Electronic Forms
Many Departmental forms are now available online to better serve USDA employees and customers. The majority of these forms are used for administrative purposes. Most of the forms on this list will need to be downloaded in order to function fully. If you encounter a problem when attempting to open a form, we advise you to copy the form link and paste it into a different browser.
USDA is actively working to make all of its publicly available forms Section 508 accessible. If you need a form that is not Section 508 accessible, please contact the form owner listed or OBPA DPO and we will make every effort to obtain an accessible copy for you.
| Prefix | Form No. | Subject | |
|---|---|---|---|
| AD | 59 | Request for Manuscript Review | FILL IN PDF (PDF, 57.5 KB) |
| AD | 78 | Request for Printing and Binding | FILL IN PDF (PDF, 741 KB) |
| AD | 107 | Report of Transfer or other Disposition or Construction of Property | FILL IN PDF (PDF, 100 KB) |
| AD | 110 | Detailed Cost Analysis | PDF (PDF, 181 KB) |
| AD | 112 | Report of Unserviceable, Lost or Damaged Property | FILL IN PDF (PDF, 162 KB) |
| AD | 116 | Clearance & Approval for Departmental Issuances | FILL IN PDF (PDF, 694 KB) |
| AD | 121 | Passport Request | PDF (PDF, 43.8 KB) |
| AD | 139 | Final Salary Payment Report | PDF (PDF, 209 KB) |
| AD | 156 | External Distribution | PDF (PDF, 32.9 KB) |
| AD | 159 | Interagency Publication Clearance Form | PDF (PDF, 143 KB) |
| AD | 156A | External Distribution - Room 0466 - South Building | FILL IN PDF (PDF, 183 KB) |
| AD | 202 | Travel Authorization/Advance | FILL IN PDF (PDF, 224 KB) |
| AD | 202M | Travel Authorization/Advance for multiple travelers | FILL IN PDF (PDF, 53.1 KB) |
| AD | 0202R | Travel Authorization/Advance Attachment for Relocation Travel | FILL IN PDF (PDF, 333 KB) |
| AD | 202RE | Travel Authorization/Advance Separate Relocation Allowances | FILL IN PDF (PDF, 180 KB) |
| AD | 216 | Voucher Difference Statement | PDF (PDF, 41.6 KB) |
| AD | 234 | Charge Out Card | PDF (PDF, 164 KB) |
| AD | 270 | Request for Copy/Duplicating Service | FILL IN PDF (PDF, 626 KB) |
| AD | 271 | Request for Photographic Services | FILL IN PDF (PDF, 1.0 MB) |
| AD | 287 | Employee Suggestion | PDF (PDF, 202 KB) |
| AD | 287-2 | Recommendation and Authorization of Monetary and Time Off Awards | FILL IN PDF (PDF, 761 KB) |
| AD | 311 | Speed Memo | PDF (PDF, 34.2 KB) |
| AD | 332 | Position Description Cover Sheet | PDF (PDF, 4.1 MB) |
| AD | 334 | Statement of Earnings and Leave | PDF (PDF, 42.1 KB) |
| AD | 343 | Payroll Action Request | FILL IN PDF (PDF, 107 KB) |
| AD | 349 | Employee Address | FILL IN PDF (PDF, 70.6 KB) |
| AD | 354 | Request for Information | FILL IN PDF (PDF, 271 KB) |
| AD | 382 | Employee Claim for Loss or Damage to Personal Property | FILL IN PDF (PDF, 160 KB) |
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| AD | 424 | Reimbursement of Expenses Upon Sale or Purchase of Residence Upon Change of Station | PDF (PDF, 74.5 KB) |
| AD | 435C | Senior Executive Service Appraisal Record | PDF (PDF, 135 KB) |
