COMPREHENSIVE LIST OF FORMS AVAILABLE

-- Adobe Acrobat Reader (PDF) --

Return to Home Page

Return to PDF Forms

We recommend using Internet Explorer as your web browser. Some PDF forms won't download in Netscape.

Use the FIND function in your web browser to search this list for the form you wish. Jump to NIH forms.

CODE.SOFTWARE CODE - FORM TITLE - REVISION DATE

Building 36 AHCS

• 36NSCHKL.PDF - 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

Award Forms

• AWCASHCL.PDF - Cash Award for Recruitment of Clerical and Stay-in-School Clerical Employees - 9/89
• AWMERITG.PDF - Nomination for NIH Merit Award - Group - None
• AWMERITI.PDF - Nomination for NIH Merit Award - Individual - None
• AWSMPUR.PDF - Nominations for Outstanding Service in Small Purchases - None

   

• AP2000.PDF - APHS-2000 - USDA Application for Permit or Courtesy Permit Under 7 CFR 340 - 7/89
• CD - Commerce Department - Link to forms website.
• CDC75_3.PDF - CDC-75-3 - Application for Permit to Import or Transport Agents or Vectors of Human Disease - 9/91
• CDCEA101.PDF - CDC-EA-101 - Transfer of Select Agent - 7/97
• CKLISTOVER2500.PDF - Documentation For Simplified/Commercial Item Acquisitions Actions Greater Than $2,500 - 1/02 - Entire form, no electronic fill-in. The following three files contain all 10 pages, and have electronic fill-in capability:
  • CKLISTOVER2500_1.PDF - Documentation For Simplified/Commercial Item Acquisitions Actions Greater Than $2,500 - 1/02 - Pages 1 and 2 only.
  • CKLISTOVER2500_2.PDF - Documentation For Simplified/Commercial Item Acquisitions Actions Greater Than $2,500 - 1/02 - Pages 3 through 6 only.
  •  CKLISTOVER2500_3.PDF - Documentation For Simplified/Commercial Item Acquisitions Actions Greater Than $2,500 - 1/02 - Pages 7 through 10 only.
• CKLSRVAC.PDF - Checklist for Service Acquisitions - None

CIT Forms

• CIT ACCOUNT FORMS - Link to Web Site
• DCBXCODE.PDF - Box Access Code (BAC) Request Form - 11/18/87
• DCHLXGRP.PDF - Helix Group Registration - 5/2/94
• DCHLXREG.PDF - Helix User Registration - None
• DCINTEL.PDF - CIT Intel User Registration - Version 1.1
• DCTELSRV.PDF - Telephone Service Request - New link: http://TSR.CIT.NIH.GOV/.  Please change your bookmarks.

NIDDK Forms

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

   

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

NEI Forms

• EYPRFPLN.PDF - NEI Individual Performance Plan - None

Ethics Forms

• ETHICS FORMS - For all ethics forms used at NIH, go to the NIH Ethics Program website.

FAES Forms

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

   

• FAX.PDF - FAX Transmittal Sheet - None

Fogarty Center Forms

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

  FEGLI Forms

• FE6.PDF - FEGLI - Claim for Death Benefits (Link takes you to OPM's website)
• FE6DEP.PDF - FEGLI - Settlement of Claim; Option C -- Family Life Insurance (Link takes you to OPM's website)
• FE7.PDF - FEGLI - Claim for Dismemberment Benefits (Link takes you to OPM's website)

• FILCLNUP.PDF - Files Cleanup Campaign - None
• FIPAWARD.PDF - FIP Contract Award Data Sheet - None
• FIPCHKLS.PDF - OIRM FIP Justification Checklist - None
• GE201.PDF - OGE-201 - Request to Inspect or Receive Copies of SF 278 Executive Branch Personnel Public Financial Disclosure Report or Other Covered Record - 7/96
• GE202.PDF - OGE-202 - Notification of Conflict of Interest Referral - 7/98
• GE203.PDF - OGE-203 - Senior Appointee Pledge - 1/93
• GE450.PDF - OGE-450 - Office of Government Ethics Executive Branch Confidential Financial Disclosure Report - 2/96
• GE450A.PDF - OGE-450A - Confidential Certificate of No New Interests (Executive Branch) - 4/97
• GFTFNDIN.PDF - Initiative for the Use of Gift Funds - None
• GRAGREE.PDF - Guest Researcher Agreement - None

GSA Forms

• GSA - General Services Administration - Link to Web Site

NICHD Forms

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

   

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

HHS Forms

Many links go to the Health and Human Service's forms websites, http://www.hhs.gov/forms and http://intranet.hhs.gov/forms.

• HS1.PDF - HHS-1 - Travel Order - 7/89 - Use ONLY when the NBS system is down.
• HS16.PDF - HHS-16 - Request to Use Government Furnished Vehicle for Transportation Between Domicile and Place of Employment - 6/83
• HS22.PDF - HHS-22 - Request for Property Action - 4/98
• HS33.PDF - HHS-33 - Probationary Employee Certification and Recommendation - New Appointments - 9/80
• HS33A.PDF - HHS-33A - Probationary Employee Certification and Recommendation - Supervisors/Managers - 9/80
• HS68.PDF - Obsolete - HHS-68 - Request for Staff Manual Materials and Mailing List Changes - 4/91
• HS99.PDF - HHS-99 - Authorization to Attend Non-Government Sponsored Meetings - 9/82
• HS170.PDF - HHS-171 - DHHS Employee Suggestion Form - 12/87
• HS171.PDF - HHS-171 - DHHS Recommendation for Cash Award - 12/87
• HS311.PDF - HHS-311 - Official Personnel Folder Transmittal - 1/81
• HS330.PDF - HHS-330 - Intra-Departmental Delegation of Authority (IDDA) - 8/00
• HS342.PDF - HHS-342 - Report of Survey (Link goes to HHS's website)
• HS348.PDF - HHS-348 - Request for Approval for Acceptance of Payment of Travel Expenses in cash or In Kind - 9/76
• HS348CKL.PDF - HHS-348 Checklist - 9/76
• HS355.PDF - HHS-355 - DHHS Employment Agreement for Transfers to and Within the Continental United States - 3/81
• HS355A.PDF - HHS-355A - DHHS Employment Agreement for Transfers and Appointments Overseas - 2/83
• HS355B.PDF - HHS-355B - DHHS Employment Agreement for Manpower Shortage Positions in the 50 States and the District of Columbia - 3/81
• HS357.PDF - HHS-357 - DHHS Notification of U.S. Savings Bond Action, Series EE - 3/95
• HS402.PDF - HHS-402 - Requisition for Equipment and Supplies - None
• HS410.PDF - HHS-410 - DHHS Supplemental Information - Expert or Consultant - 12/77
• HS411A.PDF - HHS-411A - Leave Error Notice (Link goes to HHS's website)
• HS411B.PDF - HHS-411B - Leave Error Notice (Link goes to HHS's website)
• HS419.PDF - HHS-419 - Clearance of Personnel for Separation or Transfer - 7/90
• HS420.PDF - HHS-420 - Timekeeper's Signature Card - 3/81
• HS441.PDF - Obsolete - HHS-441 - Assurance of Compliance with the Department of Health and Human services Regulation Under Title VI fo the Civil Rights Act of 1964 - 12/82
• HS441A.PDF - Obsolete - HHS-441A - Explanation of HHS Form No. 441, Assurance of Compliance with the Department of Health and Human Services Regualtion Under Title VI of the Civil Rights Act of 1964 - 3/81
• HS474.PDF - Obsolete - HHS-474 - Confidential Statement of Employment and Financial Interests - 3/77 - Superseded by OGE Form 450 - “Confidential Financial Disclosure Reportâ€�
• HS476.PDF - HHS-476 - DHHS Record of Home Address - 1/90
• HS477.PDF - HHS-477 - Timekeeper Number Change - 3/66
• HS478.PDF - HHS-478 - Payroll Number Correction - 11/83
• HS481.PDF - HHS-481 - Employee Claim for Loss or Damage to Personal Property - 3/81
• HS520.PDF - HHS-520 - Request for Approval of Outside Activity - Link goes to the NIH Ethics Program website.
• HS521.PDF - HHS-521 - Annual Report of Outside Activity - Link goes to the NIH Ethics Program website.
• HS532.PDF - HHS-532 - DHHS Request for Approval of Nominees for Public Advisory Committees - 1/82
• HS565.PDF - HHS-565 - DHHS Report of Accountable Personal Property - 9/98
• HS581.PDF - HHS-581 - DHHS Recommendation for Quality Increase - 3/86
• HS596.PDF - HHS-596 - DHHS Protection of Human Subjects Assurance/Certification/Declaration - 1/82
• HS639A.PDF - 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.PDF - HHS-651 - DHHS Initial Interview and Information EEO Counseling Report - 1/8
• HS652.PDF - HHS-652 - DHHS Final EEO Counseling Report - 1/88
• HS653.PDF- HHS-653 - HHS Small Business Review Form - Please use the Microsoft Word version, dated 1/08
• HS690.PDF - HHS-690 - Assurance of Compliance - 5/97
• HS691.PDF - HHS-691 - Request for Special Pay for Physicians and Dentists - 6/98
• HS691_1.PDF - HHS-691-1 - Employee Agreement to Receive Special Pay for Physicians and Dentists Under Title 38 - 6/98
• HS697.PDF - HHS-697 - Foreign Activities Questionnaire - Link goes to the NIH Ethics Program website.
• HS717_1 - HHS-717-1 - Confidential Report of  Financial Interests in Substantially Affected Organizations for Employees of the NIH - Link goes to the NIH Ethics Program website.
• HSPROOBL.PDF - DHHS Procurement Officials Certification of Continuing Obligation - 8/20/97
• HSRPYAGR.PDF - DHHS Installment Repayment Agreement for Transferring Personnel - 8/20/97

