United States Department of Agriculture
Natural Resources Conservation Service
Oklahoma Go to Accessibility Information
Skip to Page Content


Other "Fillable" Forms

The following documents require Adobe Reader or Microsoft Word

Many of these forms were taken from the "Fillable Forms CD  Version 4"
distributed by the NRCS National Production Services in late 1999 or early 2000.

AD - US Department of Agriculture Forms
Form Number   Title of Form
AD-14 Request for Supplies, Forms, and/or Publication (PDF; 134 KB)
AD-78 Request for Printing and Binding (PDF; 751 KB)
AD-107 Report of Transfer or Other Disposition or Construction of Property (PDF; 39 KB)
AD-112 Report of Unserviceable, Lost, Stolen, Damaged or Destroyed Property (PDF; 489 KB)
AD-121 Passport Request (PDF; 36 KB)
AD-156 External Distribution (PDF; 98 KB)
AD-156A Internal Distribution (PDF; 44 KB)
AD-202 Travel Authorization/Advance (PDF; 155 KB)
AD-202M Attachment for Multiple Travelers (PDF; 120 KB)
AD-202R Attachment for Relocation Travel (PDF; 432 KB)
AD-202RE Attachment for Election of Separate Relocation Allowances (PDF; 493 KB)
AD-287 Employee Suggestions (PDF; 106 KB)
AD-287-2 Recommendation & Approval of Awards (PDF; 58 KB)
AD-332 Position Description (PDF; 210 KB)
AD-343 Payroll Action Request (PDF; 316 KB)
AD-349 Employee Change of Address (PDF; 24 KB)
AD-354 Request for Information (PDF; 261 KB)
AD-424 Employee Application for Reimbursement of Expenses Incurred Upon
Sale or Purchase (or both) of Residences Upon Change of Official Station  (PDF; 74 KB)
AD-435 Performance Appraisal (PDF; 505 KB)
AD-435a Performance Plan, Progress Review, and Appraisal Worksheet (PDF; 88 KB)
AD-435b Performance plan Worksheet Continuation (PDF; 63 KB)
AD-474 Transmittal - Telephone and Utilities (PDF; 213 KB)
AD-569 Expense Record for Temporary Quarters (PDF; 200 KB)
AD-581 Lump Sum Leave or Comp. Time Payments (PDF; 176 KB)
AD-616 Travel Voucher (PDF; 225 KB)
AD-616R Travel Voucher - Relocation (PDF; 187 KB)
AD-617 Travel Voucher Continuation Sheet - Temporary Duty (PDF; 257 KB)
AD-672 Reimbursement or Advance of Funds Agreement (PDF; 296 KB)
AD-700 Procurement Request (PDF; 377 KB)
AD-734 Request for Candidates (PDF; 93 KB)
AD-742 Transfer and Adjustment Voucher (PDF; 433 KB)
AD-873 Property Pass (PDF; 94 KB)
AD-881 Individual Development Plan (PDF; 151 KB)
AD-1000 Claim for Relocation Income Tax Allowance for the Year-Attachment to AD-616R (PDF; 57 KB)
AD-1006 Farmland Conversion Impact Rating (PDF; 800 KB)
AD-1026 HELC and WC Certification with Appendix (04/20/06) (PDF; 158 KB)
AD-1043 Leave Transfer Program - Donor Application (PDF; 58 KB)
AD-1046 Leave Transfer Program - Recipient Application (PDF; 258 KB)
AD-1049 Certification Regarding Drug-Free Workplace Requirements (PDF; 63 KB)
AD-1054 Request for Payroll Deductions (PDF; 91 KB)
AD-1126 USDA Program Discrimination Complaint (PDF; 45 KB)

CA - Office of Workers' Compensation Program Forms
Form Number   Title of Form
CA-1 Traumatic Injury and Claim for Continuation to Pay/Compensation (PDF; 243 KB)
CA-2 Notice of Occupational Disease and Claim for Compensation (PDF; 324 KB)
CA-2a Notice of Recurrence (PDF; 320 KB)
CA-3 Report of Termination of Disability and/or Treatment (PDF; 184 KB)
CA-7 Claim for Compensation on Account of Traumatic Injury or Occupational Disease (PDF; 461 KB)
CA-8 Claim for Compensation on Account of Disability (PDF; 102 KB)
CA-16 Authorization for Examination and/or Treatment (PDF; 196 KB)
CA-17 Duty Status Report (PDF; 749 KB)
CA-20 Attending Physician’s Report (PDF; 137 KB)
CA-20a Attending Physician’s Supplemental Report (PDF; 231 KB)

CCC - US Department of Agriculture Commodity Credit Corporation Forms
Form Number   Title of Form
CCC-1202 Application for Payment (PDF; 1.27 MB)
CCC-1250 Application for Long Term Contracted Assistance (PDF; 115 KB)
CCC-1251 Long-Term Contract for CCC Cost Share (PDF; 75 KB)
CCC-1255 Warranty Easement Deed (PDF; 90 KB)
CCC-1255 (30) Warranty Easement Deed (30 year) (PDF; 90 KB)
CCC-1255a Option Agreement to Purchase (PDF; 74 KB)
CCC-1255a Option Agreement to Purchase - Amendment 1 (PDF; 65 KB)
CCC-1256 Subordination Agreement and Limited Lien Waiver (PDF; 175 KB)

