United States Department of Agriculture
Animal and Plant Health Inspection Service
APHIS Forms
Actions
APHIS Forms
To view some of these forms, you will need to have the free Adobe Acrobat Reader installed on your computer.
|
Form |
Fillable |
Description |
Revision Date, Other Info |
Format |
|
APHIS 1 |
Yes |
Request and Authorization for Occasional or Irregular Unscheduled Overtime |
03/1983 |
|
|
APHIS 12 |
Yes |
Change Management Request Form |
03/2006 |
|
|
APHIS 14-R |
Yes |
FTS 2001 Calling Card Tracking Sheet Generic Cards Without Names |
10/2004 |
|
|
APHIS 16-R |
Yes |
Review and Approval of Document |
01/2003 |
Employees Only |
|
APHIS 29 |
Yes |
Occupational Medical Monitoring Program - Occupational Exposures |
04/2020 |
|
|
APHIS 40 |
Yes |
Employee Exit Inventory |
04/1998 |
|
|
APHIS 47 |
Yes |
Transmittal and Receipt for Accountable Items |
04/2001 |
|
|
APHIS 58 |
Yes |
Request for Approval to Initiate a Hiring Action |
01/2014 |
|
|
APHIS 63 |
Yes |
Justification for Non-Competitive Federal Assistance |
10/2019 |
|
|
APHIS 66-R |
No |
Job Analysis - Major Duty Identification |
08/1982 |
|
|
APHIS 67-R |
No |
Job Analysis - Knowledge, Skills and Abilities Determination |
08/1984 |
|
|
APHIS 68-R |
No |
Job Analysis Rating Plan |
08/1982 |
|
|
APHIS 94 |
Yes |
Record of Public Funds Received |
06/2006 |
|
|
APHIS 103 |
Yes |
Annual Agreements Meeting |
03/2012 |
|
|
APHIS 106 |
No |
APHIS Local Registration Authority (LRA) Request for Training and Acknowledgment of Role Responsibilities |
02/2009 |
|
|
APHIS 109-R |
Yes |
Detailed Cost Analysis |
06/1996 |
|
|
APHIS 131 |
Yes |
VTC Request Form |
08/2012 |
|
|
APHIS 135 |
Yes |
Form Processing and Reproduction Record |
01/2007 |
|
|
APHIS 147-R |
No |
Annual Salary Computation Sheet For Appointments Above the Minimum Rate |
05/1992 |
|
|
APHIS 162 |
No |
Serious Accident Preliminary Report |
03/1992 |
|
|
APHIS 167 |
Yes |
Universal Wastes Recycling Program for Florescent Bulbs, Batteries, Electronics, and Non-PCB Containing Light Ballasts Containers Request Form |
07/2014 |
|
|
APHIS 168 |
Yes |
Hazardous Waste/Universal Waste Disposal Request Form |
07/2014 |
|
|
APHIS 176 |
No |
Travel Savings Form |
04/2006 |
|
|
APHIS 187-R |
No |
Request for Publication/Material |
05/1997 |
|
|
APHIS 188 |
Yes |
Printing Request |
05/2007 |
|
|
APHIS 192 |
Yes |
Application for Credit Account and Request for Services |
07/2017 |
|
|
APHIS 203 |
Yes |
Request for Access to NFC's Travel System |
09/2004 |
|
|
APHIS 240-R |
No |
APHIS Office Ergonomic Evaluation Checklist (OEEC) |
03/2003 |
|
|
APHIS 257-R |
No |
Hazard Communication Standard Checklist |
07/1996 |
|
|
APHIS 258 |
No |
Respirator Use Approval |
11/1998 |
|
|
APHIS 259-R |
Yes |
Workplace Incident Report |
12/2001 |
|
|
APHIS 260 |
No |
Medical Alert Card (Employee) |
12/2007 |
|
|
APHIS 260-A |
No |
Medical Alert Card |
12/2007 |
|
|
APHIS 264-R |
Yes |
Facility Environmental Inventory Report |
06/2003 |
|
|
APHIS 265-R |
Yes |
Individual Discovery Report |
06/2003 |
|
|
APHIS 266-R |
Yes |
Hazardous Waste Accumulation Inspection Form |
06/2003 |
|
|
APHIS 267-R |
Yes |
Monthly Hazardous Waste (Generator) Activity Report |
06/2003 |
|
|
APHIS 270 |
Yes |
Job Hazard Assessment |
06/2018 |
|
|
APHIS-271-R |
Yes |
APHIS Facility Security Profile |
12/2009 |
|
|
APHIS 301 |
No |
Incident Record Discharge of a Non-Lethal Personal Protective Device (NLPPD) |
08/2001 |
|
|
APHIS 302 |
No |
Inventory Control Record for Non-Lethal Personal Protective Devices (NLPPD) |
08/2001 |
|
|
APHIS 329 |
Yes |
Contract Delivery Receipt |
08/1982 |
|
|
APHIS 348 |
Yes |
Recruitment Request Addendum for Payment of Transportation, Travel, and Relocation Expenses |
12/1016 |
|
|
APHIS 349 |
Yes |
Statement of Understanding Waiver of Payment of Transportation, Travel, and Relocation Expenses |
10/2016 |
|
|
APHIS 453 |
Yes |
Program Site Tag Information Sheet |
04/2014 |
|
|
APHIS 511-R |
No |
APHIS ID/Access Request |
06/2004 |
|
|
APHIS 512-R |