   

• HTLTAX.PDF - Hotel Occupancy Tax Exemption Certificate - 10/86
• HOTEL TAX - Travel Management Policy State Tax Exemption Web Site
• HUSBREV.PDF - Request for Review of Research Activity Involving Human Subjects - None
• HUSBSLPR.PDF - Request for Single Project Assurance Negotiation - None
• IMAPPL.PDF - Impac Purchase Card Application Form - Replaced by PURCH-NEW.PDF
  
• IMMSC.PDF - Level IV MSC Security Statement - 5/12/95
• IMUSER.PDF - Level IV User Security Statement - 5/12/95
  
• INS - Link to Web Site for Immigration and Naturalization Service Forms
• INFECMTRL.PDF - Registration of Materials (Potentially) Infectious for Humans - 6/99
• IMMUNREQ.PDF - Travel Immunization Request Form - None
• INTLLVWAIV.PDF - NIH International Travel Waiver Form - 5/06
• INVEMREC.PDF - Inventory of Emergency Operating Records - None
  
  
• IRS8233.PDF - IRS-8233 - Exemption from Withholding on Compensation for Independent (and Certain Dependent) Personal Services of a Nonresident Alien Individual - 10/96

IRTA Forms

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

   

• I-9.PDF - I-9 - Employment Eligibility Verification - 11/21/91
• LEAVE_REC 2008.PDF - Personal Leave Record for 2008
• MANLOG.PDF - Manual Log Voluntary Leave Transfer - None
• MVA - All States - Link to Web Site
• MVA - Maryland - Link to Web Site

NCI Forms

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

NIH Forms

• NH29_2.PDF - NIH 29-2 - Request for Safety Glasses - 10/06
• NH69.PDF - NIH 69 - Request for Services - 4/77
• NH75.PDF - NIH 75 - Request for Translating Service - 10/04
• NH79_3.PDF - NIH 79-3 - NIH Centralized Animal Order Request - 10/90
• NH88_1.PDF - NIH 88-1 - Request for Purchase and Use of Radioactive Materials - 7/00
• NH88_12.PDF - NIH 88-12 - Monthly Laboratory Contamination Survey - 12/99
• NH88_16 - NIH-88-16 - Isotope Receipt, Utilization and Disposal Record - Obsolete
• NH88_22.PDF - NIH 88-22 - Radiation Safety Branch User Registration Record - Obsolete
• NH88_37.PDF - NIH 88-37 - Radiation Safety Training Orientation Documentation - Obsolete
• NH145_2.PDF - NIH 145-2 - Request for Official Personnel Folder (OPF) - 2/87
• NH254.PDF - NIH-254 - Report of Loss or Damage of Property - 5/92 - Obsolete and replaced by HHS 342, Report of Survey
• NH356.PDF - NIH 356 - NIH Visiting Program Acceptance Notice - 3/03
• NH368.PDF - NIH 368 - Property Pass - 11/86
• NH414_5.PDF - Obsolete - NIH 414-5 - Request for NIH Manual Issuances - 8/88
• NH414_6.PDF - NIH 414-6 - NIH Manual Chapter Review Record - 6/08
• NH414_7.PDF - NIH 414-7 - NIH Manual Chapter Concurrence and Approval Record - 7/04
• NH433.PDF - NIH 433 - Request to Change NIH Directory Information - 7/94
• NH465_1.PDF - NIH-465-1 - Application for Radionuclide Authorization - 9/05 - Includes Prospective Authorized User Information page.
  