| AD | 435E | Performance Plan and Appraisal for Non-Supervisors | FILL IN PDF (PDF, 52.2 KB) |
| AD | 435S | Performance Plan and Appraisal for Supervisors | FILL IN PDF (PDF, 55.3 KB) |
| AD | 471 | Classified Document Accountability Record | PDF (PDF, 94.8 KB) |
| AD | 474 | Transmittal - Telephone and Utilities | FILL IN PDF (PDF, 198 KB) |
| AD | 475A | And Justice For All Poster (Assisted Programs) | |
| AD | 475B | And Justice For All Poster (SNAP and FDPIR Programs) | |
| AD | 475C | And Justice For All Poster (Conducted Programs) | |
| AD | 475D | And Justice for All Poster (Title IX Programs) | |
| AD | 495 | Secretary’s Honor Awards Nomination Form | FILL IN PDF (PDF, 1.1 MB) |
| AD | 507a | Probationary or Trial Period Report | PDF (PDF, 84.6 KB) |
| AD | 567 | Teleticket Payment Transmittal | PDF (PDF, 57.1 KB) |
| AD | 568 | Transmittal-Credit Card-Gasoline | PDF (PDF, 55.1 KB) |
| AD | 581 | Lump-Sum Leave or Compensatory Time Payments | FILL IN PDF (PDF, 464 KB) |
| AD | 582 | Authorization for Restored Annual Leave | PDF (PDF, 196 KB) |
| AD | 616 | Travel Voucher (Temporary Duty Station) | FILL IN PDF (PDF, 799 KB) |
| AD | 616N | Travel Voucher (Temporary Duty Travel) | FILL IN PDF (PDF, 694 KB) |
| AD | 616R | Travel Voucher (Relocation) | FILL IN PDF (PDF, 387 KB) |
| AD | 617 | Schedule of Expenses | FILL IN PDF (PDF, 253 KB) |
| AD | 633 | Multi-use Standard Requisitioning | PDF (PDF, 49.5 KB) |
| AD | 652 | Request for Creative Services | PDF (PDF, 323 KB) |
| AD | 658 | Within-Grade Increase Record | PDF (PDF, 75.6 KB) |
| AD | 672 | Reimbursement or Advance of Funds Agreement | FILL IN PDF (PDF, 391 KB) |
| AD | 673 | Request to Bill | PDF (PDF, 52.5 KB) |
| AD | 687 | Forms Action Request and Notice | PDF (PDF, 282 KB) |
| AD | 690 | Transmittal Record | PDF (PDF, 37.9 KB) |
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| AD | 700 | Purchase Request | FILL IN PDF (PDF, 44.3 KB) |
| AD | 718 | Period End -Estimates | PDF (PDF, 106 KB) |
| AD | 728 | Request and Authorization for Home to Work Transportation | PDF (PDF, 72.2 KB) |
| AD | 734 | Request for Candidates | PDF (PDF, 86.3 KB) |
| AD | 735 | Evaluation of Candidates | PDF (PDF, 129 KB) |
| AD | 742 | Disbursements (Expense) | FILL IN PDF (PDF, 233 KB) |
| AD | 755 | Advisory Committee or Research and Promotion Background Information | FILL IN PDF (PDF, 2.9 MB) |
| AD | 755 Supplemental List |
AD-755 Supplemental List
AMS Commodity Specific Questions
|
FILL IN PDF (PDF, 308 KB) |
| AD | 757 | Miscellaneous Payment System | PDF (PDF, 86.4 KB) |
| AD | 778 | Secretary's Memorandum Template | PDF (PDF, 104 KB) |
| AD | 779 | Employee Biographical Sketch | PDF (PDF, 144 KB) |
| AD | 811 | Departmental Regulation Template | PDF (PDF, 214 KB) |
| AD | 812 | Departmental Manual Template | PDF (PDF, 229 KB) |
| AD | 813 | Departmental Notice Template | PDF (PDF, 248 KB) |
| AD | 814 | Departmental Guidebook Template | PDF (PDF, 120 KB) |
| AD | 834 | IRM Technical Approval Request Certification | PDF (PDF, 116 KB) |
| AD | 835 | IRM System and Service Security Certification | PDF (PDF, 72.4 KB) |
