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              <source srcset="/sites/default/files/styles/medium_icon/public/2020-08/small-plant%402x.png?itok=8DYIzLYo 1x, /sites/default/files/styles/medium_icon_2x/public/2020-08/small-plant%402x.png?itok=2H7wJXUo 2x" type="image/png" width="76" height="82"/>
                  <img loading="eager" srcset="/sites/default/files/styles/medium_icon/public/2020-08/small-plant%402x.png?itok=8DYIzLYo 1x, /sites/default/files/styles/medium_icon_2x/public/2020-08/small-plant%402x.png?itok=2H7wJXUo 2x" width="76" height="82" src="/sites/default/files/styles/medium_icon/public/2020-08/small-plant%402x.png?itok=8DYIzLYo" alt="Ask Plant" />

  </picture>



      
          </div>
  
  <div class="card__content">
    
          <h3 class="card__title">
        FSIS Intranet      </h3>
    
    
    <div class="card__teaser">The FSIS employee intranet, created and built for FSIS employees, is accessible to all employees with Level 2 eAuthentication credentials.</div>

          <div class="card__button">  
  <a href="https://intranet.usda.gov/agencies/food-safety-and-inspection-service" class="button button--arrow">Login to FSIS Intranet</a>

</div>
      </div>

  </div>

</div>
        </div>
  </div>


        </aside>
    
    <div class="l-sidebar__main">
          <section class="introduction">
  <h1 class="introduction__title">Employee Forms</h1>  </section>

    <section class="wysiwyg">
    <h3 dir="ltr">FSIS Forms</h3>
<p dir="ltr">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.</p>
<p dir="ltr">Some of our forms have fill-and-print capability; others will have save-and-send capability. When sending forms to us by email, please do not include personal, private, or proprietary information; this is not a secure server.</p>
<p dir="ltr">For best results, use the current version of the <a href="http://www.adobe.com/products/reader/" target="_blank">Adobe Reader</a>.</p>
<p dir="ltr"><strong>Available Public Use Forms</strong><br>
These are the forms that have been approved by FSIS for online use. This list does not include every form used by FSIS. Current FSIS employees should check OneUSDA for additional information.</p>

</section>


<div class="views-element-container">



<div  class="fsis-form view view--forms view--display-default js-view-dom-id-31d4a786ff870648e21fb7e2d1366917bb3600ed8b98643ebd58ff0fc57178be">

  
    

  
      <div class="view__filters"><form class="views-exposed-form bef-exposed-form" data-drupal-selector="views-exposed-form-forms-default" action="/employees/forms" method="get" id="views-exposed-form-forms-default" accept-charset="UTF-8" novalidate>
  

<div class="form-item form-item--textfield form-item--id-combine js-form-item js-form-type-textfield js-form-item-combine">
      

        

<input placeholder="Search for a form" data-drupal-selector="edit-combine" type="text" id="edit-combine" name="combine" value="" size="30" maxlength="128" class="form-item__text">

        </div>


<div class="form-item form-item--select form-item--id-form-type-target-id js-form-item js-form-type-select js-form-item-form-type-target-id">
      
<label for="edit-form-type-target-id" class="form-item__label">
    Form Types
    <span class="usa-hint">(optional)</span>  </label>
        

<select data-drupal-selector="edit-form-type-target-id" id="edit-form-type-target-id" name="form_type_target_id" class="form-item__select"><option value="All" selected="selected">- Any -</option><option value="675">Employee Forms</option><option value="676">Inspection Forms</option><option value="677">AD Forms</option><option value="678">OPM Forms</option><option value="679">Forms.gov</option><option value="680">Standard Forms</option></select>
        </div>


<div class="form-item form-item--select form-item--id-field-form-series-target-id js-form-item js-form-type-select js-form-item-field-form-series-target-id">
      
<label for="edit-field-form-series-target-id" class="form-item__label">
    Form Series
    <span class="usa-hint">(optional)</span>  </label>
        

<select data-drupal-selector="edit-field-form-series-target-id" id="edit-field-form-series-target-id" name="field_form_series_target_id" class="form-item__select"><option value="All" selected="selected">- Any -</option><option value="664">1000</option><option value="665">2000</option><option value="666">3000</option><option value="667">4000</option><option value="668">5000</option><option value="669">6000</option><option value="670">7000</option><option value="671">8000</option><option value="672">9000</option><option value="673">10000</option><option value="674">Others</option></select>
        </div>

<div data-drupal-selector="edit-actions" class="form-actions form-wrapper js-form-wrapper" id="edit-actions">

<input data-drupal-selector="edit-submit-forms" type="submit" id="edit-submit-forms" value="Search" class="button js-form-submit">


<input data-drupal-selector="edit-reset" type="submit" id="edit-reset" name="op" value="Reset" class="button js-form-submit">
</div>


