HB-3555

Appendix 2

Page 1 of 3

(03-09-16) SPECIAL PN

Revised (05-09-22) SPECIAL PN

APPENDIX 2

FORMS AND INSTRUCTIONS

List of Forms and Instructions

The following are forms noted within the handbook. Forms are separated by action. Some forms are Agency 

only specific and require only Agency action (as noted in the “Agency Use Only” column). Some forms are 

optional and should be used at the discretion of the lender (as noted in the “Optional Use by Lender” column). 

All forms are in-fillable format and can be accessed from the Rural Development Instructions website at:

https://forms.sc.egov.usda.gov/eForms/, unless otherwise noted with a link to the form. Select “Browse Forms”

from the home page and then enter the form number in the applicable field. 

Lender Participation

Form Number Form Name Optional

Use by 

Lender

Agency 

Use 

Only

See HB 

Chapter

Form RD 3555-16 Agreement for Participation in Single 

Family Housing Guaranteed/Insured 

Loan Programs of the United States 

Government

3, 4, 12 

App. 7

Origination and Processing

Form Number Form Name Optional

Use by 

Lender

Agency 

Use 

Only

See HB 

Chapter

Form RD 3555-21 Request for Single Family Housing 

Loan Guarantee 2, 5, 6, 8, 

9, 10, 15

Form RD 1910-5 Request for Verification of 

Employment √ 9, 11, 15

Form RD 1944-62 Request for Verification of Deposit √ 9, 11, 15

FEMA Form 086-0-

32

Standard Flood Hazard Determination

Form

https://www.fema.gov/sites/default/fil

es/2020-07/fema_nfip_form_086-0-

32.pdf

12, 15

Form RD 1922-15 Administrative Appraisal Review for 

Single Family Housing √ 2, 12
HB-3555

Appendix 2

Page 2 of 3 

_____________________________________________________________________________________________

Form Number Form Name Optional

Use by 

Lender

Agency 

Use 

Only

See HB 

Chapter

RD Instruction 1970 

F, Exhibit B, 

Attachment B 2, 

(Form)

Template Private Party Notice to 

Applicant/Lender for Floodplain √ N/A

RD Instruction 

1970-B, Exhibit D

(Form)

Environmental Checklist for 

Categorical Exclusions √ 2

RD Instruction 1970 

B, Exhibit C (Form)

Guide to Applicants for Preparing 

Environmental Reports for 

Categorical Exclusions

√ N/A

Commitment

Form Number Form Name Optional

Use by 

Lender

Agency 

Use 

Only

See HB 

Chapter

Form RD 3555-18 Conditional Commitment for Single 

Family Housing Loan Guarantee √ 2, 7, 9, 12, 

14,15, 16

Form RD 3555-18E Conditional Commitment for Single 

Family Housing Loan Guarantee

(Electronic)

√ 2, 7, 9, 

12,14,15, 

16

Loan Closing

Form Number Form Name Optional

Use by 

Lender

Agency 

Use 

Only

See HB 

Chapter

Form RD 451-2 Schedule of Remittances √ App. 6

Form RD 3555-11 Lender Record Change 3, 4, 17

Form RD 3555-17 Loan Note Guarantee √ 2, 10,16, 17

Form RD 3555-17E Loan Note Guarantee (Electronic) √ 2, 10, 16, 

17
HB-3555

Appendix 2

Page 3 of 3

_____________________________________________________________________________________________

(03-09-16) SPECIAL PN

Revised (05-09-22) SPECIAL PN

Interest Assistance

Instructions Referenced

RD Instruction 1901-E Civil Rights Compliance Requirements

RD Instruction 1924-A Planning and Performing Construction and Other Development

RD Instruction 1970 Environmental 

RD Instruction 1951-B Collections

Form Number Form Name Optional

Use by 

Lender

Agency 

Use 

Only

See HB 

Chapter

Form RD 3555-87 Shared Equity Payment √ App. 6

Form RD 3555-12 Master Interest Assistance and Shared 

Equity Agreement with Promissory Note App. 6

Form RD 3555-13 Annual Interest Assistance Agreement App. 6

Form RD 3555-14 Interest Assistance Shared Equity 

Determination

√

App. 6