United States Department of Agriculture
Animal and Plant Health Inspection Service
APHIS Forms
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APHIS Forms
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|
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 |
12/2017 |
|
|
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 |
10/1982 |
|
|
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 |
12/2012 |
|
|
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 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 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 |
03/2019 |
|
|
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 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 |