| AD | 838-7 | Purchase Order | PDF (PDF, 105 KB) |
| AD | 838-B | Invoice - Receipt Notification | PDF (PDF, 136 KB) |
| AD | 838-D | BPA - Invoice - Receipt Certification | PDF (PDF, 123 KB) |
| AD | 838-I | Invoice Cover Sheet for IAS Payments (IAS-001) | PDF (PDF, 146 KB) |
| AD | 873 | Property Pass | PDF (PDF, 122 KB) |
| AD | 881 | Individual Development Plan | FILL IN PDF (PDF, 103 KB) |
| AD | 894 | Request for Cropland Waiver | PDF (PDF, 83.2 KB) |
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| AD | 955 | GSA Telephone Transmittal | FILL IN PDF (PDF, 472 KB) |
| AD | 956 | Request for Originating Office Number Action | PDF (PDF, 355 KB) |
| AD | 1000 | Certified Statement of Income and Tax Filing Status Relocation Income Tax Allowance (RITA) | FILL IN PDF (PDF, 1.5 MB) |
| AD | 1026A | Farming Interest | USDA Service Center eForms |
| AD | 1026B | Highly Erosive Land Conservation Exemption Request | USDA Service Center eForms |
| AD | 1026C | Landlord or Landowner Exemption Request | USDA Service Center eForms |
| AD | 1026D | Relief for Undue Economic Hardship Request Highly Erosive Land Conservation | USDA Service Center eForms |
| AD | 1026 | Highly Erosive Land Conservation (HELC) and Wetland Conservation (WC) Certification | USDA Service Center eForms |
| AD | 1026 | Certification de Conservation de Tierras Altamente Erosionables ("HELC") Y de Plantanos ("WC") | USDA Service Center eForms |
| AD | 1043 | Leave Transfer Program-Donor Application | FILL IN PDF (PDF, 132 KB) |
| AD | 1046 | Leave Transfer Program - Recipient Application | FILL IN PDF (PDF, 125 KB) |
| AD | 1047 | Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions | PDF (PDF, 310 KB) |
| AD | 1048 | Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions | PDF (PDF, 304 KB) |
| AD | 1049 | Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative I – For Grantees Other Than Individuals | PDF (PDF, 318 KB) |
| AD | 1050 | Certification Regarding Drug-Free Workplace Requirements (Grants) Alternative II – For Grantees Who Are Individuals | PDF (PDF, 310 KB) |
| AD | 1052 | Certification Regarding Drug-Free Workplace State and State Agencies, Federal Fiscal Year | PDF (PDF, 303 KB) |
| AD | 1068 | Good Faith Determination- Highly Erosive Land Activity | PDF (PDF, 154 KB) |
| AD | 1068A | Distribution of Graduated Payment Reduction | PDF (PDF, 80.6 KB) |
| AD | 1069 | Good Faith Determination- Wetland Activity | PDF (PDF, 89.7 KB) |
| AD | 1073 | Recommendation and Approval of- Recruitment/ Relocation Bonus or Retention Allowance | PDF (PDF, 103 KB) |
| AD | 1074 | Service Agreement for Receipt of Payment for a Recruitment/ Relocation Bonus | PDF (PDF, 73.0 KB) |
| AD | 1083 INS | Instructions for Completing Form AD-1083 | PDF (PDF, 58.1 KB) |
| AD | 1083 | Request for Action for Procedures/Reports | PDF (PDF, 102 KB) |
| AD | 1083A | Continuation Sheet for Ordering Procedures | PDF (PDF, 130 KB) |
| AD | 1086 | Applicant Supplemental Sheet | PDF (PDF, 148 KB) |
| AD | 1095 | Accounting/Pay Period Calendar | PDF (PDF, 301 KB) |