• 
  
• NH465_2.PDF - NIH 465-2 - Prospective Authorized User Information - Obsolete
• NH489_1.PDF - NIH 489-1 - Nomination for NIH-Sponsored Courses - 11/88
• NH552_2.PDF - NIH 552-2 - Transportation Section Moving Data Record - 12/64
• NH590.PDF - NIH 590 - Special Volunteer and Guest Researcher Assignment - 1/99 (Note: Includes a version for use with the Courtesy Contract and a version for NICHD.)
• NH590-2.PDF - NIH 590 - NIH Special Volunteer Agreement - 3/98
• NH649.PDF - NIH 649 - Report of Property Transfer - 7/91
• NH649_1.PDF - NIH 649-1 - Shipping/Transfer Order and Receipt Document - Contract Property - 8/85
• NH649_2.PDF - NIH 649-2 - Report of Loss, Damage or Destruction of Property - 5/78
• NH649_3.PDF - NIH 649-3 - Donation of Contractor-Acquired Property - 1/92
• NH649_4.PDF - NIH 649-4 - Transfer of Government Property Title to SBIR Contractor-Awardee - 12/86
• NH649_6.PDF - NIH 649-6 - Report of Lease Property Returned to Vendor - 12/94
• NH750_2.PDF - NIH 750-2 - Request for Medical Determination and Report of Findings - 6/98
• NH750_3.PDF - NIH 750-3 - Medical Qualification Determination Questionnaire - None
• NH827.PDF - NIH 827 - Request for Conference Room - 9/92
• NH827_1.PDF - NIH-827-1 - Request for Acquisition of Temporary Commercial Conference Space - 4/08
• NH827_2.PDF - NIH 827-2 - Request for Use of Lister Hill Auditorium - 6/03
• NH829_1.PDF - NIH 829-1 - Request for Appointment to NIH Visiting Program - 3/99
• NH829_2.PDF - NIH 829-2 - Request for NIH Visiting Fellowship Award - 3/98
• NH829_5.PDF - NIH 829-5 - Notification of Termination of Visiting Program Participation - 1/90
• NH829_6.PDF - NIH 829-6 - J-1 Exchange Visitor Program--Certification of Health Insurance Coverage - 4/04
• NH829_6.PDF - NIH 829-6 - J-1 Visa Program Certification of Health Insurance Coverage - 5/02
• NH829_7.PDF - NIH 829-7 - Request for NIH Supplemental Visiting Fellowship Award - 5/95
• NH1154_3.PDF - NIH 1154-3 - Final Certification of Acceptable Costs - 1/07
• NH1192.PDF - NIH 1192 - Animal Health and Shipping Certificate - 11/80
• NH1382_2.PDF - NIH 1382-2 - Motor Vehicle Trip Ticket - 9/93
• NH1531_1.PDF - NIH 1531-1 - Request for Special Report from Taps - 12/81
• NH1533.PDF - Obsolete - NIH 1533 - Nomination for DCRT Computer Training - 12/90
• NH1590.PDF - NIH 1590 - Acquisition Worksheet - 9/92
• NH1616_1.PDF - NIH 1616-1 - Request for Publication and Speech Clearance - 9/96
• NH1616_2.PDF - NIH 1616-2 - Request for Publication and Speech Clearance - 11/73 (Note - Includes NICHD version)
• NH1616_3.PDF - NIH 1616-3 - Request for NIAID Approval of Publication or Presentation - 7/92
• NH1616_4.PDF - NIH 1616-4 - Request for Approval of Publication or Presentation - 5/84
• NH1625.PDF - NIH 1625 - Equipment Temperature Record - 3/70
• NH1688_1.PDF - NIH 1688-1 - Project Objectives - 9/02
• NH1742.PDF - NIH 1742 - Agency Agreement and Clearance - 7/99
• NH1757_1.PDF - Obsolete - Justification for Other than Full and Open Competition (JOFOC) - Please see the Office of Acquisition Management and Policy (OAMP) website.
• NH1757_7.PDF - Obsolete - Justification for Other than Full and Open Competition (JOFOC)  - Please see the Office of Acquisition Management and Policy (OAMP) website.
• NH1767_1.PDF - NIH 1767-1 - DCRT Account Authorization - Please see the CIT Account Forms website.
• NH1767_2.PDF - Obsolete - NIH 1767-2 - DCRT Information Change Notice
• NH1767_3.PDF - NIH 1767-3 - DCRT Outside Account Authorization Interagency Agreement - Please see the CIT Account Forms website.
• NH1767_4.PDF - NIH 1767-4 - Interagency Agreement for Annual Renewal of DCRT Outside Account Authorization - Please see the CIT Account Forms website.
• NH1767_5.PDF - NIH 1767-5 - Deregistration Official Authorization for DCRT Accounts - Please see the CIT Account Forms website.
• NH1820.PDF - NIH 1820 - Notification of Proposal to Make an Award - 1/96
• NH1861_1.PDF - NIH-1861-1 - Purchase Request - 3/08
  
