FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
DN-8 CCF System Identification Worksheet 7/16/2008 X
DN-9 06/2008 X X 812
DN-10 EMPLOYEE ATTENDANCE RECORD 12/2008 X X 171
DN-10A TIME AND ATTENDANCE WORKSHEET 02/2003 X 890
DN-11 REQUEST FOR TRAINING 08/2003 X X X 172
DN-12 DISPOSAL OF PRIVACY ACT PAPERS 04/1996 X X 171
DN-13 INDIVIDUAL DEVELOPMENT PLAN 03/1996 X X X 171
DN-14 PROGRESS REPORT 04/1996 X X 164
DN-15 NIST PEOPLE IN THE NEWS 01/2002 X X 107
DN-16 LIABILITY AGREEMENT 10/1996 X X 192
DN-17 NIST PROCUREMENT DATA FORMAT 02/1999 X X 164
(FORM CD-409, INDIVIDUAL CONTACT
ACTION REPORT (OVER $25,000))
DN-18 NIST PROCUREMENT DATA FORMAT 02/1999 X X 164
(MODIFICATION) (FORM CD-409,
INDIVIDUAL CONTACT ACTION REPORT
(OVER $25,000))
DN-19 PROCESSING PAPERS FOR PERSONNEL 03/1999 X X 192
INVESTIGATION
DN-20 REQUEST FOR BACKGROUND 03/1999 X X 191
INVESTIGATION MEMORANDUM
DN-21 FINGERPRINT CHART MEMORANDUM 03/2004 X X 191
DN-22 STATEMENT OF PHYSICAL ABILITY FOR 12/2001 X X 172
LIGHT DUTY WORK
Page 1 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
DN-23 BUDGET DATA 07/2003 X X X 470
DN-24 NUMBER AVAILABLE FOR USE
DN-25 NUMBER AVAILABLE FOR USE
DN-26 NUMBER AVAILABLE FOR USE
DN-27 NIST FLEXIPLACE PROGRAM 04/2008 X X 171
EMPLOYEE/SUPERVISOR AGREEMENT
DN-29 TELECOMMUTING FACILITY 01/2003 X 171
REIMBURSEMENT INFORMATION SHEET
DN-30 TAX EXEMPTION CERTIFICATE 04/2004 X X 471
DN-31 ATP PUBLICATIONS REVIEW 11/2001 X X X 470
DN-32 ATP STATUS REPORT REVIEW SHEET 11/2002 X X 470
DN-33 E-APPROVAL CHANGE REQUEST 12/2001 X X 183, 171
DN-34 BOULDER PUBLIC AFFAIRS OFFICE 11/2002 X X 107
CLEARANCE SHEET
DN-35 NIST COMMERCE LEARNING (CLC) 02/2008 X X X 170
WORKSHEET
DN-36 OFFICIAL FILE COPY 11/2002 X X 171
DN-37 NIST FIREWALL POLICY 04/2005 X X 183
ADDITION/CHANGE REQUEST
DN-38A CONTINUING EDUCATION PROGRAM 11/2002 X 162
(CEP) APPLICATION
DN-38B CONTINUING EDUCATION PROGRAM 11/2002 X 162
(CEP) COST ESTIMATE
DN-38C CONTINUING EDUCATION PROGRAM 11/2002 X 162
(CEP) PROGRAM OF STUDY
DN-39A REQUEST TO PLACE A SYSTEM ON THE 10/2005 X 183
NIST PUBLIC NETWORK
DN-39B REQUEST FOR SUPPORT SSH THROUGH 01/2003 X 896
THE NIST FIREWALL
DN-39C REQUEST FOR SUPPORT SSL THROUGH 01/2003 X 896
THE NIST FIREWALL
DN-40 WITSG CHANGE REQUEST 02/2003 X 183
Page 2 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
DN-41 NIST REVIEW, APPROVAL, 03/2003 X 180
ACKNOWLEDGEMENT RECORD
DN-41A NIST REVIEW AND APPROVAL RECORD 11/2003 X 180
