Fillable Forms

These forms requireAdobe Acrobat orMicrosoft Word (one instance.)

• AD Forms
• CA Forms
• CCC Forms
• GSA Forms
• OF Forms
• SF Forms
• TSP Forms
• Miscellaneous Forms

Many of these forms were taken from the "Fillable Forms CD Version 4" distributed by the NRCS National Production Services in late 19999 or early 2000.

AD - US Department of Agriculture Forms

Form Number	Title of Form
AD-14	Request for Supplies, Forms, and/or Publication
AD-78	Request for Printing and Binding
AD-107	Report of Transfer or Other Disposition or Construction of Property
AD-112	Report of Unserviceable, Lost, Stolen, Damaged or Destroyed Property
AD-121	Passport Request
AD-156	External Distribution
AD-156A	Internal Distribution
AD-202	Travel Authorization/Advance
AD-202M	Attachment for Multiple Travelers
AD-202R	Attachment for Relocation Travel
AD-202RE	Attachment for Election of Separate Relocation Allowances
AD-287	Employee Suggestions
AD-287-2	Recommendation & Approval of Awards
AD-332	Position Description
AD-343	Payroll Action Request
AD-349	Employee Change of Address
AD-354	Request for Information
AD-424	Employee Application for Reimbursement of Expenses Incurred Upon Sale or Purchase (or both) of Residences Upon Change of Official Station
AD-435	Performance Appraisal
AD-435a	Performance Plan, Progress Review, and Appraisal Worksheet
AD-435b	Performance plan Worksheet Continuation
AD-474	Transmittal - Telephone and Utilities
AD-569	Expense Record for Temporary Quarters
AD-581	Lump Sum Leave or Comp. Time Payments
AD-616	Travel Voucher
AD-616R	Travel Voucher - Relocation
AD-617	Travel Voucher Continuation Sheet - Temporary Duty
AD-672	Reimbursement or Advance of Funds Agreement
AD-700	Procurement Request
AD-728	Request and Authorization for Home to Work Transportation
AD-734	Request for Candidates
AD-742	Transfer and Adjustment Voucher
AD-873	Property Pass
AD-881	Individual Development Plan
AD-1000	Claim for Relocation Income Tax Allowance for the Year __ (Attachment to AD-616R)
AD-1006	Farmland Conversion Impact Rating
AD-1043	Leave Transfer Program - Donor Application
AD-1046	Leave Transfer Program - Recipient Application
AD-1049	Certification Regarding Drug-Free Workplace Requirements
AD-1054	Request for Payroll Deductions
AD-1126	USDA Program Discrimination Complaint

CA - Office of Workers' Compensation Program Forms

Form Number	Title of Form
CA-1	Traumatic Injury and Claim for Continuation to Pay/Compensation
CA-2	Notice of Occupational Disease and Claim for Compensation
CA-2a	Notice of Recurrence
CA-3	Report of Termination of Disability and/or Treatment
CA-7	Claim for Compensation on Account of Traumatic Injury or Occupational Disease
CA-8	Claim for Compensation on Account of Disability
CA-10	What a Federal Employee Should Do When Injured at Work
CA-16	Authorization for Examination and/or Treatment
CA-17	Duty Status Report
CA-20	Attending Physician’s Report
CA-20a	Attending Physician’s Supplemental Report

CCC - US Department of Agriculture Commodity Credit Corporation Forms

Form Number	Title of Form
CCC-1202	Application for Payment
CCC-1250	Application for Long Term Contracted Assistance
CCC-1251	Long-Term Contract for CCC Cost Share
CCC-1255	Warranty Easement Deed
CCC-1255	(30) Warranty Easement Deed (30 year)
CCC-1255a	Option Agreement to Purchase
CCC-1255a	Option Agreement to Purchase - Amendment 1
CCC-1256	Subordination Agreement and Limited Lien Waiver

GSA - General Services Administration Forms

Form Number	Title of Form
GSA-49	Requisition/Procurement Request for Equipment, Supplies, or Services
GSA-50	Requisition for Reproduction Services
GSA-3080	Household Goods Evaluation Report
GSA-3542	Customer Supply Center Order Form
GSA-3580	Customer Supply Discrepancy Report

OF - Optional Forms - Various US Departments and Agencies

Form Number	Title of Form
OF-7	Property Pass
OF-26	Data Bearing Upon Scope of Employment of Motor Vehicle Operator
OF-41	Routing and Transmittal Slip
OF-306	Declaration of Federal Employment
OF-333	Procurement Integrity Certification for Procurement Officials
OF-336	Continuation Sheet
OF-347	Order for Supplies or Services
OF-450a	Confidential Certificate of No New Interests
OF-612	Optional Application for Federal Employment
OF-630	Leave Recipient Application Under the Voluntary Leave Transfer Program
OF-630a	Request to Donate Annual Leave to Leave Recipient (Within Agency)
OF-630b	Request to Donate Annual Leave to Leave Recipient (Outside Agency)
OF-1129	Cashier Reimbursement Voucher and/or Accountability Report