| AD | 1095A | Accounting/Pay Period Calendar | PDF (PDF, 305 KB) |
| AD | 1098 | Sick Leave Hours Used for Family Members | PDF (PDF, 281 KB) |
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| AD | 1101 | Acceptance of Payment for Travel Expenses from a Non-Federal Source | PDF (PDF, 292 KB) |
| AD | 1102 | Special Processing Transmittal | PDF (PDF, 1.3 MB) |
| AD | 1128 | Identification Request for Electronic Downloading of Software from NFC | FILL IN PDF (PDF, 189 KB) |
| AD | 1130 | Doing Business With USDA Kit | USDA Procurement Web Site |
| AD | 1138 | Option B and C Election Notice for Retirement | FILL IN PDF (PDF, 87.5 KB) |
| AD | 1143 | Corporate Systems Access Request Form | FILL IN PDF (PDF, 254 KB) |
| AD | 1151 | Recommendation and Approval of the Repayment of Student Loans(s) | PDF (PDF, 131 KB) |
| AD | 1152 | Service Agreement for a Receipt of Repayment of Student Loan(s) | PDF (PDF, 153 KB) |
| AD | 1153 | Application for Long-Term Contracted Assistance Through the _____ Program | USDA Service Center eForms |
| AD | 1154 | NRCS Long-Term Agreement | USDA Service Center eForms |
| AD | 1155 | Conservation Plan Schedule of Operations | USDA Service Center eForms |
| AD | 1155A | Conservation Plan Schedule of Operations | USDA Service Center eForms |
| AD | 1156 | Revision of Plan or Schedule of Operations or Modification of a Contract | USDA Service Center eForms |
| AD | 1157 | Option Agreement to Purchase | USDA Service Center eForms |
| AD | 1157A | Option Agreement to Purchase Amendment 1 |
USDA Service Center eForms |
| AD | 1158 | Subordination Agreement and Limited Lien Waiver | USDA Service Center eForms |
| AD | 1159 | Notice of Intent to Continue | USDA Service Center eForms |
| AD | 1160 | Compatible Use Authorization | PDF (PDF, 92.3 KB) |
| AD | 1161 | Application for Payment | PDF (PDF, 61.0 KB) |
| AD | 1163 | Confirmation of Request for Reasonable Accommodation | PDF (PDF, 73.5 KB) |
| AD | 1164 | Reasonable Accommodation Information Reporting Form | PDF (PDF, 87.7 KB) |
| AD | 1165 | Denial of Reasonable Accommodation Request | PDF (PDF, 104 KB) |
| AD | 1168 | Corporate System Change Request(CR) with Instructions | PDF (PDF, 144 KB) |
| AD | 1170 | Transit Subsidy Cash Reimbursement Certification | PDF (PDF, 58.4 KB) |
| AD | 1173A | CD-ROM Request | PDF (PDF, 80.4 KB) |
| AD | 1185 | Pre-Tax Parking Application | PDF (PDF, 124 KB) |
| AD | 1190 | Farm/Business Assessment | PDF (PDF, 284 KB) |
| AD | 1197 | Request for USDA Site Badge | FILL IN PDF (PDF, 217 KB) |
| AD | 1202 | USDA Confidential Conflict of Interest Certification | PDF (PDF, 204 KB) |
| AD | 1205 | USDA Small Business Program - Procurement Request Review | PDF (PDF, 134 KB) |
| AD | 1208 | Senior Leadership Potential Assessment | PDF (PDF, 315 KB) |
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| AD | 2000 | Performance Plan Agreement and Appraisal | PDF (PDF, 202 KB) |
| AD | 2001 | Designation of Tour of Duty | PDF (PDF, 139 KB) |
| AD | 2002 | Time and Attendance Record | PDF (PDF, 146 KB) |
| AD | 2003 | Spouse Consent to Survivor Election | FILL IN PDF (PDF, 89.1 KB) |