DN-41B NIST ACKNOWLEDGEMENT RECORD 11/2003 X 180
DN-42 REPORT OF LOSS/THEFT OF NIST 01/2009 X X 191
IDENTIFICATION BADGE
DN-43 PRODUCTION SYSTEM OUTAGE WAIVER 05/2004 X 183
REQUEST
DN-44 BUSINESS OBJECTS AUTHORIZATION 05/2004 X 183
FORM
DN-45 INVENTION DISCLOSURE AND RIGHTS 200
QUESTIONNAIRE
DN-46 CUBS USER ACCESS AUTHORIZATION 08/2005 X X 184
DN-47 UNACCEPTABLE SF-85 SUBMISSION 05/2006 X X X 191
DN-48 OCIO ALTERNATE WORK SCHEDULE
REQUEST FORM
DN-49 NEUTRON FACILITIES USER AGREEMENT 07/2007 X X 610
DN-50 BANKCARD PURCHASE RQUEST FORM 12/2008 X X 183
DN-52 VISITOR GATE PASS - AUTHORIZATION 01/2009 X 191
FOR RELEASE OF INFORMATION
NIST/BL-1197 OCCUPATIONAL HEALTH AND SAFETY 10/2006 X X 173
ORIENTATION CHECKLIST (BOULDER)
NIST/BL-1221 TELECOMMUNICATIONS SERVICE 02/1999 194
REQUEST AND DIRECTORY
INFORMATION
NIST/BL-19 STOREROOM AUTHORIZATION 01/1966 X X 194
NIST/BL-43 E.O.Q. CARD 01/1960 X 194
NIST/BL-50 SHIPPING ORDER 10/1998 X X 194
NIST/BL-50A SHIPPING ORDER (CONTINUATION 10/1998 X X 194
SHEET)
Page 3 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST/BL-7A NIST/BOULDER EDITORIAL REVIEW 02/1999 X X 194
BOARD - MANUSCRIPT REVIEW
NIST/BL-87 TRAFFIC ACCIDENT REPORT 02/1999 X 194
NIST-01 PERFORMANCE MANAGEMENT RECORD - 09/2008 X X X 172
ALTERNATIVE PERSONNEL
MANAGEMENT SYSTEM
NIST-012 RECOMMENDATION FOR AWARD 04/1998 X X 172
RECOGNITION
NIST-013 REQUEST FOR PRIVATE SECTOR 02/1999 X X X 172
TEMPORARY SERVICES
NIST-02 PROBATIONARY PERIOD REPORT 12/1994 X X X 172
(SCIENTIFIC AND ENGINEERING (ZP)
CAREER PATH)
NIST-04 PERFORMANCE MANAGEMENT RECORD - 09/2005 X X X 172
WAGE GRADE
NIST-05 REPRIMAND 01/2007 X X 172
NIST-1016 U.S. SPECIAL POLICE-VIOLATION 06/1991 X X 191
WARNING
NIST-1022 NEW TIP FORM 01/2008 X X 470
NIST-1027A ACCOUNTS PAYABLE CORRECTIONS 10/1988 X X 162
NIST-103 NBSR IRRADIATION REQUEST/PROPOSAL 10/1988 X X 856
NIST-1030 REQUEST FOR APPROVAL TO BRING 12/1991 X X 191
WEAPONS/EXPLOSIVES ON NIST
GROUNDS
NIST-1035 TEMPORARY SPECIAL PERMIT 07/1997 X X 191
NIST-1045 ACCOUNTS RECEIVABLE DATA RECORD 07/2003 X X 162
NIST-105 REACTOR CONTROL ROOM LOG SHEET 07/1991 X X 856
Page 4 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-1055 INVENTORY OF CLASSIFIED 09/1997 X X 191
INFORMATION
NIST-106 REACTOR AREA INSPECTION SHEET 07/1991 X X 856
NIST-1077 RADIO REPAIR ORDER 08/1990 X X 180
NIST-1079 SAFETY SURVEY REPORT 11/2003 X X X 173
NIST-1081 PERSONAL SERVICES CONTRACTING 01/2008 X X 164
ACTION
NIST-1082 CERTIFICATION OF PROPOSED 02/2006 X X X 164
