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NCI-Frederick Forms

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Acquisition & Logistical Systems (ALS)
Cardholder Statement of Questioned Item   [updated 4/7/2007]
Form to be printed, completed and submitted to the Disputes Officer
Cell Phone/Pager Checklist   [updated 1/1/2006]
Checklist used to determine the appropriate equipment and service
Checklist for Class II A2 and B2 Biological Safety Cabinets   [updated 12/31/2008]
Form listing approved Biological Safety Cabinets�
Consultant Questionnaire Form   [updated 1/1/2006]
Questionnaire to assist OTS in determining the appropriate status of an individual or company.
Consultant Request Form   [updated 1/1/2006]
Form to be submitted with PR stating the work and financial details for a consultant.
Consultant Sample Invoice   [updated 1/1/2006]
Sample consultant invoice indicating the requisite detailed information.
Deliverable Work Product   [updated 1/1/2006]
Definition and Guidelines pertaining to deliverables/work product.
Expediting Inquiry Form   [updated 1/1/2006]
Information needed to expedite an order.
Interarea Property Transfer Form   [updated 1/1/2006]
Form to transfer equipment remaining on same center number.
JOFOC   [updated 1/1/2006]
Form to be submitted with PR justifying other than full and open competition.
Material Transfer Agreement (MTA) Direct Payment Form   [updated 1/18/2007]
When an MTA has been finalized, program area should complete a Material Transfer Agreement Direct Payment Form and send to Accounts Payable to process
Motor Vehicle Fuel Consumption   [updated 2/12/2007]
Motor Vehicle Trip Ticket   [updated 2/12/2007]
Notification to Property - Sensitive Items   [updated 4/25/2007]
Notification to Property of items bought on p-card that must be decaled.
PDA Checklist   [updated 1/1/2006]
Checklist used to provide the appropriate PDA equipment and service.
PDA Justification   [updated 8/24/2005]
Information to justify mission-related need for PDA.
Portable Property Hand Receipt   [updated 1/1/2006]
Form to verify use of portable property outside the NCI-Frederick Facility.
PR Construction Addendum   [updated 1/1/2006]
Information to be submitted with PR for A&E/construction contracts
PR Research Addendum   [updated 1/1/2006]
Information to be submitted with PR for research support services.
Product Comparison Sheet   [updated 1/1/2006]
Worksheet to list product features for different manufacturers.
Property Pass   [updated 1/1/2006]
Form to remove property from its present accountable location for up to 30 days.
Purchase Card Bid Sheet   [updated 1/22/2008]
Form used to compile cost and information for the purchase card.
Purchase Request Template   [updated 1/1/2006]
An approved paper Purchase Request form to procure through the ALS Acquisition Departments.
Receipt of Cellular/Wireless Equipment   [updated 1/1/2006]
Form for receipt of wireless equipment by program area.
Request for Blanket Order Set UP   [updated 11/1/2007]
Form to submit for Blanket Order Training
Request for I.M.P.A.C.   [updated 1/10/2008]
Form to submit to obtain an IMPAC card.
Request for Property Transfer   [updated 1/1/2006]
Form to transfer property between programs or to/from NCI-Frederick.
Request for Shipment Form   [updated 1/1/2006]
Form to request domestic and international shipments.
Request for Vendor Service   [updated 1/1/2006]
Form for time and material repairs and warranty service repairs.
Return of Goods   [updated 1/1/2006]
Form to return goods to a vendor.
Routing Sheet   [updated 10/24/2008]
Purchase request special approval routing sheet.
Service Contract Addition   [updated 1/1/2006]
Form to add equipment to an existing service maintenance contract or initiate a new contract.
Supply Requisition Form   [updated 1/1/2006]
Paper form to requisition items from the Supply Warehouse
Temporary Loan of Property   [updated 1/1/2006]
Form to allow removal of property from Facility for up to one year based on March 31 renewal date.
Temporary Loan of Property (Renewal)   [updated 1/1/2006]
Form to renew property removed from Facility based on March 31 renewal date.
Terms and Conditions for Use of the Blanket Order Program   [updated 3/14/2008]
Conditions for utilizing the Blanket Order Program
Terms and Conditions for Use of the IMPAC   [updated 1/22/2008]
Conditions for utilizing the IMPAC.
Uniform Rental Form   [updated 1/1/2006]
Form to be submitted with PR listing information needed to order uniform.
Wireless Justification - Attachment A   [updated 5/18/2007]
Information to justify mission-related need for wireless equipment
Wireless Monthly Usage Certification Form - Attachment B   [updated 3/15/2007]
Form to be submitted by cell phone user with cell phone bill to IMPAC cardholder.
Worksheet for Limited Competition   [updated 1/1/2006]
A worksheet to document market research analysis.
Administrative Resource Center (ARC)
ARC: Important Forms for Government Employees   [updated 1/1/2006]
Quick link to fillable or downloadable forms to assist in the preparation of various packages.
