Forms & Publications

Electric Forms 

• Financial and Operating Report - Electric Distribution
• Financial and Operating Report - Power Supply
• Form 87 Request for Mail List Data.(revised 5/05) Instructions
• Form 138 GFR Checklist and Report for Electric Loan Applications (Rev. 8/85)
• Form 168b Contractor's Bond (revised 2/04) Instructions
• Form 168c Contractor's Bond (less than $1 million) ( 2/04) Instructions
• Form 179 Architects and Engineers Qualifications (Rev. 9/66)
• Form 181 Certificate of Completion - Force Account (Rev. 2/95)
• Form 187 Certificate of Completion - Contract Construction (Rev. 2/04) Instructions
• Form 198 Equipment Contract (fillable PDF) (Rev. 4/04) Instructions  See RUS Bulletin 1726I-602 (PDF) (Word doc file) for attachments.
• Form 200 Construction Contract - Generating (Rev. 2/04) Instructions  See RUS Bulletin 1726I-602 (PDF) (Word doc file) for attachments.
• Form 211 Engineering Service Contract For The Design And Construction Of A Generating Plant (Rev. 4/04) Instructions
• Form 213 Certificate (Buy American) (Rev. 2/04) Instructions
• Form 219 Inventory of Work Orders (multi page with totals) (Rev. 10/12)
• Form 219 Inventory of Work Orders (single page with totals) (Rev. 10/02)
• Form 220 Architectural Services Contract (Rev. 6/98) Instructions
• Form 224 Waiver and Release of Lien. (Rev. 2/04) Instructions
• Form 231 Certificate of Contractor (Rev. 2/04) Instructions
• Form 236 Engineering Service Contract - Electric System Design and Construction (Rev. 6/98) Instructions
• Form 238 Construction or Equipment Contract Amendment (fillable PDF).  Instructions
• Form 254 Construction Inventory (Rev. 2/04) Instructions
• Form 257 Contract to Construct Buildings (Rev. 2/04) Instructions
• Form 260 GFR Check of System Planning Report (Rev. 5/68)
• Form 261 GFR Summary of System Planning Report (Rev. 1/95)
• Form 266 Compliance Assurance (Rev. 1/00) (fillable PDF) Instructions
• Form 300 Review Rating Summary - O and M (Rev. 4/02)
• Form 307 Bid Bond (Rev. 2/04) Instructions
• Form 324 Financial Forecast Review and Evaluation Work Sheet(Rev. 11/73)
• Form 369 Request for Approval to Sell Capital Assets (Rev. 2/05)
• Form 595 Financial Requirement and Expenditure Statement (Rev. 10/12)
• Form 602 Loan Budget Analysis (Rev. 10/88)
• Form 674 Certificate of Authority to Submit or Grant Access to Data (Rev. 3/06) Instructions are available. Board resolution must be submitted with Form 674
• Form 675 Certificate of Authority (revised 1/97) Instructions
• Form 726 Distribution Loan Application Checklist and Index - Instructions (Rev. 4/02)
• Form 740c Cost Estimates and Loan Budget for Electric Borrowers (Rev. 10/01)
• Form 740g Application for Headquarters Facilities (Rev. 5/10) Instructions
• Form 786 Electric System Communications and Control Equipment Contract (including installation) (Rev. 2/04) Instructions  See RUS Bulletin 1726I-602 (PDF) (Word doc file) for contract attachments.
• Form 790 Electric System Construction Contract - Non-Site Specific Construction (Rev. 2/04) (See 4/14/2004 letter concerning permitted modifications to Form 790.) Instructions  See RUS Bulletin 1726I-602 (PDF) (Word doc file) for contract attachments.
• Form 792b Certificate of Construction and Indemnity Agreement (Rev. 2/04) Instructions
• Form 830 Electric System Construction Contract - Project Construction (Rev. 2/04) Instructions  See RUS Bulletin 1726I-602 (PDF) (Word doc file) for attachments.