ACQUISITION FOR SERVICES
NIST-1083 JUSTIFICATION for ACQUIRING EPA- 02/2006 X X 164
DESIGNATED ITEMS THAT DO NOT
CONTAIN RECOVERED MATERIALS
NIST-1084 NIST REQUEST FOR APPROVAL OF 08/2008 X X 164
UNAUTHORIZED COMMITMENT
NIST-1085 REQUEST FOR SECURITY ASSURANCE 07/2006 X X 191
NIST-1089 NIST DRIVER'S APPLICATION- 07/1993 X X 173
WORKSHEET
NIST-1095 ENTRY PERMIT 07/1995 X 191
NIST-1097 AUDIO-VISUAL EQUIPMENT- 03/1996 X 192
INVENTORY/SERVICE RECORD
NIST-1099 REQUEST FOR AUTHORIZATION OF 08/1994 X X 162
OFFICIAL ENTERTAINMENT
NIST-110 RECEIPT FOR MONIES RECEIVED BY NIST 05/1989 X X 162
FROM NIST EMPLOYEE
NIST-1100 SECURITY PERSONNEL RECORD CARD 05/1992 X X 191
NIST-1107 RECEIPT FOR ACCEPTANCE AND 10/1989 X X 162
RETURN OF PASSPORT
NIST-1110 RECORD OF OUTGOING MAIL 05/1991 X X 192
NIST-1118 RECORD OF GASOLINE AND OIL ISSUED 09/1998 X X 192
NIST-1118A RECORD OF DIESEL AND OIL ISSUED 05/1991 X X 192
Page 5 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-1118B RECORD OF COMPRESSED NATURAL 01/1994 X 192
GAS AND OIL ISSUED
NIST-1119 VISUAL ARTS CONTRACT SERVICES 07/1997 X X
REQUEST
NIST-1121 PHYSICAL SECURITY POST 04/1995 X X 191
ASSIGNMENTS
NIST-1132 DISPATCHER'S RECORD OF ON- 12/1991 X X 192
GROUNDS SHUTTLE SERVICE
NIST-1134 SECURITY ALARM OR INCIDENT REPORT 04/1995 X X 191
NIST-114 MANUSCRIPT REVIEW AND APPROVAL 02/2009 X X X 250
NIST-1145 AUDIO VIDEO SERVICES WORK ORDER 04/2002 X X 192
NIST-1145A AUDIO VIDEO SERVICES REQUEST 04/2002 X X 192
NIST-1153 RECORDS TRANSMITTAL AND RECEIPT 07/2007 X X 171
NIST-1160D SPECIMEN BANK X 839
NIST-1162 NIST HAND-CARRY RECEIPT (SINGLE 10/1988 X 192
SHEET)
NIST-1163 NIST HAND-CARRY RECEIPT (3 PART 10/1988 X X 192
NCR)
NIST-1174 AUTHORIZATION FOR OUT-OF-HOURS 10/1988 X X 191
ADMITTANCE
NIST-1175 APPROVAL OF CALIBRATION SERVICE 04/2001 X 230
NIST-1176 NIST SPONSORED OR CO-SPONSORED 09/1995 X X 107
MEETING APPROVAL
NIST-1176A NIST MEETING APPROVAL - NON-NIST 03/2001 X X 107
SPONSORED MEETINGS
NIST-1176C NIST SPONSORED OR CO-SPONSORED 09/1995 X 107
MEETING APPROVAL
NIST-1177 TRANSFER OF PACKAGED INVENTORY 01/2006 X X 230
NIST-1179 STANDARD REFERENCE MATERIAL- 05/1991 X X 230
TELEPHONE ORDER/COUNTERSALE
NIST-1180 STANDARD REFERENCE MATERIAL 06/1991 X X 230
INVENTORY ADJUSTMENT SHEET
Page 6 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-1184 AUDIO VISUAL SERVICES REQUEST 07/1993 X X X 107
NIST-1195 TRANSPORTATION SERVICES 06/2005 X X 192
SCHEDULED RUNS