Yes |
APHIS Data Center Visitor Log |
01/2011 |
|
|
APHIS 514 |
Yes |
APHIS Data Center Access Control Form |
12/2016 |
|
|
APHIS 515-R |
Yes |
Incident Report |
06/2004 |
|
|
APHIS 516 |
No |
Remote Access Account Control Form |
06/2008 |
|
|
APHIS 518 |
Yes |
Unmanned Aircraft Systems (UAS) Form |
02/2020 |
|
|
APHIS 520 |
Yes |
Risk Acceptance Form |
05/2012 |
|
|
APHIS 601 |
Yes |
Fundamentals of APHIS Human Resource Management (FARHM) Application Form |
09/2004 |
|
|
APHIS 602 |
No |
Managing Performance & Conduct Application Form |
01/2004 |
|
|
APHIS 603 |
Yes |
Learning Contract |
02/2004 |
|
|
APHIS 672 |
Yes |
Reimbursement or Advance of Funds Agreement |
05/2008 |
|
|
APHIS 672-A |
Yes |
Reimbursement or Advance of Funds Agreement Continuation Form |
05/2008 |
|
|
APHIS 2001 |
Yes |
Application for United States Veterinary Biologics Establishment License |
04/2015 |
|
|
APHIS 2003 |
Yes |
Application for United States Veterinary Biological Product License |
08/2017 |
|
|
APHIS 2005 |
Yes |
Application for United States Veterinary Biological Product Permit |
04/2015 |
|
|
APHIS 2007 |
Yes |
Qualifications of Veterinary Biologics Personnel |
04/2015 |
|
|
APHIS 2008 |
Yes |
Veterinary Biologics Production and Test Report |
04/2015 |
|
|
APHIS 2008-A |
Yes |
Continuation For Veterinary Biologics Production and Test Report |
05/2016 |
|
|
APHIS 2009 |
Yes |
Inspection and Compliance Facility Document Submission Worksheet |
08/2017 |
|
|
APHIS 2010 |
Yes |
Internal Audit Plan |
09/2017 |
|
|
APHIS 2011 |
Yes |
Internal Audit Checklist |
09/2017 |
|
|
APHIS 2012 |
Yes |
Quality Management System Action Request |
09/2017 |
|
|
APHIS 2013 |
Yes |
Internal Audit Report |
09/2017 |
|
|
APHIS 2015 |
Yes |
Transmittal of Labeling or Outlines |
08/2017 |
|
|
APHIS 2017 |
Yes |
Official Export Certificate for Animal Biological Products |
04/2015 |
|
|
APHIS 2018 |
Yes |
Request for Reference, Reagent, or Reagent Seed Material |
08/2017 |
|
|
APHIS 2020 |
Yes |
Shipment and Receipt of Biologics Samples |
04/2015 |
|
|
APHIS 2046 |
Yes |
Certification of Licensing and Inspection (English--unrestricted license) |
04/2015 |
PDF PDF |
|
APHIS 2047 |
Yes |
Certification of Licensing and Inspection (English--restricted license) |
04/2015 |
PDF PDF |
|
APHIS 2048 |
Yes |
Center for Veterinary Biologics Inspection and Compliance E-Submission Form |
08/2016 |
|
|
APHIS 2049 |
Yes |
Veterinary Biologics Regulatory E-Submission Form Policy, Evaluation, and Licensing |
08/2016 |
|
|
APHIS 2070 |
Yes |
Application for Authorization to Ship Master Seed or Cell Samples for Confirmatory Testing by APHIS |
10/2017 |
|
|
APHIS 2071 |
Yes |
Application for Authorization to Ship Experimental Veterinary Biological Products |
10/2015 |
|
|
APHIS 2072 |
Yes |
Application for Authorization to Ship Biological Product Samples for Confirmatory Testing by APHIS |
11/2017 |
|
|
APHIS 2080 |
Yes |
Adverse Event Report |
04/2020 |
|
| APHIS 2081 | Yes | Adverse Event Report Follow-up Information | 09/2015 | |
|
APHIS 7001 |
Yes |
United States Interstate and International Certificate of Health Examination for Small Animals |
11/2010 |
|
|
APHIS 7002 |
Yes |
Animal Care - Program of Veterinary Care |
04/2018 |
|
|
APHIS 7002a |
Yes |
Animal Care - Program of Veterinary Care for Dogs |
03/2020 |
|
|
APHIS 7003 |
No |
Animal Care-Application for License (Renewal) |
07/2018 |
|
|
APHIS 7003A |
No |
Animal Care-Application for License (New) |
07/2018 |
|
|
APHIS 7005 |
No |
Record of Acquisition & Dogs and Cats on Hand |
07/2009 |
|
|
APHIS 7006 |
No |
Record of Disposition of Dogs and Cats |
07/2009 |
|
|
APHIS 7006-A |
Yes |
Continuation Sheet for Record of Disposition of Dogs and Cats |
01/1990 |
|
|
APHIS 7020 |
Yes |
Record of Acquisition, Disposition or Transport of Animals (Other than Dogs and Cats) |
07/2012 |
|
|
APHIS 7023 |
Yes |
Annual Report of Research Facility |
11/2017 |
|
|
APHIS 7023-A |
Yes |
Continuation Sheet for Annual Report of Research Facility |
11/2017 |