• NH1861_3.PDF - NIH 1861-3 - Requisition Worksheet - 11/89
• NH1861_9.PDF - NIH 1861-9 - Requisition Worksheet - 10/92
• NH1872.PDF - 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.PDF - NIH 1884-1 - Commercial Invoice - 12/89
• NH1962_1.PDF - NIH 1962-1 - Request for and Authorization (or Approval) of Overtime Work - 7/72
• NH1962_2.PDF - NIH 1962-2 - Overtime Request and Approval Record - 4/86
• NH1962_8.PDF - NIH 1962-8 - Request for Approval and Authorization of Overtime
• NH1964_1.PDF - NIH 1964-1 - Record of Witness of Disposal of Controlled Substances - 8/92
• NH2010.PDF - NIH 2010 - Notice of Financial Action on Fellowship Award - 3/93
• NH2027.PDF - NIH 2027 - Report of Leave as Shown in Itinerary of Travel Voucher - 12/72
• NH2028.PDF - NIH 2028 - Request for Permanent Change of Station Orders--Civilian Personnel and Other Appointed Persons - 10/02, pamphlet revised 1/03
• NH2028-1.PDF - NIH 2028 - Request for Permanent Change of Station Orders--Non-FTE Persons - 10/02
• NH2066.PDF - NIH 2066 - Record of Personal Appeal Items - 10/81
• NH2138.PDF - NIH 2138 - Key/Lock Work Request - 1/89
• NH2144.PDF - NIH 2144 - Fellowship Termination Notification - 7/90
• NH2179.PDF - NIH 2179 - Agreement for the Loan of Property to NIH - 9/91
• NH2245.PDF - NIH 2245 - Application for Continuing Education Program Staff Training in Extramural Programs (STEP) - 9/95
• NH2252_1.PDF - NIH 2252-1 - Knowledges, Skills, and Abilities (KSA) Job Analysis - 3/91
• NH2252_2.PDF - NIH 2252-2 - Knowledges, Skills, and Abilities (KSA) Crediting Plan - 3/91
• NH2252_3.PDF - NIH 2252-3 - Knowledges, Skills, and Abilities (KSA) Supplemental Form - 3/91
• NH2272.PDF - NIH 2272 - Record of Congressional Inquiry Received by Telephone - None
• NH2298.PDF - NIH 2298 - Authorization to Release Student Information - 5/95
• NH2333.PDF - NIH 2333 - NRSA Special Action/Change Notice - 3/86
• NH2345.PDF - NIH 2345 - Report of Rental Equipment and Services Received - 7/81
• NH2369_1.PDF - NIH 2369-1 - Application for Permit to Introduce Rodents and Rodent Products - 8/04
• NH2369_2.PDF - NIH 2369-2 - Rodent Quarantine Release - 8/05
• NH2386_3.PDF - NIH 2386-3 - Administrative Time and Leave Record - 1/80
• NH2388.PDF - NIH 2388 - Declaration for Exportation of Biologic Materials - 11/06
• NH2408.PDF - NIH 2408 - Request for Use of Gift Funds (for Other than Entertainment Expenses) - 2/04
• NH2408_1.PDF - NIH 2408-1 - Request for Use of Appropriated Funds/Gift Funds for Light Refreshments/Meals and Other Entertainment Expenses - 2/04
• NH2489.PDF - Personal Property Loan Record - Obsolete and replaced by NIH 2489-2 and NIH 2489-3 below.
• NH2489_1.PDF - NIH 2489-1 - Record of Loan-Donation of Personal Property to Foreign Countries - 6/94
• NH2489-2.PDF - NIH 2489-2 - Record of Personal Property Loan to Non-Federal Government Organizations or Individuals - 10/99
• NH2489-3.PDF - NIH 2489-3 - Record of Personal Property Loan to Federal Organizations or Individuals - 10/99
• NH2500.PDF - NIH 2500 - Notification of Organization Change - 9/04
• NH2512_2.PDF - NIH 2512-2 - Request for Organization Change - 8/90
• NH2513.PDF - NIH 2513 - Record of Expenses for Travel Reimbursement - 6/82
• NH2539_4.PDF - NIH 2539-4 - Acknowledgment of Application and Report of Action Taken - 11/90
• NH2542_1.PDF - 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.PDF - 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.PDF - NIH 2544 - Professional Services Acquisitions - 11/85
• NH2555.PDF - NIH 2555 - Order for Supplies or Services - 12/94
• NH2555_1.PDF - NIH 2555-1 - Purchase Order Terms and Conditions for Supplies and Services - 11/91
• NH2555_4.PDF - NIH 2555-4 - Addendum to Terms and Conditions of Purchase Order - 11/91
• NH2558.PDF - OMS Medical Evaluation of Functional Activities - 4/04
• NH2560.PDF - NIH 2560 - Request for Restoration of Annual Leave - 11/84
• NH2562.PDF - NIH 2562 - Report of Joint Endeavor Between NIH and Commercial, For-Profit Organizations - 9/88
• NH2570.PDF - NIH 2570 - Checklist for Microfilming Projects - 11/90
• NH2573.PDF - NIH 2573 - Request for Mailing and Distribution Services - 7/85
• NH2581.PDF - NIH 2581 - Tentative Estimate of Foreign Area Allowances and Differentials - 5/86
• NH2582.PDF - NIH 2582 - Contractor's Release for All Contracts - 6/86
• NH2585.PDF - Obsolete - NIH 2585 - Individual Performance Plan - 10/90
• NH2590.PDF - NIH 2590 - Request for Intramural Research Training Award (IRTA) - 5/97
• NH2590_1.PDF - NIH 2590-1 - Verification of U.S. Citizenship or Permanent Residency Status NIH Intramural Research Training Award (IRTA) Program - 2/88
• NH2590_2.PDF - NIH 2590-2 - Request for Supplemental Intramural Research Training Award (Supplemental IRTA) - 6/97
• NH2590_3.PDF - NIH 2590-3 - Request for Student Support Intramural Research Training Award (Student Support IRTA) - 11/94
• NH2590_4.PDF - NIH 2590-4 - Request for Technical Intramural Research Training Award (Technical IRTA) - 7/95
• NH2604.PDF - NIH 2604 - Delegation of Acquisition Authority - 4/01
• NH2604_1.PDF - NIH 2604-1 - Request for Ordering Official Authority - 4/01
• NH2619.PDF - NIH 2619 - Request for Transmission of Telegraphic Message - 3/87
• NH2652.PDF - NIH 2652 - Code Sheet for the NIH Special Volunteer Program and Guest Researcher Assignment - 4/88
• NH2657.PDF - NIH 2657 - Supplemental Information to Form HHS 520 - Link goes to the NIH Ethics Program website.
• NH2666.PDF - NIH 2666 - Request for Summer Intramural Research Training Award (Summer IRTA) - 3/90
• NH2674.PDF - NIH Loan Repayment Programs forms - Please see the NIH Loan Repayment Programs website for all forms.
• NH2676_1.PDF - NIH 2676-1 - DHHS Employee Emergency Payment Request Promissory Repayment Agreement, and Salary Offset Authorization - 12/90
• NH2676_2.PDF - NIH 2676-2 - DHHS Amendment to Employee Emergency Payment Request Promissory Repayment Agreement, and Salary Offset Authorization - 12/90
• NH2680_1.PDF - NIH 2680-1 - Manuscript Transmittal Sheet - 11/91
• NH2683.PDF - NIH 2683 - Certification that Property is Free from Hazards - 2/00
• NH2684.PDF - NIH 2684 - Approval for Use of Foreign Flag Carrier - 8/02
• NH2685_1.PDF - NIH 2685-1 - Notification of Mailing Address for Non-Employee Workers - 08/90
• NH2690.PDF - NIH 2690 - Registration Document for Recombinant DNA Experiments - 8/90
• NH2696.PDF - NIH 2696 - Evaluation of Employee Suggestion - 6/91
• NH2705_1.PDF - NIH 2705-1 - NIH Transhare Program--Application - 3/06
• NH2705_3.PDF - NIH 2705-3 - NIH Transhare Program--Receipt of Fare Media - 7/03
• NH2705_4.PDF - NIH 2705-4 - NIH Transhare Program--Program Renewal - 7/03
• NH2705_5.PDF - NIH 2705-5 - NIH Transhare Program--Termination - 7/03
• NH2705_6.PDF - NIH 2705-6 - NIH Transhare Program--Vanpool Group Renewal - 7/03
• NH2705_7.PDF - Obsolete - NIH 2705-7 - NIH Transhare Program--Bi-Monthly Commuting Cost Certification - replaced by NH2831_1.PDF and NH2831_2.PDF
• NH2709.PDF - NIH 2709 - Ridefinders Network Application (Carpool--Vanpool) - 6/04
• NH2735.PDF - NIH-2735 - Hand-Carry Delivery Slip - 3/06
• NH2736_1.PDF - NIH 2736-1 - Justification for Temporary Limited Appointment - 11/93
• NH2736_2.PDF - NIH 2736-2 - Request for Certification of Eligibles for Temporary Limited Positions - 11/93
• NH2736_3.PDF - NIH 2736-3 - Employee's Statement of Understanding Regarding Temporary Appointment - 11/93
• NH2737.PDF - NIH-2737 - Administrative Exit Checklist - Please use NIH 2737-2 below.
• NH2737_1.PDF - NIH-2737-1 - Clearance of Personnel for Separation or Transfer - Please use NIH 2737-2 below.
• NH2737_2.PDF - NIH 2737-2 - Clearance of Personnel for Separation or Transfer - 8/97
• NH2741.PDF - NIH 2741 - Request to Cannibalize Personal Property - 12/93
• NH2760.PDF - NIH 2760 - NIH Excess (Surplus) Personal Property Screening Record - 3/96
• NH2765_1.PDF - NIH-2765-1 - Request for Controlled Substances for Nonhuman Use - 4/08
• NH2765_2.PDF - NIH-2765-2 - Controlled Substance Record for Nonhuman Use - 4/08
• NH2765_3.PDF - NIH-2765-3 - Intra-Institute Controlled Substance Transfer Notification - 4/08
  
• NH2778.PDF - NIH 2778 - Senior Executive Service Performance Plan - 11/97
• NH2788_1.PDF - NIH 2788-1 - Renewal For Parking Permits (for General Permits, Off-Campus Permits, Red Permits, and Satellite Permits) - 8/06
• NH2788_2.PDF - NIH 2788-2 - Request for Campus Parking Permit for Contract Employees - 7/04
• NH2788_3.PDF - NIH 2788-3 - Mail-in Renewal for Carpool Permits - 5/04
• NH2798.PDF - NIH 2798 - Request to Establish or Change Property Custodial Account Data - 10/03
• NH2805.PDF - NIH 2805 - Inventory of Vital Records - 11/04
• NH2818.PDF - NIH 2818 - Notification of Receipt of Personal Property - 4/03
• NH2831_1.PDF - NIH 2831-1 - NIH TRANSHARE Program--Commuting Cost Declaration (For use in May through October) - 7/03
• NH2831_2.PDF - NIH 2831-2 - NIH TRANSHARE Program--Commuting Cost Declaration (For use in November through April) - 7/03
• NH2833.doc - NIH 2833 - NIH Award Nomination
(Link to MS Word file on OHR Website)
• NH2835_1.PDF - NIH 2835-1 - Telework Application and Agreement - 10/03
• NH2835_2.PDF - NIH 2835-2 - Telework Equipment Inventory - 10/03
• NH2835_3.PDF - NIH 2835-3 - Telework Office Evaluation - 10/03
• NH2835_4.PDF - NIH 2835-4 - Sample Pre-Telework Worksheet - 10/03
• NH2839.PDF - NIH 2839 - Personal Custody Pass - 3/05
• NH2850.PDF - NIH 2850 - Non-Compliance Referral for Ethics Violations - Link goes to the NIH Ethics Program website.
• NH2851_1.PDF - NIH 2851-1 - Request For Student Loan Repayment Benefit - 8/08
  
• NH2851_2.PDF - Revised - NIH 2851-2 - Student Loan Repayment Program Service Agreement - 12/08
• NH2851_3.PDF - NIH 2851-3 - Outstanding Loan Information - 3/06
• NH2851_4.PDF - NIH 2851-4 - Waiver of Student Loan Indebtedness - 3/06
• NH2866.PDF - Revised - NIH-2866 - Position Sensitivity Worksheet - 12/31/08
• NH2866-Instr.PDF - Revised - Instructions Page for Form NIH 2866 - 12/31/08
• NHFACIL.PDF - Occasional Use of NIH-Controlled Facilities by the Public - None
• NHPRTCL.PDF - NIH Animal Study Proposal - 3/02

• NIH_AWARD_NOM.PDF - NIH Award Nomination - Replaced by NH2833.PDF.

