SF2812A.FP3 - SF-2812A - Report of Withholding and Contributions for Health Benefits by Enrollment Code - 12/21/98
• SF2817.FP3 - SF-2817 - FEGLI Life Insurance Election - 4/99
• SF2818.FP3 -  Continuation of Life Insurance Coverage as an Annuitant or Compensationer - Please use the updated form on the Office of Personnel Management website.
• SF2819.FP3 - SF-2819 - FEGLI Notice of Conversion Privilege - 5/95
• SF2820.FP3 - SF-2820 - FEGLI Certification Of Insured Employee's Retired Status - 8/94
• SF2821.FP3 - SF-2821 - Agency Certification of Insurance Status - 5/95
• SF2822.FP3 - SF-2822 - FEGLI Request for Insurance - 1/93
• SF2823.FP3 - SF-2823 - FEGLI Designation of Beneficiary - 4/01 - Please use the Adobe Acrobat file from the GSA website: SF2823.PDF.
• SF2824.FP3 - Obsolete - SF-2824 - CSRS Documentation in Support of Disability Retirement Application - 1/91
• SF2824A.FP3 - SF-2824A - CSRS Applicant's Statement of Disability - 3/31/93
• SF2824B.FP3 - SF-2824B - CSRS Supervisor's Statement - 1/91
• SF2824C.FP3 - Obsolete - SF-2824C - CSRS Physician's Statement - 1/91
• SF2824D.FP3 - SF-2824D - FEGLI Agency Certification of Reassignment and Accommodation Efforts - 1/91
• SF2824E.FP3 - SF-2824E - FEGLI Disability Retirement Application Checklist - 1/91
• SF3100A.FP3 - SF-3100-A - FERS Individual Retirement Record - 1/87
• SF3101.FP3 - SF-3101 - FERS Notice of Correction of Individual Retirement Record - 2/87
• SF3102.FP3 - SF-3102 - FERS Designation of Beneficiary - 12/93
• SF3104.FP3 - SF-3104 - FERS Application for Death Benefits - 5/98
• SF3104A.FP3 - SF-3104A - FERS Survivor Supplement - 12/91
• SF3104B.FP3 - SF-3104B - FERS Documentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the Time of Death - 5/98
• SF3105.FP3 - Obsolete - SF-3105 - FERS Documentation in Support of Disability Retirement Application - 8/87
• SF3105A.FP3 - SF-3105A - FERS Applicant's Statement of Disability - 8/87
• SF3105B.FP3 - SF-3105B - FERS Supervisor's Statement - 8/87
• SF3105C.FP3 - Obsolete - SF-3105C - FERS Physician's Statement - 8/87
• SF3105D.FP3 - SF-3105D - FERS Agency Certification of Reassignment and Accommodation Efforts - 8/87
• SF3105E.FP3 - SF-3105E - FERS Disability Retirement Application Checklist - 8/87
• SF3106.FP3 - SF-3106 - Application for Refund of Retirement Deductions Federal Employees Retirement System - 3/96
• SF3106A.FP3 - SF-3106A - Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the Federal Employee's Retirement System - 2/97
• SF3107.FP3 - SF-3107 - FERS Application for Immediate Retirement - 3/88
• SF3107_1.FP3 - SF-3107-1 - FERS Certified Summary of Federal Service - 1/97
• SF3107_2.FP3 - SF-3107-2 - FERS Spouse's Consent to Survivor Election - 3/88
• SF3108.FP3 - SF-3108 - Application to Make Service Credit Payment for Civilian Service - 5/88
• SF3109.FP3 - SF-3109 - FERS Election of Coverage - 7/89
• SF3110.FP3 - SF-3110 - FERS Former Spouse's Consent to FERS Election - 6/90
• SF3111.FP3 - SF-3111 - FERS Request for Waiver, Extension, or Search 6/90
• SF3112.FP3 - SF-3112 - CSRS/FERS Documentation in Support of Disability Retirement Application - 11/96
• SF3112A.FP3 - SF-3112A - CSRS/FERS Applicant's Statement of Disability - 11/96
• SF3112B.FP3 - SF-3112B - CSRS/FERS Supervisor's Statement In Connection With Disability Retirement Under the Civil Service Retirement System and the Federal Employees' Retirement Ssytem - 11/96
• SF3112C.FP3 - SF-3112C - CSRS/FERS Physician's Statement In Connection With Disability Retirement Under the Civil Service Retirement System and the Federal Employees' Retirement Ssytem - 11/96
• SF3112D.FP3 - SF-3112D - CSRS/FERS Agency Certification of Reassignment and Accommodation Efforts In Connection With Disability Retirement Under the Civil Service Retirement System and the Federal Employees' Retirement Ssytem - 11/96
• SF3112E.FP3 - SF-3112E - CSRS/FERS Disability Retirement Application Checklist - 11/96
• SF3881.FP3 - SF-3881 - ACH Vendor/Miscellaneous Payment Enrollment Form - Please use the PDF version of the form - SF3881.PDF.
• SFLLL.FP3 - SF-LLL - Disclosure of Lobbying Activities - None
• SFLLLA.FP3 - SF-LLL-A - Disclosure of Lobbying Activities Continuation Sheet - None