• Electric Sample Documents

 Telecommunications Forms

• List of Acceptable Materials Contract Addendum
• Contract Rider Form 220
• Contract Rider Form 282
• Contract Rider Forms 217
• Contract Rider Form 257
• Contract Rider Forms 515 and 773
• Lobbying Certification
• Form 87 Request for Mail List Data (revised 5/05) Instructions
• Form 157 Certificate of Contract or Force Account Proposal Approval (Rev. 10/77)
• Form 158 Certificate of Contract or Force Account Proposal Approval (Rev. 10/77) Instructions
• Form 159 Summary of Completed Construction (Rev. 10/77) Instructions
• Form 168b Contractor's Bond (revised 2/04) Instructions
• Form 168c Contractor's Bond (less than $1 million) (2/04) Instructions
• Form 179 Architects and Engineers Qualifications (Rev. 9/66)
• Form 181 Certificate of Completion - Building Construction(Rev. 2/95)
• Form 213 Certificate (Buy American) (Rev. 2/04) Instructions
• Form 216 Construction Change Order (Rev. 7/67)
• Form 217 Post-Loan Engineering Services Contract (Rev. 3/97)
• Form 220 Architectural Services Contract (Rev. 6/98) Instructions
• Form 224 Waiver and Release of Lien. (Rev. 2/04) Instructions
• Form 231 Certificate of Contractor (Rev. 2/04) Instructions
• Form 238 Construction or Equipment Contract Amendment (fillable PDF). Instructions are available. (Rev. 2/04)
• Form 242 Assignment of Engineering Service Contract (Rev. 11/58)
• Form 245 Engineering Service Contract Special Services - Telephone (Rev. 11/75)
• Form 251 Materials Receipts (Rev. 2/95)
• Form 254 Construction Inventory (Rev. 2/04) Instructions
• Form 257 Contract to Construct Buildings (Rev. 2/04) Instructions
• Form 266 Compliance Assurance (Rev. 1/00) (fillable PDF) Instructions
• Form 270 Equal Opportunity Addendum
• Form 271 Notice to Contractors and Sellers (Rev. 7/70)
• Form 274 Bidder's Qualifications (Rev. 6/81)
• Form 276 Bidder's Qualifications for Buried Plant Construction (Rev. 5/59)
• Form 281 Tabulation of Materials Furnished By Borrower (Rev. 5/61) Instructions
• Form 282 Construction or Equipment Contracts (Rev. 11/53) Instructions
• Form 284 Final Statement of Cost for Architectural Service (Rev. 4/72)
• Form 291 Certification of Non-segregated Facilities (Rev. 8/70) Instructions
• Form 307 Bid Bond (Rev. 2/04) Instructions
• Form 375 Interim Financing Addendum (Rev. 1/03)
• Form 390 Software Licensing Agreement (Rev. 1/03)
• Form 395 Equipment Contract (Rev. 11/16)
• Form 395a Certificate of Completion (Including Installation) (Rev. 11/16)
• Form 395b Certificate of Completion (Not Including Installation) (Rev. 11/16)
• Form 395c Certificate of Seller and Indemnity Agreement (Rev. 11/16)
• Form 395d Results of Equipment Acceptance Tests (Rev. 11/16)
• Form 481 Financial Requirements Supplemental Sheet (Fillable MS Excel File w/macros) (Rev. 5/03)
• Form 490 Application for Telecommunications Loan or Loan Guarantee (Rev. 09/03) Instructions
• Form 494 Loan Proposal Summary (Rev. 09/03)
• Form 495 Construction Cost Estimates (Rev. 09/03)
• Form 506 Statement of Engineering Fees Telecommunications (Rev. 12/96)
• Form 507 Report on Telephone Acquisitions (Rev. 9/03)
• Form 515 Telecommunications System Construction Contract (Labor and Materials) (Rev. 9/01))
• Form 521 Bi-Weekly Progress Report of Telephone Construction and Engineering Services (Rev. 7/77)
• Form 526 Construction Contract Amendment (Rev. 8/66)
• Form 527 Statement of Construction Telephone System Outside Plant (Rev. 3/71)
• Form 532 Application for Broadband Loan or Loan Guarantee (Rev. 3/11)
• Form 569 Local Service Data Form (Rev. 09/03)
• Form 674 Certificate of Authority to Submit or Grant Access to Data (Rev. 3/06)- Instructions are available. Board resolution must be submitted with Form 674
• Form 675 Certificate of Authority (revised 1/97) Instructions
• Form 724 Final Inventory Telephone Construction Contract (Rev. 10/63)
• Form 724a Final Inventory Telephone Construction Contract (Labor and Materials)(Rev. 4/61)
• Form 724b Final Inventory Telephone Construction Contract (Labor and Materials) Removal Units Section "X" (Rev. 3/61)
• Form 743 Certificate of Contractor and Indemnity Agreement (Line Extensions) (Rev. 12/90)
• Form 756 Contract Closeout Certification (Rev. 1/03)
• Form 771 Summary of Work Orders (Inspection by RUS Field Engineer) (Rev. 10/75) Instructions
• Form 771a Summary of Work Orders (Inspection by Licensed Engineer or Borrower's Staff Engineer) (Rev. 10/75) Instructions
• Form 773 Miscellaneous Construction Project (Inspection by RUS Field Engineer) Instructions are available. (Rev. 10/75)
• Form 787 Supplement A to Construction Contract (RUS Form 515) (Rev. 3/95)
• Form 792b Certificate of Construction and Indemnity Agreement (Rev. 2/04)
• Form 793 Request for release of Lien and/or approval of Sale (Rev. 4/16)
• Form 817 Final Inventory Telephone Force Account Construction (Certificate of Engineer) (Rev. 6/60)
• Form 817a Final Inventory Telephone Force Account Construction (Certificate of Engineer) (Rev. 6/60)
• Form 817b Final Inventory Telephone Force Account Construction (Certificate of Engineer) (Rev. 6/60)
• Form 835 Pre-loan Engineering Service Contract Telephone System Design (Rev. 3/66)

RUS Wide Forms (E & T)

• Form 87 Request for Mail List Data (revised 5/05) Instructions
• Form 168b Contractor's Bond (revised 2/04) Instructions
• Form 168c Contractor's Bond (less than $1 million) (2/04) Instructions
• Form 179 Architects and Engineers Qualifications (Rev. 9/66)
• Form 181 Certificate of Completion - Building Construction(Rev. 2/95).
• Form 213 Certificate (Buy American) (Rev. 2/04) Instructions
• Form 220 Architectural Services Contract (Rev. 6/98) Instructions
• Form 224 Waiver and Release of Lien (Rev. 2/04) Instructions
• Form 238 Construction or Equipment Contract Amendment (fillable PDF.) Instructions are available. (Rev. 2/04)
• Form 257 Contract to Construct Buildings (Rev. 2/04) Instructions
• Form 266 Compliance Assurance (Rev. 1/00) (fillable PDF) Instructions
• Form 307 Bid Bond (Rev. 2/04) Instructions
• Form 674 Certificate of Authority to Submit or Grant Access to Data (Rev. 3/06)- Instructions are available. Board resolution must be submitted with Form 674
• Form 675 Certificate of Authority (revised 1/97) Instructions