| AD | 2005 | Executive Potential Program Nomination Form | FILL IN PDF (PDF, 68.2 KB) |
| AD | 2008 | Executive Leadership Program for Mid-Level Employees Nomination Form | FILL IN PDF (PDF, 98.7 KB) |
| AD | 2010 | Federal Executive Institute (FEI) Nomination Form | FILL IN PDF (PDF, 178 KB) |
| AD | 2014 | New Leader Program (NLP) Nomination Form | FILL IN PDF (PDF, 94.4 KB) |
| AD | 2015 | USDA Congressional Fellowship Program Nomination Form | FILL IN PDF (PDF, 134 KB) |
| AD | 2017 | Service Center Information Management System (SCIMS) Access Form | FILL IN PDF (PDF, 116 KB) |
| AD | 2021 | Aspiring Leader Program (ALP) Nomination Form | FILL IN PDF (PDF, 95.9 KB) |
| AD | 2022 | Student Volunteer Agreement | PDF (PDF, 277 KB) |
| AD | 2047 | Customer Data Worksheet | PDF (PDF, 335 KB) |
| AD | 2047S | Customer Data Worksheet (Spanish version) | PDF (PDF, 315 KB) |
| AD | 2102 | Request for Special Priorities Assistance for Emergency Preparedness Activities | FILL IN PDF (PDF, 384 KB) |
| AD | 2106 | Questionnaire to Assist in the Assessment of USDA Compliance with Civil Rights Laws | PDF (PDF, 105 KB) |
| AD | 3001 | Documentary Materials Removal/Non-removal Certification and Non-disclosure Agreement | PDF (PDF, 310 KB) |
| AD | 3002 | Separation Checklist for Non-Career Appointees (rev 12-08) |
PDF (PDF, 303 KB) |
| AD | 3003 | Software Change Request (rev 09-15) |
FILL IN PDF (PDF, 349 KB) |
| AD | 3006 | POST-1956 Military Service Deposit Checklist | FILL IN PDF (PDF, 404 KB) |
| AD | 3010 | Senior Executive Service Performance Plan and Appraisal Record | PDF (PDF, 483 KB) |
| AD | 3018 | Telework Agreement | FILL IN PDF (PDF, 878 KB) |
| AD | 3020 | Supervisor Onboard Checklist | PDF (PDF, 169 KB) |
| AD | 3022 | New Media Request Form | PDF (PDF, 209 KB) |
| AD | 3025 | USDA 1890 National Scholars Program Application for High School Students | PDF (PDF, 635 KB) |
| AD | 3026 | USDA 1890 National Scholars Program Application for College Students | PDF (PDF, 634 KB) |
| AD | 3027 | USDA Program Discrimination Complaint Form | PDF (PDF, 293 KB) |
| AD | 3027S | USDA Program Discrimination Complaint Form (Spanish version) | PDF (PDF, 328 KB) |
| AD | 3030 | Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants | PDF (PDF, 640 KB) |
| AD | 3038 | Cyber Security PII Incident Report Form | PDF (PDF, 788 KB) |
| AD | 3040 | Request for Exception to DR 1430-002 |
PDF (PDF, 167 KB) |
| IAS | 001 | Invoice Cover Sheet for IAS Payments | FILL IN PDF (PDF, 344 KB) |
| AD | 3041 | Waiver/Cancellation Request | FILL IN PDF (PDF, 44.9 KB) |
| AD | 3042 | INSIGHT Access Request Form | PDF (PDF, 184 KB) |
| AD | 3043 | ASOC Incident Report | PDF (PDF, 279 KB) |
| AD | 3050 | PII NON DISCLOSURE AGREEMENT PII | PDF (PDF, 123 KB) |
| AD | 3061 | Container Examination Worksheet – Table IV- Metal Containers | FILL IN PDF (PDF, 705 KB) |
| AD | 3062 | Container Examination Worksheet – Table V- Composite Containers | FILL IN PDF (PDF, 200 KB) |
| AD | 3063 | Container Examination Worksheet – Table VI- Glass Containers | FILL IN PDF (PDF, 196 KB) |