Social Security Administration Forms

• SS5.FP3 - SS-5 - Social Security Administration Application for a Social Security Card - 9/89
• SS7004SM.FP3 - SS-7004-SM - Social Security Administration Request for Earnings and Benefts Statement - 6/98

• SMBUSPLN.FP3 - Small, Small Disadvantaged and Women-Owned Small Business Model Subcontracting Plan Outline - None
• SUBCNTRV.FP3 - Subcontracting Plan Review - None
• STATE DEPARTMENT - Visa and Passport Information - Link to Web Site

TAIMS Forms

• TAIMSACC.FP3 - Request for Access to TAIMS - None
• TAIMSSEC.FP3 - TAIMS User Security Statement - None

   

• TAX Forms - Link to IRS Web Site
• TIMECLOCK.FP3 - A preprogrammed form for retaining information on arrivals and departures. NOTE - This is strictly for unofficial use only. - None

Thrift Savings Plan Forms

• THRIFT SAVINGS PLAN - Link to Web Site
• TSP1.FP3 - TSP-1 - Thrift Savings Plan - Election Form - 3/01 - Please use Adobe Acrobat version - TSP1.PDF.
• TSP3.FP3 - TSP-3 - Thrift Savings Plan Designation of Beneficiary - 10/96
• TSP9.FP3 - TSP-9 - Thrift Savings Plan Change of Address for Separated Participants - 6/94
• TSP16.FP3 - TSP-16 - Thrift Savings Plan Exception to Spousal Requirements - 10/97
• TSP17.FP3 - TSP-17 - Federal Retirement Thrift Savings Plan Application for Account Balance of Deceased Participant - 3/98
• TSP20.FP3 - TSP-20 - Thrift Savings Plan Loan Application - 2/98
• TSP30.FP3 - TSP-30 - Thrift Savings Plan Interfund Transfer Request - 9/98
• TSP32.FP3 - TSP-32 - Thrift Savings Plan Acknowledgement of Risk for Thriftline Interfund Transfers - 11/94
• TSP70.FP3 - TSP-70 - Thrift Savings Plan Withdrawal Request - 11/94
• TSP70T.FP3 - TSP-70-T - Thrift Savings Plan Transfer Information - 11/94
• TSP75.FP3 - TSP-75 - Thrift Savings Plan Age Based In-Service Withdrawal Request - 05/98
• TSP75T.FP3 - TSP-75-T - Thrift Savings Plan Transfer of In-Service Withdrawal - 05/98
• TSP76.FP3 - TSP-76 - Thrift Savings Plan Financial Hardship In-Service Withdrawal Package - 05/98
• TSP1013.FP3 - TSP-1013 - Important Tax Information About TSP In-Service Withdrawal Payments - 05/98

  U.S. Bank Forms

• USIMMNT.FP3 - US Bank Cardholder Maintenance - 11/98 (Note - Obtain this form from your Administrative Officer. Do NOT create this form electronically. US Bank wishes to control distribution.)
• USIMSET.FP3 - US Bank Cardholder Setup - 11/98 (Note - Obtain this form from your Administrative Officer. Do NOT create this form electronically. US Bank wishes to control distribution.)

USDA Veterinary Services Forms

• VS16_3.FP3 - VS-16-3 - USDA Application to Import Controlled Material Import or Transport Organisms or Vectors - 3/95
• VS16_7.FP3 - VS-16-7 - USDA Additional Information for Cell Cultures and Their Products - 3/95
• VS17_129.FP3 - VS-17-129 - USDA Application for Import or in Transit Permit - 5/96

   

• VFSUPAGR.FP3 - NIH Supplemental Visiting Fellow Award Program Supplemental Fellowship Agreement - 7/17/95
• VFSUPPRV.FP3 - NIH Supplemental Visiting Fellow Award Program Statement of Supplemental Program Provisions - 7/17/95
• VMQWKCHG.FP3 - Voice Mail System Quick Change Request - No longer available in Filemaker Pro. Please use the PDF or Word version.
• VOLAGREE.FP3 - NIH Special Volunteer Agreement - None
• VOTER REGISTRATION - By Mail - Link to National Web Site
• Y2Kcomp.FP3 - Biomedical and Information Technology Equipment Year 2000 Compliance Certificate
• W9.FP3 - W-9 - Request for Taxpayer Identification Number and Certification - 12/96

 

 

 

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