GSA - General Services Administration Forms
Form Number   Title of Form
GSA-49 Requisition/Procurement Request for Equipment, Supplies, or Services (PDF; 206 KB)
GSA-50 Requisition for Reproduction Services (PDF; 303 KB)
GSA-3080 Household Goods Evaluation Report (PDF; 489 KB)
GSA-3542 Customer Supply Center Order Form (PDF; 177 KB)
GSA-3580 Customer Supply Discrepancy Report (PDF; 219 KB)

OF - Optional Forms - Various US Departments and Agencies
Form Number   Title of Form
OF-7 Property Pass (PDF; 31 KB)
OF-26 Data Bearing Upon Scope of Employment of Motor Vehicle Operator (PDF; 167 KB)
OF-41 Routing and Transmittal Slip (PDF; 236 KB)
OF-306 Declaration of Federal Employment (PDF; 171 KB)
OF-333 Procurement Integrity Certification for Procurement Officials (PDF; 59 KB)
OF-336 Continuation Sheet (PDF; 206 KB)
OF-347 Order for Supplies or Services (PDF; 148 KB)
OF-450a Confidential Certificate of No New Interests (PDF;  KB)
OF-612 Optional Application for Federal Employment (PDF; 167 KB)
OF-630 Leave Recipient Application Under the Voluntary Leave Transfer Program (PDF; 109 KB)
OF-630a Request to Donate Annual Leave to Leave Recipient (Within Agency) (PDF; 83 KB)
OF-630b Request to Donate Annual Leave to Leave Recipient (Outside Agency) (PDF; 22 KB)
OF-1129 Cashier Reimbursement Voucher and/or Accountability Report (PDF; 404 KB)