NINDS Forms

• NSAWCASH.PDF - NINDS Cash Award Program for Clerical and Administrative Support Referral Form - None
• NSAWEMMO.PDF - NINDS Employee of the Month Nomination Form - None
• NSAWSCHG.PDF - NINDS Documentation for Change in AWS Day Off - None
• NSBNSEP.PDF - NINDS Clearance of Personnel for Separation or Transfer - None
• NSBNPTRN.PDF - NINDS Training Request Authorization Form - None
• NSDEVPLN.PDF - NINDS Individual Development Plan - 8/98
• NSGRNTCH.PDF - NINDS Change Request on Extramural Program Application or Grant/Award - None
• NSIRTANW.PDF - NINDS New IRTA Package Form - None
• NSMNCNTR.PDF - NINDS Maintenance Contracts - None
• NSMNHRCH.PDF - NINDS Man-Hours Chart - None
• NSPRFPLN.PDF - NINDS Performance Appraisal System - 4/96
• NSPRFSRV.PDF - NINDS Professional Services Request Form - None
• NSPRGRPT.PDF - NINDS Annual Progress Report Abstract - None
• NSPRTCL.PDF - NINDS Animal Study Proposal - 3/99 - No longer available in Adobe Acrobat. Use Filemaker Pro version - NSPRTCL.FP3
• NSPSNEVL.PDF - NINDS Factor Evalaution System Position Evaluation Statement - None
• NSSERPRT.PDF - NINDS Rental of Serp Equipment - None
• NSSPVLAG.PDF - NINDS Special Volunteer Program Service Agreement - None
• NSTEMPPO.PDF - NINDS Applicant Supply File Referral Temporary Positions - None
• NSTRAIN.PDF - NINDS Training Request/Authorization Form - None
• NSTRNEVL.PDF - NINDS Training Course Evaluation - None
• NSVOLEML.PDF - NINDS Employer's Special Volunteer Agreement - None
• NSWOMCLN.PDF - NINDS Tracking of Women & Minorities in Clinical Studies - 3/8/96
• OBCCAUTH.PDF - Obsolete - Ober United Travel Agency Charge Card Authorization - 
• OBFSTFAX.PDF - Ober FastRes Fax Form - 6/9/98 - Replaced by WTSFSTFX.PDF
• OBFRQTRV.PDF - Ober United Travel Agency Very Important Traveler Profile - Replaced by WTSFRQTR.PDF

Optional Forms

• OF5.PDF - OF-5 - Inquiry as to Availability - 3/82
• OF8.PDF - OF-8 - Position Description - 1/85 (Link takes you to GSA's website)
• OF11.PDF - OF-11 - Reference Request - Federal Records Centers - 7/87
• OF41.PDF - OF-41 - Routing and Transmittal Slip - 1/94
• OF41-lg.PDF - OF-41 - Routing and Transmittal Slip (full page) 1/94
• OF69-HHS.PDF - OF-69 - HHS Assignment Agreement IPA - no date
• OF108.PDF - OF-108 - Daily Vehicle Use Record - 10/92
• OF132.PDF - OF-132 - Property Disposal Authorization and Survey Report - 8/90
• OF306.PDF - OF-306 - Declaration for Federal Employment - 9/94
• OF310.PDF - OF-310 - Protection of Human Subjects - Assurance Identification/Certification/Declaration - 9/92
• OF311.PDF - OF-311 - Application for Federal Employee Commercial Garnishment - 3/97
• OF333.PDF - Obsolete - OF-333 - Procurement Integrity Certification for Procurement Officials - 10/92
• OF363.PDF - OF-363 - Memorandum of Call - 7/94
• OF510.PDF - OF-510 - Privacy and Public Burden Statements - 9/94
• OF612.PDF - OF-612 - Optional Application for Federal Employment (Link takes you to OPM's website)
• OF630.PDF - OF-630 - Leave Recipient Application Under the Voluntary Leave Transfer Program - 6/89
• OF630A.PDF - OF-630A - Request to Donate Annual Leave to Leave Recipient (Within Agency) Under the Leave Transfer Program - 6/89
• OF630B.PDF - OF-630B - Request to Donate Annual Leave to Leave Recipient (Outside Agency) Under the Leave Transfer Program - 6/89

   

• OGE450 - OGE 450 - Confidential Financial Disclosure Reports - Link goes to the NIH Ethics Program website.
• OM0990_31.PDF - OMB-0090-31 - DHHS Applicant Background Survey - None

OPM Forms

• OP913B.PDF - OPM-913B - Change Form - Recognitions and Agreements - 7/94
• OP117017.PDF - Obsolete - OPM-1170/17 - Supplemental Qualifications Statement List of College Courses and Certificate of Scholastic Achievement - None
• OP117029.PDF - Obsolete - OPM-1170/29 - Supplemental Qualifications Statement Medical and Dental Officer - 6/79
• OP1390.PDF - OPM-1390 - Executive Personnel Transaction - 4/79
• OP1397.PDF - OPM-1397 - U.S. OPM Worksheet for Special Salary Rate Requests - 5/98
• OP1482.PDF - OPM-1482 - FEGLI Agency Certification of Status of Reemployed Annuitants - 2/93
• OP1510.PDF - OPM-1510 - Certification of Agency Offer of Position and Required Documentation (for Discontinued Service Retirement Under CSRS or FERS) - 10/94
• OP1515.PDF - OPM-1515 - Military Service Deposit Election - 12/00
• OP1519.PDF - OPM-1519 - Survivor's Military Service Election Deceased Employee Covered by CSRS or CSRS Offset - 1/93
• OP1537.PDF - OPM-1537 - Current/Former Spouse's Notification of Application for Refund of Retirement Deductions - 5/85
• OP1555.PDF - OPM-1555 - Election of Coverage Federal Employees Retirement System - 6/87
• OP1635.PDF - OPM-1635 - Welfare to Work Program - 4/97
  
  
• OS544.PDF - OS-544 - Sign-in/Sign-out Sheet - 12/85

PHS Forms

Many links go to the Health and Human Service's websites, http://www.hhs.gov/forms and http://intranet.hhs.gov/forms.

