Forms Management – The Forms Management Program maintains all NIH forms, develops new forms, reviews, and approves new forms, and makes updated forms available through this website.

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All Archived Forms

 
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Form #TitleForms CategoryComments
Position Sensitivity WorksheetPosition Sensitivity WorksheetPersonnelForm has been incorporated into NIH Enterprise Directory (NED) system.
NH433Request to Change NIH Directory InformationProcurements & NIH Services 
NH649Report of Property TransferProperty 
NH649_1Shipping/Transfer Order and Receipt Document - Contract PropertyProperty 
NH649-3Donation of Contractor-Acquired PropertyProperty 
NH649_4Transfer of Government Property Title to SBIR Contractor-AwardeeProperty 
NH649_6Report of Lease Property Returned to VendorProperty 
NH79_3NIH Centralized Animal Order RequestAnimals 
NH827Request for Conference RoomProcurements & NIH Services 
NH829_1_Part_IRequest for Visiting Program Participant - Part 1Personnel 
NH829_1_Part_IIRequest for Visiting Program Participant - Part 2Personnel 
NH829_1_Parts_I_and_IIRequest for Visiting Program Participant - Parts 1 & 2Personnel 
NH829_7Request for Supplemental Visiting Fellowship AwardPersonnel 
NH88_12Monthly Laboratory Contamination SurveyProcurements & NIH Services 
NH2513Record of Expenses for Travel ReimbursementTravel 
NH2555_1Purchase Order Terms and Conditions for Supplies and ServicesProcurements & NIH Services 
NH2555-4Addendum to Terms and Conditions of Purchase OrderProcurements & NIH Services 
NH2560Request for Restoration of Annual LeaveTimekeeping 
NH2562Report of Joint Endeavor Between NIH and Commercial, For-Profit OrganizationsMiscellaneous & Reports 
NH2570Checklist for Microfilming ProjectsProcurements & NIH Services 
NH2573Request for Mailing and Distribution ServicesProcurements & NIH Services 
NH2582Contractor's Release for All ContractsProcurements & NIH Services 
NH2590_3Request for Student Support Intramural Research Training Award (Student Support IRTA)Personnel 
NH2590_4Request for Technical Intramural Research Training Award (Technical IRTA)Personnel 
NH2619Request for Transmission of Telegraphic MessageProcurements & NIH Services 
NH2652Code Sheet for the NIH Special Volunteer Program and Guest Researcher AssignmentPersonnel 
NH2664Request for Training Services (Intraagency Transfer of Funds)Personnel 
NH2674NIH Loan Repayment Program FormsPersonnel 
NH2676-1HHS Employee Emergency Payment Request Promissory Repayment Agreement, and Salary Offset AuthorizationTimekeeping 
NH2676-2HHS Amendment to Employee Emergency Payment Request Promissory Repayment Agreement, and Salary Offset AuthorizationTimekeeping 
NH2680-1Manuscript Transmittal SheetProcurements & NIH Services 
NH2685_1Notification of Mailing Address for Non-Employee WorkersTimekeeping 
NH2690Registration Document for Recombinant DNA ExperimentsMiscellaneous & Reports 
NH2696Evaluation of Employee SuggestionPersonnel 
NH2736_2Request for Certification of Eligibles for Temporary Limited PositionsPersonnel 
NH2736-3Employee’s Statement of Understanding Regarding Temporary AppointmentPersonnel 
NH2760NIH Excess (Surplus) Personal Property Screening RecordProperty 
NH2778Senior Executive Service Performance PlanPersonnel 
NH2889_1Student Employment Program AgreementPersonnel 
NH2889_2Student Career Experience Program (SCEP) Working AgreementPersonnel 
NH2889_3NIH Student Career Experience Program (SCEP) Conversion ChecklistPersonnel 
NH2889_4NIH Student Temporary Experience Program (STEP) Working AgreementPersonnel 
NH1192Animal Health and Shipping CertificateAnimals 
NH1382_2Motor Vehicle Trip TicketProcurements & NIH Services 
NH145_2Request for Official Personnel Folder (OPF)Personnel 
NH1531_1Request for Special Report from TAPS (TDCS-Arms Personnel System)Personnel 