Advanced Biomedical Computing Center (ABCC)
ABCC: E-Mail Account Application   [updated 1/1/2006]
ABCC: Request for Wireless Network   [updated 1/1/2006]
ABCC: System Access Application   [updated 1/1/2006]
Advanced Technology Program (ATP)
Cytogenetics: Request Form   [updated 1/1/2006]
Animal Care & Use Committee (ACUC) - Bethesda
Animal Study Proposal Form   [updated 10/1/2005]
Form to be completed and submitted to the NCI-Frederick Animal Care and Use Committee when proposing to work with live animals at the NCI-F campus.
Animal Study Proposal Modification Form   [updated 1/1/1900]
Form to be completed when proposing a modification/change to an approved NCI-Bethesda Animal Study Proposal
MIF Animal Transfer Request Form   [updated 1/1/2006]
Form to be completed when requesting to transfer animals from an NCI-Bethesda facility to the Mouse Imaging Facility
Animal Care & Use Committee (ACUC) - Frederick
ACUC Annual Review Notice   [updated 1/1/2006]
Form to be completed and submitted to the NCI-Frederick Animal Care and Use Committee for annual review of an approved NCI-Frederick Animal Study Prop
Animal Facility Inspection Checklist   [updated 1/1/2006]
Form to be completed by NCI-Frederick Animal Care and Use Committee members when conducting semiannual facility inspections
Deleterious Phenotype Reporting Form   [updated 1/1/2006]
Form to be completed and submitted to the NCI-Frederick Animal Care and Use Committee when a deleterious phenotype is observed in an animal colony
Facility Space and Resource Review Form   [updated 1/1/2006]
Form to be completed by the LASP facility management in conjunction with the NCI-Frederick Animal Study Proposal form
Helpful Hints for Completing the NCI-Frederick ASP Form   [updated 8/18/2006]
A document designed to assist investigators with the completion and submission of the NCI-Frederick Animal Study Proposal form
Immunization/Ascites Request Form   [updated 1/1/2006]
Form to be completed and submitted to the NCI-F Animal Care and Use Committee when immunization/ascites work in live animals is required
NCI Frederick ACUC Guidelines   [updated 1/1/2006]
Guidelines designed to assist investigators with the adherence to Federal regulations and to ensure humane care and use at the NCI-Frederick
NCI-Frederick: Animal Study Proposal Form   [updated 8/16/2006]
Form to be completed and submitted to the NCI-Frederick Animal Care and Use Committee when proposing to work with live animals at the NCI-Frederick ca
Primary Reviewer's Summary and Recommendation Form   [updated 1/1/2006]
Form to be completed by NCI-Frederick Animal Care and Use Committee members in conjunction with the NCI-Frederick Animal Study Proposal review
Biological Resources Branch (BRB)
BRB: Material Transfer Agreement Form   [updated 1/1/2006]
The MTA must be completed for all Bulk Cytokine and Monoclonal Antibody orders.
Computer & Statistical Services (CSS)
Employee Recreation Council (ERC)
ERC: Membership Application   [updated 1/1/2006]
ERC: Ticket/Event Request Form   [updated 1/1/2006]
Environment, Health & Safety (EHS)
Facilities, Maintenance, & Engineering (FME)
FME: Work Order Request   [updated 1/1/2006]
Laboratory Animal Sciences Program (LASP) - Bethesda
Animal Transfer Agreement   [updated 1/1/2006]
Commercial Invoice   [updated 1/1/2006]
NIH Centralized Animal Order Form   [updated 1/1/2006]
Laboratory Animal Sciences Program (LASP) - Frederick
LAM: Animal Health Report   [updated 9/19/2006]
LAM: Pharmacy Order Form   [updated 1/1/2006]
LAM: Rectal Prolapse Log   [updated 9/19/2006]
LAM: Vendor Quality Assurance Form   [updated 1/1/2006]
Laboratory Animal Sciences Program (LASP) - General
Mouse Models of Human Cancers Consortium (MMHCC)
MMHCC: Strain Submission Form   [updated 1/1/2006]
MMHCC: Strain Suggestion Form   [updated 1/1/2006]
National Institutes of Health (NIH)
NIH: Speakers Bureau Volunteer Form   [updated 1/1/2006]
NCI-Frederick (NCIF) - General
Pathology/Histotechnology Laboratory (PHL)
Blood Chemistry Analysis   [updated 1/1/2006]
Histology Pathology Request   [updated 1/1/2006]
Molecular Histology Request   [updated 1/1/2006]
Special Request   [updated 1/1/2006]
Policies & Procedures
Foreign National Information Form   [updated 8/23/2006]
Proposed Consultant Request Form   [updated 8/23/2006]
Purchase Request Form   [updated 8/23/2006]
SAIC: Disclosure of Financial Interests   [updated 10/20/2006]
SAIC: Research Grant Application   [updated 10/31/2006]
SAIC-Frederick Invoice Form   [updated 8/23/2006]
Scientific Library
Technology Transfer Branch (TTB)