• PH50.PDF - PHS-50 - Application for Appointment as a Commissioned Officer in the U.S. Public Health Service Commissioned Corps - 7/97
• PH398BIO.PDF - PHS-398 - Biographical Sketch (Biography page ONLY. For intramural use) - 5/95
• PH416_1.PDF - PHS-416-1 - Individual National Research Service Award Application (Link to NIH Grants Website)
• PH416_5.PDF - PHS-416-5 - Research Fellowship Activation Notice (Link to NIH Grants Website)
• PH488.PDF - PHS-488 - Claim for Temporary Lodging Allowance (TLA) - 5/99
• PH838.PDF - PHS-838 - Commissioned Officers' Effectiveness Report - 11/01
• PH1345.PDF - PHS-1345 - Request and Authority for Leave of Absence - 9/77
• PH1485.PDF - PHS-1485 - DHHS Grant Continuation - 6/83
• PH1558.PDF - PHS-1558 - Request for Travel Reservations - 8/75
• PH1637_1.PDF - PHS-1637-1 - Public Health Service Commissioned Officer's Request for Dependency Determination - 4/92
• PH1637_3.PDF - PHS-1637-3 - DHHS, PHS Parent's Dependency Affidavit - 09/81
• PH1662.PDF - Request for Personnel Action - Commissioned Officer - 6/97
• PH1813.PDF - PHS-1813 - Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps - 7/97
• PH2977.PDF - PHS-2977 - Quarters Allowance Certificate PHS Commissioned Officer Without Dependents - 5/90 
• PH2988.PDF - PHS-2988 - Voucher for Reimbursement for Travel - Dependents of PHS Commissioned Officers - 9/92
• PH4392.PDF - PHS-4392 - Billet Description - 11/94
• PH4392_1.PDF - PHS-4392 - Billet Description - 11/94
• PH4469_1.PDF - PHS-4469-1 - Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP) Evaluation Questionnaire - 6/94
• PH4772.PDF - PHS-4772 - Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP) Status Report - 10/93
• PH5141.PDF - PHS-5141 - Appointment Affidavit - 2/92
  PH5141_1.PDF - PHS-5141-1 - Appointment Affidavit Reserve Corps - 2/00
• PH6040.PDF - PHS-6040 - Notice of Intramural Research Project - 5/92
• PH6059.PDF - PHS-6059 - Request for Overseas Station Allowances - 6/99
• PH6106.PDF - PHS-6106 - Agreement to Receive an Allowance Under the Federal Physicians Comparability Allowance Program - 9/88
• PH6127.PDF - PHS-6127 - Commissioned Corps Inactive Reserve Corps Questionnaire - 11/96
• PH6186.PDF - PHS-6186 - Request for Advance of Station Housing Allowance - 11/91
• PH6342_1.PDF - PHS-6342-1 - PHS Unit Honor Award Nomination Record - 2/97
• PH6342_2.PDF - PHS-6342-2 - PHS Individual Honor Award Nomination Record - 2/97
• PH6349.PDF - PH-6349 - Annual Report on Possible Misconduct in Science - 10/91
• PH6353_1.PDF - PH-6353-1 - Request for Voluntary State Income Tax Withhholding from Retired Pay - 5/96
• PH6363.PDF - PHS-6363 - DHHS-PHS-Commissioned Corps Request to Establish/Change Mailing Address - 3/97
• PH6373.PDF - PHS-6373 - DHHS, PSC, Extramural Training Agreement - 9/96
• PH6374.PDF - PHS-6374 - DHHS, PSC, Intramural Training Agreement - 9/96
• PH6385.PDF - PHS-6385 - Status Report on Commissioned Corps Officers During Probation - 3/93
• PH7017.PDF - PHS-7017 - Reeemployment Priority List Registration - 7/94
• PH7017-1.PDF - PHS-7017-1 - Reemployment Priority List Employee Disposition Record - 7/94
• PH7034.PDF - PHS-7034 - Application for Assimilation into the Regular Corps - 2/98
• PH7036.PDF - PHS-7036 - Reimbursement Request for Adoption Expenses - 4/98
• POTERMS.PDF - Purchase Order Terms and Conditions 8/96
• PPQ526.PDF - PPQ-526 - USDA Application and Permit to Move Live Plant Pests or Noxious Weeds - 9/95
• PREMAPP7.PDF - Request For Premium Class Common Carrier Travel Accommodations For Employees With Medical Conditions - 8/08
  
• PREMAPP8.PDF - Individual Trip Authorization (Non-Medical) - Authorization For Use of First-Class or Premium-Class Other Than First-Class (PCotFC) Travel Accommodations
• PROPCODE.PDF - Request for Property Classification/Property Manufacturer Codes - None
• PRSMDHST.PDF - Personal Medical History - None

Purchase Card Program

• PURCH-NEW - Revised - Request For New Purchase Cardholder - 1/09
  
• PURCH-NEWCAO - Revised - Request For New Purchase Card Approving Official - 1/09
• PURCH-CAOCHG - Revised - CAO Change Request Form - 1/09
• PURCH-CHKS - Revised - Request For Convenience Checks - 1/09
• PURCH-CANCEL - Revised - NIH Purchase Card Program Cancellation Request Form - 1/09
  
• IMDISPUT.PDF - I.M.P.A.C. Cardholder Statement of Questioned Item - 9/98
• IMRCPTST.PDF - Impac Statement for Recipients of Purchase Card Check Issued for a Professional Service Order - None
• JPM-Dispute.PDF - New - JPMorgan SmartPay 2 Dispute Form - None

• PSADDCHG - Postal Service Change of Address Forms Note - This is a web link only to the Postal Services web site.
• RADBADGE.PDF - Obsolete - Film Badge Registration Form, Radiation Safety Branch
• RADDISC.PDF - Radioactive Materials Package Discrepancy/Problem Reporting Form - None
• RADORNT.PDF - Authorized User Acknowledgement Form - None
• RETIRANU.PDF - Retirement Annuity Estimate - None
• RI38_124.PDF - RI 38-124 - Voluntary Contributions Election - 9/94 (includes Employee Information pages)
• RI38_128.PDF - RI 38-128 - Direct Deposit
• RI76_10.PDF - RI 76-10 - FEGLI Assignment of Federal Employees' Group Life Insurance - 1/95
• RI83_011.PDF - RI 83-011 - Booklet - Thinking About Retirement
• RSACCHND.PDF - Reasonable Accommodations for Handicapped Employees During Inclement Weather - None
• RSTANNLV.PDF - Request for Restoration of Annual Leave - None
• RWHSLST.PDF - 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.PDF - Authorization for Purchase and Request for Change United States Inflation-Indexed Savings Bonds - None
• SERPPUR.PDF - Request for Purchase of Rented Equipment - None
• SESRECRT.PDF - DHHS, NIH, Senior Executive Service Recertification Form - None

Standard Forms

• SF8.PDF - SF-8 - Notice to Federal Employee About Unemployment Insurance - 6/87
• SF15.PDF - SF-15 - Application for 10-Point Veteran Preference - 2/90
• SF18.PDF - SF-18 - Request for Quotation - 6/95
• SF26.PDF - SF-26 - Award/Contract - 4/85
• SF30.PDF - SF-30 - Amendment of Solicitation/Modification of Contract - 10/83
• SF39.PDF - SF-39 - Request for Referral of Eligibles - 11/88
• SF33.PDF - SF-33 - Solicitation, Offer and Award - 9/97
• SF52.PDF - SF-52 - Request for Personnel Action - 6/30/93 (Link takes you to GSA's website)
• SF59.PDF - SF-59 - Request for Approval of Noncompetitive Action - 1/79
• SF61.PDF - SF-61 - Appointment Affidavits - 6/96
• SF62.PDF - SF-62 - Agency Request to Pass Over a Preference Eligible or Object to an Eligible - 10/79
• SF71.PDF - SF-71 - Application for Leave - 12/98
• SF75.PDF - SF-75 - Request for Preliminary Employment Data - 8/98
• SF78.PDF - SF-78 - U.S. Civil Service Commission Certificate of Medical Examination - 10/69
• SF81.PDF - SF-81 - Request for Space - 2/89
• SF85P_S.PDF - SF-85P-S - Supplemental Questionnaire for Selected Positions - 9/95
• SF88.PDF - SF-88 - Report of Medical Examination - 3/89
• SF93.PDF - SF-93 - Report of Medical History - 6/96
• SF113A.PDF - SF-113A - Monthly Report of Federal Civilian Employment - 8/94
• SF115.PDF - SF-115 - Request for Records Disposition Authority - 3/91
• SF115A.PDF - SF-115A - Request for Records Disposition Authority - Continuation - 3/91
• SF120.PDF - SF-120 - Report of Excess Personal Property - 4/57
• SF120A.PDF - SF-120A - Report of Excess Personal Property Continuation Sheet - 4/57
• SF121.PDF - Annual Report of Utilization and Disposal of Excess and Surplus Personal Property - 5/96
• SF122.PDF - SF-122 - Transfer Order Excess Personal Property - 6/74
• SF123A.PDF - SF-123A - Transfer Order Supplies Personal Property Continuation Sheet - 5/98
• SF123A.PDF - SF-123A - Transfer Order Supplies Personal Property Continuation Sheet - 10/77
• SF126.PDF - SF-126 - Report of Personal Property for Sale - 7/78
• SF126A.PDF - SF-126-A - Report of Personal Property for Sale Continuation Sheet - 2/65
• SF135.PDF - SF-135 - Records Transmittal and Receipt - 7/85
• SF135A.PDF - F-135A - Records Transmittal and Receipt (Continuation) - 7/85
• SF152.PDF - SF-152 - Request for Clearance or Cancellation of a Standard or Optional Form - 2/96
• SF171.PDF - SF-171 - Application for Federal Employment - 6/88 (Obsolete)
• SF180.PDF - SF-180 - Request Pertaining to Military Records - 7/86
• SF181.PDF - SF-181 - Ethnicity and Race Identification - 8/05
(Link takes you to GSA's Standard Forms website)
• SF256.PDF - SF-256 - Self-Identification of Handicap - 8/87
• SF258.PDF - SF-258 - Request to Transfer, Approval, and Receipt of Records to National Archives of the United States - 9/95
• SF278.PDF - SF-278 - Public Financial Disclosure Reports - Link goes to the Office of Government Ethics. Check with your IC Ethics Office for instructions before using the form.
  