NH1590Acquisition WorksheetProcurements & NIH Services 
NH1616_1Request for Publication and Speech ClearanceProcurements & NIH Services 
NH1616_2Request for Publication and Speech ClearanceProcurements & NIH Services 
NH1616_3Request for NIAID Approval of Publication or PresentationProcurements & NIH Services 
NH1616_4Request for Approval of Publication or PresentationProcurements & NIH Services 
NH1820Notification of Proposal to Make An AwardMiscellaneous & Reports 
NH1861_9Requisition WorksheetProcurements & NIH Services 
NH1962_2Overtime Request and Approval RecordTimekeeping 
NH1962_8Request for Approval and Authorization of OvertimeTimekeeping 
NH1964_1Record of Witness of Disposal of Controlled SubstancesMiscellaneous & Reports 
NH2010Notice of Financial Action on Fellowship AwardPersonnel 
NH2066Record of Personal Appeal ItemsProperty 
NH2144Fellowship Termination NotificationPersonnel 
NH2252-1Knowledges, Skills, and Abilities (KSA) Job AnalysisPersonnel 
NH2252-2Knowledges, Skills, and Abilities (KSA) Crediting PlanPersonnel 
NH2252-3Knowledges, Skills, and Abilities (KSA) Supplemental FormPersonnel 
NH2298Authorization to Release Student InformationPersonnel 
NH230Inventory Transaction RecordProcurements & NIH Services 
NH2333NRSA Special Action/Change NoticeProcurements & NIH Services 
NH2345Report of Rental Equipment and Services ReceivedProcurements & NIH Services 
NH2369-3Application for Rodent Products or Rodent Pathogens for Use In VivoAnimals 
NH2369_4Rodent Quarantine ReleaseAnimals 
NH2512_2REQUEST FOR ORGANIZATION CHANGEMiscellaneous & Reports 
GE203Senior Appointee PledgePersonnel 
ARCHIVE_FORM_0001Request to Use Government Furnished Vehicle for Transportation Between Domicile and Place of EmploymentTravel 
HS441Assurance of Compliance with the Department of Health and Human services Regulation Under Title VI fo the Civil Rights Act of 1964Miscellaneous & Reports 
HS441AExplanation of HHS Form No. 441, Assurance of Compliance with the Department of Health and Human Services Regualtion Under Title VI of the Civil Rights Act of 1964Miscellaneous & Reports 
HS474Confidential Statement of Employment and Financial InterestsPersonnelSuperceded by OGE450
HS639AAssurance of Compliance with Title IX of the Education Amendments of 1972 and the Regulation Issued by the Department of Health and Human services Implementation ThereofMiscellaneous & Reports 
HS68Request for Staff Manual Materials and Mailing List ChangesPersonnel 
IRTASPAGNIH Intramural Research Training Award Program Supplemental IRTA Fellowship AgreementMiscellaneous & Reports 
NH1533Nomination for DCRT Computer TrainingProcurements & NIH Services 
NH1757-1Justification for Other than Full and Open Competition (JOFOC)Procurements & NIH ServicesPlease see the Office of Acquisition Management and Policy (OAMP) website
NH1757-7Justification for Other than Full and Open Competition (JOFOC)Procurements & NIH ServicesPlease see the Office of Acquisition Management and Policy (OAMP) website
NH1767-1DCRT Account AuthorizationProcurements & NIH ServicesPlease see the CIT Account Forms website
NH1767-2DCRT Information Change NoticeProcurements & NIH Services 
NH1767-3DCRT Outside Account Authorization Interagency AgreementProcurements & NIH ServicesPlease see the CIT Account Forms website
NH1767-4Interagency Agreement for Annual Renewal of DCRT Outside Account AuthorizationProcurements & NIH ServicesPlease see the CIT Account Forms website
NH1767-5Deregistration Official Authorization for DCRT AccountsProcurements & NIH ServicesPlease see the CIT Account Forms website
NH2138Key/Lock Work RequestProcurements & NIH ServicesRequests for locksmith services must be submitted on line using the Administrative Data Base System
NH2386-3Administrative Time and Leave RecordTimekeepingPlease contact the Forms Management Officer to obtain a copy of this form for printing.