</form>
</div>
  
  
      <div class="view__content"><table class="usa-table cols-4">
        <thead>
      <tr>
                                                  <th id="view-field-form-id-table-column" class="views-field views-field-field-form-id" scope="col">Form ID</th>
                                                  <th id="view-nothing-table-column" class="views-field views-field-nothing" scope="col">Form</th>
                                                  <th id="view-field-related-resource-table-column" class="views-field views-field-field-related-resource" scope="col">Related Resource</th>
                                                  <th id="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date" scope="col">Last Updated Date</th>
              </tr>
    </thead>
    <tbody>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1210-14          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1210-14 Reimbursable Funds Transfer Actions.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Reimbursement Procedures for Inspection Expenditures - Revision 7</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2009-06-15T12:00:00Z">2009-06-15</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1210-15          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1210-15 Checklist for Reimbursable Agreements (RA).pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Reimbursable Agreements - Revision 2</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2010-02-02T12:00:00Z">2010-02-02</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1210-16          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1210-16 Reimbursable Agreement Request.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Reimbursable Agreements - Revision 2</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2008-06-12T12:00:00Z">2008-06-12</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1240-2          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS Form 1240-2 OPACE Communications Product and Visual Aids Request Form .pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource">          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2023-04-04T12:00:00Z">2023-04-04</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1300-1A          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1300-1A Certification for Procurement Requests.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Procurement of Supplies, Equipment, and Services - Revision 6</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2023-09-15T12:00:00Z">2023-09-15</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1360-10          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1360-10 FSIS NFC Request Form.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>USDA NFC</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2024-02-21T12:00:00Z">2024-02-21</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1360-15          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1360-15 FSIS Enterprise Governance Board Project Request Form.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource">          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2018-05-02T12:00:00Z">2018-05-02</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1360-17          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1360-17 FSIS Evaluation Intake Form.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource">          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2024-02-22T12:00:00Z">2024-02-22</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1360-18          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1360-18  FSIS PEP PEIS Survey Request Form.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource">          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2024-03-12T12:00:00Z">2024-03-12</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1360-6A          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1360-6A Enterprise Request for Change (RFC).pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>The FSIS Enterprise Governance Decision-Making Process - Revision 2</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2023-09-25T12:00:00Z">2023-09-25</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1411-4A          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS Form 1411-4A Limited English Proficiency (LEP) Individual Contact Log.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Limited English Proficiency Policy Statement.pdf</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2023-10-15T12:00:00Z">2023-10-15</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1420-4          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1420-4 CID Safety Flyer.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Compliance Investigator Positions</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2015-09-30T12:00:00Z">2015-09-30</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1450-1          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1450-1 Freedom of Information (FOIA) Records Search Request.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Freedom of Information Act (FOIA)</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2024-03-20T12:00:00Z">2024-03-20</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1520-1A          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS Form 1520-1A Civil Rights Compliance of State Inspection Programs.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Civil Rights Compliance and Enforcement</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2024-01-16T12:00:00Z">2024-01-16</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">1520-2A          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 1520-2A Notice to Applicants Civil Rights Assurances Statement.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Civil Rights</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2023-10-16T12:00:00Z">2023-10-16</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">2400-6          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 2400-6 Personal Protective Equipment (PPE) Evaluation Checklist.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Basic Occupational Safety and Health Program</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2022-08-02T12:00:00Z">2022-08-02</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">2400-7          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 2400-7 Cut Resistant Glove Personal Protective Equipment (PPE) Evaluation Checklist.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Basic Occupational Safety and Health Program</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2023-02-20T12:00:00Z">2023-02-20</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">2410-10          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 2410-10 Report of Property for Designated Employee Use.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Personal Property - Revision 2</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2007-02-05T12:00:00Z">2007-02-05</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">2410-5          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 2410-5 Transmittal and Receipt for Accountable Items.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Personal Property - Revision 2</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="1989-05-01T12:00:00Z">1989-05-01</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">2410-9          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 2410-9 Clearance of Employee for Separation or Transfer.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>FSIS Employee Separation or Transfer Clearance</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2017-11-16T12:00:00Z">2017-11-16</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">2450-10          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 2450-10 Severe Weather and or Terrain Nonstandard Government Owned Vehicle GOV Equipment Request.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource">          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2012-07-23T12:00:00Z">2012-07-23</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">2450-11           </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 2450-11 Emergency Roadside Assistance.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Workplace Inspections, and Injury, Illness and Motor Vehicle Incident Reporting</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2022-11-15T12:00:00Z">2022-11-15</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">2450-5          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 2450-5 Request for Authorization to Operate a Government-Owned or-Leased Vehicle.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource">          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2023-05-10T12:00:00Z">2023-05-10</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">2450-6          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 2450-6 Government Vehicle Data Sheet.pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Fleet Management Program - Revision 7</p>
<p>FSIS Government Owned and Leased Vehicles</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2022-08-01T12:00:00Z">2022-08-01</time>
          </td>
              </tr>
          <tr>
                                                                                        <td headers="view-field-form-id-table-column" class="views-field views-field-field-form-id">2450-7          </td>
                                                                                        <td headers="view-nothing-table-column" class="views-field views-field-nothing">          FSIS 2450-7 (Government Paid Parking Application for Non-Bargaining Unit Employees).pdf

          </td>
                                                                                        <td headers="view-field-related-resource-table-column" class="views-field views-field-field-related-resource"><p>Government Paid Parking For Non-Bargaining Unit Employees - Revision 3</p>
          </td>
                                                                                        <td headers="view-field-last-updated-date-table-column" class="views-field views-field-field-last-updated-date"><time datetime="2013-07-11T12:00:00Z">2013-07-11</time>
          </td>
              </tr>
      </tbody>
</table>
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