• SF282.PDF - SF-282 - Mandatory Title Check - 4/79
• SF293.PDF - SF-293 - Notice to Separated Employee Concerning Disposition of Official Personnel Folder/Merged Records Personnel Folder and Employee Medical Folder - 7/89
• SF298.PDF - SF-298 - Report Documentation Page - 2/89
• SF308.PDF - SF-308 - Request for Wage Determination and Response to Request - 5/85
• SF326.PDF - SF-326 - Semiannual Report of Payments Accepted from a Non-Federal Source - Link goes to the NIH Ethics Program website.
• 
  
• SF326A.PDF - SF-326A - Semiannual Report of Payments Accepted from a Non-Federal Source (Continuation Sheet) - Link goes to the NIH Ethics Program website.
• SF329.PDF - SF-329 - Administrative Wage Garnishment Form - 11/98
• SF364.PDF - SF-364 - Report of Discrepancy - 2/80
• SF424.PDF - SF-424 - Application for Federal Assistance - 4/92
• SF424A.PDF - SF-424A - Budget Information - Non-construction Programs - 4/92
• SF424B.PDF - SF-424B - Assurances -- Non-Construction Programs - 4/92
• SF424C.PDF - SF-424C - Budget Information - Construction Programs - 4/92
• SF424D.PDF - SF-424D - Assurances -- Construction Programs - 4/92
• SF450.PDF - Obsolete - SF-450 - This has been replaced by form OGE-450
• SF510.PDF - SF 510 - Nursing Notes - 7/91 (Link takes you to GSA's website)
• SF813.PDF - SF-813 - Verification of a Military Retiree's Service in Nonwartime Campaigns or Expeditions (Link takes you to OPM's website)
• SF1012.PDF - SF-1012 - Travel Voucher - 10/77
• SF1034.PDF - SF-1034 - Public Voucher for Purchases and Services other than Personal - 10/67
• SF1035.PDF - SF-1035 - Public Voucher for Purchases and Services other than Personal (Continuation Sheet) - 9/73
• SF1035A.PDF - SF-1035A - Public Voucher for Purchases and Services other than Personal - Memorandum - (Continuation Sheet) - 9/73
• SF1038.PDF - SF-1038 - Advance of Funds Application and Account - 10/77
• SF1081.PDF - SF-1081 - Voucher and Schedule of Withdrawals and Credits - 9/82
• SF1152.PDF - SF-1152 - Designation of Beneficiary Unpaid Compensation of Deceased Civilian Employee - 11/91
• SF1153.PDF - SF-1153 - Claim for Unpaid Compensation of Deceased Civilian Employee - 4/82
• SF1154.PDF - SF-1154 - Public Voucher for Unpaid Compensation Due A Deceased Civilian Employee - 9/67
• SF1187.PDF - SF-1187 - Request for Payroll Deductions for Labor Organization Dues - 3/89
• SF1190.PDF - SF-1190 - Foreign Allowances Application, Grant and Report - 1/98
• SF1199A.PDF - SF-1199A - Direct Deposit Sign-up Form - 6/87
• SF1303.PDF - SF-1303 - Request for Federal Cataloging/Supply Support Action - 4/94
• SF1449.PDF - SF-1449 - Solicitation/Contract/Order for Commercial Items - 4/02 (Link takes you to GSA's website)
• SF2800.PDF - SF-2800 - CSRS Application for Death Benefits - 3/92
• SF2801.PDF - SF-2801 - CSRS Application for Immediate Retirement Under the Civil Service Retirement System - 1/90
• SF2801_1.PDF - SF-2801-1 - CSRS Certified Summary of Federal Service - 1/90
• SF2801_2.PDF - SF-2801-2 - CSRS Spouse's Consent to Survivor Election - (no date)
• SF2801_3.PDF - SF-2801-3 - CSRS Election of Former Spouse Survivor annuity or Combination Current/Former Spouse Annuity - 1/90
• SF2801D.PDF - SF-2801-Schedule D - CSRS Agency Checklist of Immediate Retirement Procedures - 1/90
• SF2802.PDF - SF-2802 - CSRS Application for Refund of Retirement Deductions - 1/91
• SF2802B.PDF - SF-2802B - CSRS Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the Civil Service Retirement System - 1/91
• SF2803.PDF - SF-2803 - FEGLI Application to Make Deposit or Redeposit - 6/92
• SF2804.PDF - SF-2804 - Application to Make Voluntary Contributions, Civil Service Retirement System - 2/99
• SF2805.PDF - SF-2805 - Request for Recovery of Debt Due the United States - 4/80
• SF2806.PDF - SF-2806 - CSRS Individual Retirement Record - 2/80
• SF2806_1.PDF - SF-2806 - CSRS Notice of Correction of Individual Retirement Record - 2/80
• SF2807.PDF - SF-2807 - Register of Separations and Transfers Civilian Service Retirement System - 7/80
• SF2808.PDF - SF-2808 - Designation of Beneficiary - 2/99
• SF2809.PDF - SF-2809 - FEHB Health Benefits Registration Form - 7/99 (Link takes you to GSA's website)
• SF2809_1.PDF - SF-2809-1 - FEHB Health Benefits Election Form - 7/99
• SF2809A.PDF - Obsolete - SF-2809A - FEHB Information for Federal Civilian Employees and U.S. Postal Service Employees - 6/90
• SF2810.PDF - SF-2810 - FEHB Notice of Change in Health Benefits Enrollment - 6/95
• SF2811.PDF - SF-2811 - Transmittal and Sumary Report to Carrier - 6/84
• SF2812A.PDF - SF-2812A - Report of Withholding and Contributions for Health Benefits by Enrollment Code - 12/21/98
• SF2817.PDF - SF-2817 - FEGLI Life Insurance Election - 4/99
• SF2818.PDF -  Continuation of Life Insurance Coverage as an Annuitant or Compensationer - 5/01
• SF2819.PDF - SF-2819 - FEGLI Notice of Conversion Privilege - 5/95
• SF2820.PDF - SF-2820 - FEGLI Certification Of Insured Employee's Retired Status - 8/94
• SF2821.PDF - SF-2821 - Agency Certification of Insurance Status - 5/95
• SF2822.PDF - SF-2822 - FEGLI Request for Insurance - 1/93
• SF2823.PDF - SF-2823 - FEGLI Designation of Beneficiary - 4/01(Link takes you to GSA's website)
• SF2824.PDF - Obsolete - SF-2824 - CSRS Documentation in Support of Disability Retirement Application - 1/91
• SF2824A.PDF - SF-2824A - CSRS Applicant's Statement of Disability - 3/31/93
• SF2824B.PDF - SF-2824B - CSRS Supervisor's Statement - 1/91
• SF2824C.PDF - Obsolete - SF-2824C - CSRS Physician's Statement - 1/91
• SF2824D.PDF - SF-2824D - FEGLI Agency Certification of Reassignment and Accommodation Efforts - 1/91
• SF2824E.PDF - SF-2824E - FEGLI Disability Retirement Application Checklist - 1/91
• SF3100A.PDF - SF-3100-A - FERS Individual Retirement Record - 1/87
• SF3101.PDF - SF-3101 - FERS Notice of Correction of Individual Retirement Record - 2/87
• SF3102.PDF - SF-3102 - FERS Designation of Beneficiary - 12/93
• SF3104.PDF - SF-3104 - FERS Application for Death Benefits - 5/98
• SF3104A.PDF - SF-3104A - FERS Survivor Supplement - 12/91
• SF3104B.PDF - 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.PDF - Obsolete - SF-3105 - FERS Documentation in Support of Disability Retirement Application - 8/87
• SF3105A.PDF - SF-3105A - FERS Applicant's Statement of Disability - 8/87
• SF3105B.PDF - SF-3105B - FERS Supervisor's Statement - 8/87
• SF3105C.PDF - Obsolete - SF-3105C - FERS Physician's Statement - 8/87
• SF3105D.PDF - SF-3105D - FERS Agency Certification of Reassignment and Accommodation Efforts - 8/87
• SF3105E.PDF - SF-3105E - FERS Disability Retirement Application Checklist - 8/87
• SF3106.PDF - SF-3106 - Application for Refund of Retirement Deductions Federal Employees Retirement System - 3/96
• SF3106A.PDF - SF-3106A - Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the Federal Employee's Retirement System - 2/97
• SF3107.PDF - SF-3107 - FERS Application for Immediate Retirement - 4/00
• SF3107_1.PDF - SF-3107-1 - FERS Certified Summary of Federal Service - 1/97
• SF3107_2.PDF - SF-3107-2 - FERS Spouse's Consent to Survivor Election - 3/88
• SF3108.PDF - SF-3108 - Application to Make Service Credit Payment for Civilian Service - 5/88
• SF3109.PDF - SF-3109 - FERS Election of Coverage - 7/89
• SF3110.PDF - SF-3110 - FERS Former Spouse's Consent to FERS Election - 6/90
• SF3111.PDF - SF-3111 - FERS Request for Waiver, Extension, or Search 6/90
• SF3112.PDF - SF-3112 - Applicant's Statement of Disability In Connection With Disability Retirement Under the Civil Service Retirement System or the Federal Employees Retirement System - 12/95
• SF3112-1.PDF - SF-3112-1 - Information about Disability Retirement (CSRS) - 3/96
• SF3112-2.PDF - SF-3112-2 - Information about Disability Retirement (FERS) - 3/96
• SF3112A.PDF - SF-3112A - CSRS/FERS Applicant's Statement of Disability - 11/96
• SF3112B.PDF - SF-3112B - CSRS/FERS Supervisor's Statement In Connection With Disability Retirement Under the Civil Service Retirement System and the Federal Employees' Retirement System - 11/96
• SF3112C.PDF - 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.PDF - 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.PDF - SF-3112E - CSRS/FERS Disability Retirement Application Checklist - 11/96
• SF3881-NIHonly.PDF - SF-3881 - ACH Vendor/Miscellaneous Payment Enrollment Form - 2/03 - FOR NIH USE ONLY. The "Agency Information" section has been completed with NIH data.
• SF3881.PDF - SF-3881 - ACH Vendor/Miscellaneous Payment Enrollment Form - 2/03 - For use outside NIH.
• SFLLL.PDF - SF-LLL - Disclosure of Lobbying Activities - None
• SFLLLA.PDF - SF-LLL-A - Disclosure of Lobbying Activities Continuation Sheet - None