NH2489Personal Property Loan RecordPropertyObsolete and replaced by NH249-2 and NH2489-3
NH254Report of Loss or Damage of PropertyPropertyReplaced with HHS342
NH2581Tentative Estimate of Foreign Area Allowances and DifferentialsTimekeeping 
NH2585Individual Performance PlanPersonnel 
NH2674NIH Loan Repayment Programs formsMiscellaneous & Reports 
NH2705_7NIH Transhare Program--Bi-Monthly Commuting Cost CertificationProcurements & NIH ServicesReplaced by NH2831_1.PDF and NH2831_2.PDF
NH2737Administrative Exit ChecklistPersonnel 
NH2737-1Clearance of Personnel for Separation or TransferPersonnelPlease use NIH 2737-2
NH2866Position Sensitivity WorksheetPersonnelForm has been incorporated into NIH Enterprise Directory (NED) system.
NH368Property PassPropertyThis form is obsolete and has been replaced. Please use form HS439 for the Property Pass.
NH414_5Request for NIH Manual IssuancesMiscellaneous & Reports 
NH465_2Prospective Authorized User InformationProcurements & NIH ServicesIncluded with NH465_1
NH827_2Request for Use of Lister Hill AuditoriumProcurements & NIH ServicesReplaced by NIH 827-2A and NIH 827-2B
NH829-2Instructions for Request for NIH Visiting Fellowship AwardPersonnel 
NH88-16Isotope Receipt, Utilization and Disposal RecordAnimals 
NH88_22Radiation Safety Branch User Registration RecordProcurements & NIH Services 
NH88_37Radiation Safety Training Orientation DocumentationMiscellaneous & Reports 
NIH_AWARD_NOMNIH Award NominationPersonnelReplaced by NH2833
OBCCAUTHOber United Travel Agency Charge Card AuthorizationTravel 
OBFRQTRVOber United Travel Agency Very Important Traveler ProfileTravelReplaced by WTSFRQTR
OBFSTFAXOber FastRes Fax FormTravelReplaced by WTSFSTFX
OF117029Supplemental Qualifications Statement Medical and Dental OfficerPersonnel 
OF333Procurement Integrity Certification for Procurement OfficialsProcurements & NIH Services 
OF510Privacy and Public Burden StatementsPersonnel 
OF612Optional Application for Federal EmploymentPersonnel 
OF630Leave Recipient Application Under the Voluntary Leave Transfer ProgramPersonnelReplaced by OPM 630
OF630ARequest to Donate Annual Leave to Leave Recipient (Within Agency) Under the Leave Transfer ProgramPersonnelReplaced by OPM 630A
OF630BRequest to Donate Annual Leave to Leave Recipient (Outside Agency) Under the Leave Transfer ProgramPersonnelReplaced by OPM 630B
OP117017Supplemental Qualifications Statement List of College Courses and Certificate of Scholastic AchievementPersonnel 
OP117029Supplemental Qualifications Statement Medical and Dental OfficerPersonnel 
OP1390Executive Personnel TransactionPersonnel 
OP1537Current/Former Spouse's Notification of Application for Refund of Retirement DeductionsPersonnel 
PH1637-3DHHS, PHS Parent's Dependency AffidavitPersonnel 
PH50Application for Appointment as a Commissioned Officer in the U.S. Public Health Service Commissioned CorpsPersonnel 
PURCH-CANCELPURCH-CANCELProcurements & NIH Services 
RADBADGEFilm Badge Registration Form, Radiation Safety BranchProcurements & NIH Services 
SF171Application for Federal EmploymentPersonnel 
SF278Public Financial Disclosure ReportsPersonnelThis form has been changed to OGE 278. Please follow http://ethics.od.nih.gov/forms.htm to use this form.