| AD | 3064 | Container Examination Worksheet – Table VII- Plastic Containers | FILL IN PDF (PDF, 626 KB) |
| AD | 3065 | Container Examination Worksheet – Table IV- Rigid and Semi-Rigid Containers | FILL IN PDF (PDF, 660 KB) |
| AD | 3066 | Container Examination Worksheet – Table IV- Flexible Containers | FILL IN PDF (PDF, 1.3 MB) |
| AD | 3070 | Reemployment Priority List (RPL) Registration Sheet | PDF (PDF, 439 KB) |
| AD | 3072 | Recruit Action Supplement Form | PDF (PDF, 191 KB) |
| AD | 3073 | Senior Executive Service Probationary Period Certification | PDF (PDF, 262 KB) |
| AD | 3074 | Request for Recruitment Action | PDF (PDF, 189 KB) |
| AD | 3075 | Executive Resources Personnel Action Selection Request | PDF (PDF, 139 KB) |
| AD | 3077 | USDA Superior Qualifications and Special Needs Pay Setting Authority | PDF (PDF, 255 KB) |
| AD | 3080 | Classified Stand-Alone Computer User Agreement | FILL IN PDF (PDF, 171 KB) |
| AD | 3081 | Classified Stand-Alone Computer Registration / Certification | FILL IN PDF (PDF, 300 KB) |
| AD | 3082 | Classified Stand-Alone Computer User Account Termination | FILL IN PDF (PDF, 155 KB) |
| AD | 3083 | Justification Request for an HSDN Account | FILL IN PDF (PDF, 190 KB) |
| AD | 3084 | Justification for a Classified National Security Information System | FILL IN PDF (PDF, 184 KB) |
| AD | 3085 | Classified Stand-Alone Computer User Account Authorization | FILL IN PDF (PDF, 155 KB) |
| AD | 3086 | Classified Stand-Alone Computer System POC Change Request | PDF (PDF, 167 KB) |
| AD | 3100-A | National Finance Center Agency Security Officer Designation Form | PDF (PDF, 184 KB) |
| AD | 3100-DSA | National Finance Center Agency Distributed Security Administrator Designation Form | PDF (PDF, 129 KB) |
| AD | 3100-P | National Finance Center Payroll Personnel Request for Security Access | PDF (PDF, 363 KB) |
| AD | 3100-R | National Finance Center Reporting Center Request for Security Access Form | PDF (PDF, 264 KB) |
| AD | 3100-T | National Finance Center Tribal Insurance Processing System (TIPS) Request for Security Access | PDF (PDF, 259 KB) |
| AD | 3106 |
Software Validation Form
|
PDF (PDF, 311 KB) |
| AD | 3107 |
Request for USDA CIO Council Action
|
PDF (PDF, 240 KB) |
| AD | 3108 |
Note to Reviewers for
Draft USDA Departmental Directives |
FILL IN PDF (PDF, 1.2 MB) |
| AD | 3109 |
USDA Reorganization Work Plan
|
FILL IN PDF (PDF, 1.1 MB) |
| AD | 3110 |
Purchase Card: Non-Required Source Vendor Form
|
FILL IN PDF (PDF, 278 KB) |
| AD | 3111 |
Digital Signage Request Form
|
FILL IN PDF (PDF, 223 KB) |
| AD | 3113 |
Secure File Transfer Protocol (SFTP) File Transmission Request
|
FILL IN PDF (PDF, 177 KB) |
| AD | 3115 |
Recommendation and Authorization of Quality Step Increase (QSI)
|
FILL IN PDF (PDF, 136 KB) |
| AD | 3121 | USDA Employee Citizenship Form | PDF (PDF, 80.3 KB) |
| AD | 3125 | Eligibility Questionnaire for Havana Act Payments | PDF (PDF, 189 KB) |
| AD | 3126 | USDA Phone or Meeting Response to Correspondence Documentation Form | PDF (PDF, 152 KB) |
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