Social Security Administration Forms

• SOCIAL SECURITY ADMINISTRATION - Link to SSA Web Site
• SS5.PDF - SS-5 - Social Security Administration Application for a Social Security Card - 9/89
• SS7004SM.PDF - SS-7004-SM - Social Security Administration Request for Earnings and Benefts Statement - 6/98
• STATE DEPARTMENT - Visa and Passport Information - Link to Web Site

TAIMS Forms

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

   

• TAX Forms - Link to IRS Web Site
• TRVL_REQ.PDF - Travel Request Form - 9/03

Thrift Savings Plan Forms

• THRIFT SAVINGS PLAN - Link to Web Site
• TSP1.PDF - TSP-1 - Thrift Savings Plan - Election Form - 5/01
• TSP3.PDF - TSP-3 - Thrift Savings Plan Designation of Beneficiary - 10/96
• TSP9.PDF - TSP-9 - Thrift Savings Plan Change of Address for Separated Participants - 6/94
• TSP16.PDF - TSP-16 - Thrift Savings Plan Exception to Spousal Requirements - 10/97
• TSP17.PDF - TSP-17 - Federal Retirement Thrift Savings Plan Application for Account Balance of Deceased Participant - 3/98
• TSP20.PDF - TSP-20 - Thrift Savings Plan Loan Application - 2/98
• TSP30.PDF - TSP-30 - Thrift Savings Plan Interfund Transfer Request - 9/98
• TSP32.PDF - TSP-32 - Thrift Savings Plan Acknowledgement of Risk for Thriftline Interfund Transfers - 11/94
• TSP70.PDF - TSP-70 - Thrift Savings Plan Withdrawal Request - 3/01
• TSP70T.PDF - TSP-70-T - Thrift Savings Plan Transfer Information - 11/94
• TSP75.PDF - TSP-75 - Thrift Savings Plan Age Based In-Service Withdrawal Request - 05/98
• TSP75T.PDF - TSP-75 - Thrift Savings Plan Transfer of In-Service Withdrawal - 05/98
• TSP76.PDF - TSP-76 - Thrift Savings Plan Financial Hardship In-Service Withdrawal Package - 05/98
• TSP1013.PDF - TSP-1013 - Important Tax Information About TSP In-Service Withdrawal Payments - 05/98
• TSPBK02.PDF - TSP Booklet 02 - TSP Withdrawal - 2/02
• TSPBK05.PDF - TSP Booklet 05 - TSP Annuities - 1/02

  U.S. Bank Forms

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

   

• VFSUPAGR.PDF - NIH Supplemental Visiting Fellow Award Program Supplemental Fellowship Agreement - 7/17/95
• VFSUPPRV.PDF - NIH Supplemental Visiting Fellow Award Program Statement of Supplemental Program Provisions - 7/17/95
• VMQWKCHG.PDF - Voice Mail System Quick Change Request - Released 10/12/06
• VOLAGREE.PDF - NIH Special Volunteer Agreement - None
• VOTER REGISTRATION - By Mail - Link to National Web Site
• Y2KComp.PDF - Biomedical and Information Technology Equipment Year 2000 Compliance Certificate
• W9.PDF - W-9 - Request for Taxpayer Identification Number and Certification - 12/96