ERS Agreements

ERS Forms

Note: All forms are available in .pdf format (unless otherwise noted). If you require the Acrobat Reader, download it here.

Certifications

Form	Description
AD-1047	Certification regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions
AD-1049	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I – For Grantees Other Than Individuals
AD-1050	Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative II – For Grantees Who are Individuals
	Certification/Disclosure Requirements Related to Lobbying
SEB-102	Conflict of Interest Certification
REE-26	Certification Regarding Performing Organization Type

Management and Financial Reports

Form	Description	Format
SF-269	Financial Status Report (long form)
SF-269A	Financial Status Report (short form)
REE-269	Cooperative Agreement Financial Status Report	PDF
REE-269	Cooperative Agreement Financial Status Report	XLS

SF-425	Federal Financial Report (long form) Instructions for SF-425, Federal Financial Report	(PDF) (Excel)
SF-425A	Federal Financial Report (short form) Instructions for SF-425A, Federal Financial Report	(PDF) (Excel)

Payment/Reimbursement

Form	Description	Format
SF-270	Request for Advance of Reimbursement

Budget

Form	Description	Format
REE-454	Cooperative Agreement Budget	PDF
		XLS
REE-455	Grant and Assistance Type Cooperative Agreement Budget	PDF
		XLS

Statement of Work Templates for ERS

Type of Agreement	Format
Assistance Type Cooperative Agreement	DOC
Cooperative Research Support Agreement	DOC

REE 451 Templates for ERS

Type of Agreement	Format
Assistance Type Cooperative Agreement	DOC
Cooperative Research Support Agreement	XLS
Grant	XLS

Other Forms

Form	Description	Format
AD-475A	“AND JUSTICE FOR ALL” Poster
	Letter of Justification For Non-Competitive Awards	DOC
SF-3881	ACH Vendor/Miscellaneous Payment Enrollment Form

Last updated:01/12/2012