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Forms
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Listed below are the official forms available for downloading
or printing. Only official forms are acceptable in the conduct of Agency business, so please carefully read the
information and instructions pertaining to the form(s) you wish to use.
To complete Fillable PDF forms, you must have Adobe Acrobat Reader 5.1 or Adobe Acrobat 5.0 (or later) installed.
For information on how to save a Fillable PDF form, go to Technical Assistance.
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Frequently Requested FSIS Forms
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A list of the public forms approved for online use by FSIS.
FSIS Form 10,110-2 (PDF Only)
Application for Laboratory Accreditation
The Accredited Laboratory Program (ALP) accredits nonfederal analytical chemistry laboratories to analyze meat and poultry food products for moisture,
protein, fat, and salt (MPFS) content, and/or certain specific classes of chemical residues. Submission of this form is one of
the requirements; see 9 CFR, Parts 318, 381, and 391.
FSIS Form AD-755 (Fillable PDF Only)
Advisory Committee Membership Background Information
This form is intended for prospective advisory committee members and is used to determine qualifications, suitability and
availability for service on advisory committees. Print the form and submit an original signed copy.
FSIS Form 7234-1 (Fillable PDF Only)
Application for Approval of Labels, Marking or Device
This form has been updated to include additional features that will make the evaluation process more efficient. Businesses
and agents using this form will find more information on the Labeling Guidance page.
FSIS Form 4450-1 (PDF Only)
Nominations for Howard E. Bauman Award for Food Safety
The Howard E. Bauman Award was created to recognize an individual or individuals showing longstanding commitment, leadership and
service to improving food safety. Follow the instructions for submission found on page 1 of the form.
FSIS Form 10,240-1 (Fillable PDF Only)
Production Information on Post-Lethality Exposed Ready-to-Eat Products
FSIS collects estimates of the annual production volume on ready-to-eat
meat and poultry products. Establishments that produce these products are required to make this information available
at least annually. FSIS uses the information as a basis for directing its verification activities, including
microbiological sampling.
FSIS Form 5020-1 (Fillable PDF Only)
Registration of Meat and Poultry Handlers
Unless you operate under Federal inspection, you are required by law to register with the U.S. Department of Agriculture if you deal in meat or poultry products in or for commerce.
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Employee Related Forms
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The following forms are provided for FSIS employees and applicants for Federal employment.
OF-306 (PDF Only)
Declaration for Federal Employment
The information collected on this form is used to determine your acceptability for Federal employment and
your enrollment status in the Government's Life Insurance program.
FSIS Form 4335-1 (PDF Only)
Application for Promotion
FSIS employees use this form to apply for promotions or recurring vacancies. Follow instructions
on the form and in the vacancy announcement.
OF-510 (PDF Only)
Applying for a Federal Job
This checklist describes what your application or resume for Federal employment must contain.
OF-612 (PDF Only)
Application for Employment
You may apply for most jobs with a resume, this form, or other written format. If your resume or application
does not provide all the information requested on this form and in the job vacancy announcement,
you may lose consideration for a job.
SF-15 (PDF Only)
Application for 10-Point Veteran Preference
Eligibility for veterans' preference is governed by 5 U.S.C. s 2108, 5 CFR Part 211, and FPM chapter 211.
All conditions are not fully described in this form because of space restrictions. The office to which you apply
can provide additional information.
SF-85 (Fillable PDF Only)
Questionnaire for Non-Sensitive Positions
The U.S. Government conducts background investigations to establish that applicants or incumbents either
employed by the Government or working for the Government under contract, are suitable for the job. Information
from this form is used primarily as the basis for this investigation. Complete this form only after a conditional
offer of employment has been made.
SF-85P (Fillable PDF Only)
Questionnaire for Public Trust Positions
The U.S. Government conducts background investigations and reinvestigations to establish that applicants or incumbents
either employed by the Government or working for the Government under contract, are suitable for the job and/or eligible
for a public trust or sensitive position. Information from this form is used primarily as the basis for this investigation.
Complete this form only after a conditional offer of employment has been made.
SF-86 (Fillable PDF Only)
Questionnaire for National Security Positions
The U.S. Government conducts background investigations and reinvestigations to establish that military personnel,
applicants for or incumbents in national security positions, either employed by the Government or working for
Government contractors, licensees, certificate holders, and grantees, are eligible for a required security clearance.
Information from this form is used primarily as the basis for investigation for access to classified information or
special nuclear information or material. Complete this form only after a conditional offer of employment has been
made for a position requiring a security clearance.
SF-181 (Fillable PDF Only)
Race and National Origin Identification
You are asked to furnish this information under the authority of the statues requiring that Federal
employment practices be free from discrimination and provide equal employment opportunities for all.
SF-2823 (Fillable PDF Only)
FEGLI Designation of Beneficiary
This is a designation of beneficiary under the Federal Employees' Group Life Insurance Program.
SF-3102 (Fillable PDF Only)
FERS Designation of Beneficiary
This is a designation of beneficiary under the Federal Employees' Retirement System.
SB-2362 (Fillable PDF Only)
Savings Bond Form
This is the Authorization For Purchase And Request For Change for United States Series EE Savings Bonds
or United States Series I (Inflation-Indexed) Savings Bonds.
AD-1043 (Fillable PDF Only)
Leave Transfer Program Donor Application (USDA Only)
Use this form to request the transfer of earned annual leave to an approved leave recipient.
AD-349 (Fillable PDF Only)
Employee Address
This form is used to obtain an employee's home address and check mailing address.
IRS Form W-4 (Fillable PDF Only)
Complete Form W-4 so your employer can withhold the correct Federal income tax from your pay.
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