SF - Standard Forms
Form Number   Title of Form
SF-1 Printing and Binding Requisition (PDF; 150 KB)
SF-18 Request for Quotation (PDF; 157 KB)
SF-24 Bid Bond (PDF; 153 KB)
SF-25 Performance Bond (PDF; 174 KB)
SF-25a Payment Bond (PDF; 58 KB)
SF-30 Amendment of Solicitation/Modification of Contract (PDF; 231 KB)
SF-33 Solicitation, Offer & Award (PDF; 887 KB)
SF-52 Request for Personnel Action (PDF; 121 KB)
SF-59 Request for Approval of Noncompetitive Action (PDF; 222 KB)
SF-61 Appointment Affidavits (PDF; 76 KB)
SF-61b Declaration of Appointee (PDF; 223 KB)
SF-71 Request for Leave or Approved Absence - Replaced by OPM-71 (PDF; 40 KB)
SF-85p Questionnaire for Public Trust Positions (PDF; 965 KB)
SF-86 Questionnaire for National Security Positions (PDF; 976 KB)
SF-86a Continuation Sheet for Questionnaires SF-86, SF85P and SF-85 (PDF; 215 KB)
SF-91 Motor Vehicle Accident Report (PDF; 467 KB)
SF-91a Investigation Report of Motor Vehicle Accident (PDF; 733 KB)
SF-95 Claim for Damage, Injury or Death (PDF; 114 KB)
SF-120 Report of Excess Personal Property (PDF; 220 KB)
SF-120a Report of Excess Personal Property - Continuation Sheet (PDF; 212 KB)
SF-122 Transfer Order - Excess Personal Property (PDF; 419 KB)
SF-126 Report of Personal Property for Sale (PDF; 256 KB)
SF-126a Report of Personal Property for Sale - Continuation Sheet (PDF; 332 KB)
SF-129 Solicitation Mailing List Application (PDF; 110 KB)
SF-171 Application for Federal Employment (PDF; 555 KB)
SF-172 Amendment to Application for Federal Employment (PDF; 88 KB)
SF-177 Statement for Physical Ability for Light Duty Work (PDF; 425 KB)
SF-180 Request Pertaining to Military Records (PDF; 134 KB)
SF-181 Race and National Origin Identification (PDF; 91 KB)
SF-182 Request, Authorization, Agreement and Certification for Training (DOC; 254 KB)
SF-256 Self Identification of Handicap (PDF; 174 KB)
SF-269a Financial Status Report (PDF; 337 KB)
SF-270 Request for Advance or Reimbursement (PDF; 732 KB)
SF-299 Application for Transportation and Utility Systems and Facilities on Federal Lands (PDF; 318 KB)
SF-361 Transportation Discrepancy Report (PDF; 279 KB)
SF-364 Report of Discrepancy (PDF; 185 KB)
SF-368 Product Quality Deficiency Report (PDF; 153 KB)
SF-424 Application for Federal Assistance (PDF; 73 KB)
SF-424a Budget Information - Non Construction Programs (PDF; 879 KB)
SF-424c Budget Information - Construction Programs (PDF; 95 KB)
SF-424d Assurances - Construction Programs (PDF; 244 KB)
SF-813 Verification of a Military Retiree's Service in Nonwartime Campaign or Expeditions (PDF; 84 KB)
SF-1152 Designation of Beneficiary (PDF; 368 KB)
SF-1164 Claim for Reimbursement for Expenditures on Official Business (PDF; 320 KB)
SF-1192 Authorization for Purchase and Request for Change - U.S. Savings Bonds (PDF; 93 KB)
SF-1198 Request by Employee for Allotment (PDF; 174 KB)
SF-1199a Direct Deposit Sign-Up Form (PDF; 451 KB)
SF-1417 Pre-Solicitation Notice (PDF; 497 KB)
SF-1445 Labor Standards Interview (PDF; 90 KB)
SF-2801 Application for Immediate Retirement (PDF; 1.25 MB)
SF-2801-1 Certified Summary of Federal Service (PDF; 1.25 MB)
SF-2801-2 Spouse’s Consent to Survive Election (PDF; 1.25 MB)
SF-2801-3 Election of Former Spouse Survival Annuity (PDF; 1.25 MB)
SF-2801d Agency Checklist of Immediate Retirement Procedures CSRS (PDF; 1.25 MB)
SF-2803 Application to Make Deposit or Redeposit (PDF; 274 KB)
SF-2804 Application to Make Voluntary Contributions (PDF; 185 KB)
SF-2805 Request for Recovery of Debt Due (PDF; 129 KB)
SF-2808 Designation of Beneficiary (PDF; 169 KB)
SF-2809 Health Benefits Registration Form revised October 2004 (PDF; 331 KB)
SF-2810 Notice of Change of Health Benefits (PDF; 114 KB)
SF-2817 Life Insurance Election (PDF; 379 KB)
SF-2818 Continuation of Basic Life Insurance (PDF; 47 KB)
SF-2819 Notice of Conversion Privilege (PDF; 240 KB)
SF-2820 Certification of Insured Employees Retired Status (PDF; 255 KB)
SF-2822 Request for Insurance - Federal Employees Group Life Insurance Program (PDF; 339 KB)
SF-2823 Designation of Beneficiary revised April 2001 (PDF; 119 KB)
SF-3104 Application for Death Benefits (PDF; 375 KB)
SF-3104b Documentation and Elections in Support of Application for Death Benefits (PDF; 375 KB)
SF-3105a Applicant’s Statement of Disability (PDF; 163 KB)
SF-3105b Supervisor’s Statement (PDF; 83 KB)
SF-3105c Physician’s Statement (PDF; 138 KB)
SF-3105e Disability Retirement Application Checklist (PDF; 238 KB)
SF-3106 Application for Refund or Retirement Deductions (PDF; 333 KB)
SF-3106a Current/Former Spouse's Notification of Application for Retirement (PDF; 64 KB)
SF-3107 Application for Immediate Retirement (PDF; 255 KB)
SF-3107-1 Certified Summary of Federal Service (PDF; 203 KB)
SF-3107-2 Spouse’s Consent to Survival Election (PDF; 106 KB)
SF-3107D Agency Checklist of Immediate Retirement Procedures FERS (PDF; 473 KB)
SF-3108 Application to Make Service Credit Payment for Civilian Service (PDF; 337 KB)
SF-3109 Election of Coverage (PDF; 120 KB)
SF-3881 ACH Vendor/Miscellaneous Payment Enrollment Form (PDF; 81 KB)

Other - Miscellaneous Forms
Form Number   Title of Form
B-10 Proof of Claim (PDF; 48 KB)
DD-448 Acceptance of MIPR (PDF; 95 KB)
FE-6 Claim for Death Benefits (PDF; 364 KB)
FE-6DEP Statement of Claim Option C (PDF; 93 KB)
GPO-3868 Notification of Intent to Publish (PDF;743  KB)
I-9 Employment Eligibility Verification (PDF; 155 KB)
IRM-1 NRCS Information Technology Needs (PDF; 257 KB)
OGE-450 Executive Branch Confidential Financial Disclosure Report (PDF; 316 KB)
OPM-71 Request for Leave or Approved Absence revised June 2001 (PDF; 180 KB)
OPM-813 Verification of a Military Retiree's Service in Nonwartime Campaigns or Expeditions (PDF; 120 KB)
OPM-1386 Background Survey Report (PDF; 121 KB)
OPM-1482 Agency Certification Status of Reemployed Annuitants (PDF; 32 KB)
OPM-1514 Military Deposit Worksheet (PDF; 703 KB)
OWCP-1500 Health Insurance Claim Form (PDF; 314 KB)
PDM-404 Watershed Programming (PDF; 118 KB)
PDM-405 Status of Planning and Operations Authorized Flood Prevention Watersheds (PDF; 127 KB)
RI76-10 Assignment of Federal Employees Group Life Insurance (PDF; 75 KB)
SCA-4140 Performance Work Plan (PDF; 172 KB)
SCA-4140a Opportunity to Improve (PDF; 300 KB)
SCA-4140d Appendix D to SCA-4140a (PDF; 253 KB)

< Back to the previous page

This Web page was last updated on Aug 21, 2008 12:36 CT