SF - Standard Forms

Form Number	Title of Form
SF-1	Printing and Binding Requisition
SF-18	Request for Quotation
SF-24	Bid Bond
SF-25	Performance Bond
SF-25a	Payment Bond
SF-30	Amendment of Solicitation/Modification of Contract
SF-33	Solicitation, Offer & Award
SF-52	Request for Personnel Action
SF-59	Request for Approval of Noncompetitive Action
SF-61	Appointment Affidavits
SF-61b	Declaration of Appointee
SF-71	Request for Leave or Approved Absence - Replaced by OPM-71
SF-85	Questionnaire for Non-Sensitive Positions
SF-85p	Questionnaire for Public Trust Positions
SF-86	Questionnaire for National Security Positions
SF-86a	Continuation Sheet for Questionnaires SF-86, SF85P and SF-85
SF-91	Motor Vehicle Accident Report
SF-91a	Investigation Report of Motor Vehicle Accident
SF-95	Claim for Damage, Injury or Death
SF-120	Report of Excess Personal Property
SF-120a	Report of Excess Personal Property - Continuation Sheet
SF-122	Transfer Order - Excess Personal Property
SF-126	Report of Personal Property for Sale
SF-126a	Report of Personal Property for Sale - Continuation Sheet
SF-129	Solicitation Mailing List Application
SF-171	Application for Federal Employment
SF-172	Amendment to Application for Federal Employment
SF-177	Statement for Physical Ability for Light Duty Work
SF-180	Request Pertaining to Military Records
SF-181	Race and National Origin Identification
SF-182	Request, Authorization, Agreement and Certification for Training
SF-256	Self Identification of Handicap
SF-269a	Financial Status Report
SF-270	Request for Advance or Reimbursement
SF-299	Application for Transportation and Utility Systems and Facilities on Federal Lands
SF-361	Transportation Discrepancy Report
SF-364	Report of Discrepancy
SF-368	Product Quality Deficiency Report
SF-424	Application for Federal Assistance
SF-424a	Budget Information - Non Construction Programs
SF-424c	Budget Information - Construction Programs
SF-424d	Assurances - Construction Programs
SF-813	Verification of a Military Retiree's Service in Nonwartime Campaign or Expeditions
SF-1152	Designation of Beneficiary
SF-1164	Claim for Reimbursement for Expenditures on Official Business
SF-1192	Authorization for Purchase and Request for Change - U.S. Savings Bonds
SF-1198	Request by Employee for Allotment
SF-1199a	Direct Deposit Sign-Up Form
SF-1417	Pre-Solicitation Notice
SF-1445	Labor Standards Interview
SF-2801	Application for Immediate Retirement
SF-2801-1	Certified Summary of Federal Service
SF-2801-2	Spouse’s Consent to Survive Election
SF-2801-3	Election of Former Spouse Survival Annuity
SF-2801d	Agency Checklist of Immediate Retirement Procedures CSRS
SF-2803	Application to Make Deposit or Redeposit
SF-2804	Application to Make Voluntary Contributions
SF-2805	Request for Recovery of Debt Due
SF-2808	Designation of Beneficiary
SF-2809	Health Benefits Registration Form revised October 2004
SF-2810	Notice of Change of Health Benefits
SF-2817	Life Insurance Election
SF-2818	Continuation of Basic Life Insurance
SF-2819	Notice of Conversion Privilege
SF-2820	Certification of Insured Employees Retired Status
SF-2822	Request for Insurance - Federal Employees Group Life Insurance Program
SF-2823	Designation of Beneficiary revised April 2001
SF-3104	Application for Death Benefits
SF-3104b	Documentation and Elections in Support of Application for Death Benefits
SF-3105a	Applicant’s Statement of Disability
SF-3105b	Supervisor’s Statement
SF-3105c	Physician’s Statement
SF-3105e	Disability Retirement Application Checklist
SF-3106	Application for Refund or Retirement Deductions
SF-3106a	Current/Former Spouse's Notification of Application for Retirement
SF-3107	Application for Immediate Retirement
SF-3107-1	Certified Summary of Federal Service
SF-3107-2	Spouse’s Consent to Survival Election
SF-3107D	Agency Checklist of Immediate Retirement Procedures FERS
SF-3108	Application to Make Service Credit Payment for Civilian Service
SF-3109	Election of Coverage
SF-3881	ACH Vendor/Miscellaneous Payment Enrollment Form

TSP - Thrift Savings Plan Forms

Form Number	Title of Form
TSP-1	Thrift Savings Plan - Election Form revised July 2004
TSP-3	Thrift Savings Plan -Designation of Beneficiary
TSP-17	Application for Account Balance for a Deceased Participant
TSP-20	Thrift Savings Plan - Loan Application
TSP-30	Thrift Savings Plan - Interfund Transfer Request

Other - Miscellaneous Forms

Form Number	Title of Form
B-10	Proof of Claim
DD-448	Acceptance of MIPR
FE-6	Claim for Death Benefits
FE-6DEP	Statement of Claim Option C
GPO-3868	Notification of Intent to Publish
I-9	Employment Eligibility Verification
IRM-1	NRCS Information Technology (IT) Needs
OGE-450	Executive Branch Confidential Financial Disclosure Report
OPM-71	Request for Leave or Approved Absence revised June 2001
OPM-813	Verification of a Military Retiree's Service in Nonwartime Campaigns or Expeditions
OPM-1386	Background Survey Report
OPM-1482	Agency Certification Status of Reemployed Annuitants
OPM-1514	Military Deposit Worksheet
OWCP-1500	Health Insurance Claim Form
PDM-404	Watershed Programming
PDM-405	Status of Planning and Operations Authorized Flood Prevention Watersheds
RI76-10	Assignment of Federal Employees Group Life Insurance
SCA-4140	Performance Work Plan
SCA-4140a	Opportunity to Improve
SCA-4140d	Appendix D to SCA-4140a