SF2801-1CSRS Certified Summary of Federal ServicePersonnel 
SF2801-2CSRS Spouse's Consent to Survivor ElectionPersonnel 
SF2801-3CSRS Election of Former Spouse Survivor annuity or Combination Current/Former Spouse AnnuityPersonnel 
SF2801DCSRS Agency Checklist of Immediate Retirement ProceduresPersonnel 
SF2802BCSRS Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the Civil Service Retirement SystemPersonnel 
SF2809AFEHB Information for Federal Civilian Employees and U.S. Postal Service EmployeesPersonnel 
SF2811Transmittal and Sumary Report to CarrierPersonnelDiscontinued by OPM
SF2812AReport of Withholding and Contributions for Health Benefits by Enrollment CodePersonnel 
SF2824CSRS Documentation in Support of Disability Retirement ApplicationPersonnel 
SF2824ACSRS Documentation in Support of Disability Retirement ApplicationPersonnel 
SF2824BCSRS Supervisor's StatementPersonnel 
SF2824CCSRS Physician's StatementPersonnel 
SF2824DFEGLI Agency Certification of Reassignment and Accommodation EffortsPersonnel 
SF2824EFEGLI Disability Retirement Application ChecklistPersonnel 
SF293Notice to Separated Employee Concerning Disposition of Official Personnel Folder/Merged Records Personnel Folder and Employee Medical FolderPersonnel 
SF3104AFERS Survivor SupplementPersonnel 
SF3105FERS Documentation in Support of Disability Retirement ApplicationPersonnel 
SF3105AFERS Applicant's Statement of DisabilityPersonnel 
SF3105BFERS Supervisor's StatementPersonnel 
SF3105CFERS Physician's StatementPersonnel 
SF3105DFERS Agency Certification of Reassignment and Accommodation EffortsPersonnel 
SF3105EFERS Disability Retirement Application ChecklistPersonnel 
SF3106ACurrent/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the Federal Employee's Retirement SystemPersonnel 
SF3107-1FERS Certified Summary of Federal ServicePersonnel 
SF3107-2FERS Spouse's Consent to Survivor ElectionPersonnel 
SF3112ACSRS/FERS Applicant's Statement of DisabilityPersonnel 
SF3112BCSRS/FERS Supervisor's Statement In Connection With Disability Retirement Under the Civil Service Retirement System and the Federal Employees' Retirement SytemPersonnel 
SF3112CCSRS/FERS Physician's Statement In Connection With Disability Retirement Under the Civil Service Retirement System and the Federal Employees' Retirement SytemPersonnel 
SF3112DCSRS/FERS Agency Certification of Reassignment and Accommodation Efforts In Connection With Disability Retirement Under the Civil Service Retirement System and the Federal Employees' Retirement SytemPersonnel 
SF3112ECSRS/FERS Disability Retirement Application ChecklistPersonnel 
SF424Application for Federal AssistanceMiscellaneous & Reports 
SF78Medical ExaminationPersonnelReplaced with SF178 by OPM
USIMMNTUS Bank Cardholder MaintenanceMiscellaneous & Reports(Note - Obtain this form from your Administrative Officer. Do NOT create this form electronically. US Bank wishes to control distribution.)
USIMSETUS Bank Cardholder SetupMiscellaneous & Reports(Note - Obtain this form from your Administrative Officer. Do NOT create this form electronically. US Bank wishes to control distribution.)
VOLAGREENIH Special Volunteer AgreementPersonnel 
NIH2866 InstructionsInstructions Page for Form NIH 2866N/A 
NH829-1Instructions for completing Form 829-1N/A 
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