NIST-1195A TRANSPORTATION SERVICES 11/1988 X X 192
SCHEDULED RUNS
NIST-1195B TRANSPORTATION SERVICES 06/2005 X X 192
SCHEDULED RUNS (To Metropolitan Grove
MARC Train Station)
NIST-1197 OCCUPATIONAL HEALTH AND SAFETY 10/2006 X X X 173
NIST-1199 ESSENTIAL RECORDS PACHAGE LABEL 12/1991 X X 191
NIST-12 LABOR CORRECTION REQUEST 08/2003 X X 162
NIST-1200 EMERGENCY LOCATOR SYSTEM - 08/1997 X X 191
CRITICAL EXPERIMENTS OR
OPERATIONS
NIST-1201 PHYSICAL SECURITY-BIWEEKLY REPORT 05/1995 X X 172
NIST-1209 REQUEST FOR APPROVAL OF OUTSIDE 02/1995 X X 172
ACTIVITY
NIST-1212 TEXTBOOK AND MATERIALS COST 04/1990 X 182
NIST-1216 WORK REQUEST - ADMINISTRATIVE 02/1999 X X 183
COMPUTING SUPPORT GROUP
NIST-1217 NOTIFICATION OF ARRIVAL AND 06/1997 X X 191
DEPARTURE
NIST-1218 REPORT ON CLASSIFIED 12/1991 X X
NIST-1221 TELECOMMUNICATIONS SERVICE 10/2003 180
REQUEST AND DIRECTORY
INFORMATION
NIST-1224 EMERGENCY REQUEST FOR LEAVE 06/1995 X X 191
NIST-1225 CONSOLE SECURITY INFORMATION- 12/1989 X X 191
PHYSICAL SECURITY
NIST-1226 SECURITY RECORD 06/1995 X X 191
NIST-1228 KEY CONTROL 06/1995 X X 191
Page 7 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-1230 PHYSICAL SECURITY WORK DETAIL 06/1995 X X 191
NIST-1231 TORT/DAMAGE CLAIM WORKSHEET 12/1989 X X 173
NIST-1233 SECURITY AND LAW ENFORCEMENT 06/1995 X X 191
INCIDENT REPORT
NIST-1234 TELEPHONE SERVICE ORDER 03/1989 X 180
NIST-1235 RECORD OF DESTRUCTION OF 06/1991 X X 191
CLASSIFIED MATERIAL
NIST-1236 TOUR OR SEMINAR PERSONNEL 11/1988 X X 191
REGISTER
NIST-1237 RECORD OF TEST OF ALARM SYSTEM 06/1995 X X 191
NIST-1238 BUILDING 235 REGISTER 06/1995 X X 191
NIST-1239 MAA LOG 06/1995 X X 191
NIST-1240 NIST U.S. SPECIAL POLICE 04/1992 X X 191
COMPLAINT/INCIDENT REPORT
NIST-1241 OUTAGE NOTIFICATION TO SPONSORS 11/1990 X X 193
AND SHOPS
NIST-1244 (RESERVED)
NIST-1246 FIREARMS RANGE RECORD-NIST POLICE- 08/1994 X 191
GAITHERSBURG, MD 20899-001
NIST-1251 HAZARDOUS MATERIALS CLEARANCE 09/1994 X X 173
FOR NONEMPLOYEES
NIST-1252 NIST HEALTH UNIT EMERGENCY DATA 02/1991 X X 173
SHEET
NIST-1254 REQUEST FOR USE OF APPROPRIATED 09/2003 X X 173
FUNDS FOR REFRESHMENTS
ASSOCIATED WITH TRAINING
NIST-1255 NIST CHEMICAL INVENTORY DATA BASE 09/1994 X X 172
RECORD
NIST-1256 PUBLIC BILL FOR COLLECTION 04/1990 X 162
NIST-1257 TRANSMITTAL (PLANT DIVISION) 12/1993 X X 193
NIST-1258 CONTRACTOR/GRANTEE ANIMAL STUDY 05/1990 X 831
PROPOSAL
Page 8 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-1259 INTRAMURAL ANIMAL STUDY PROPOSAL 05/1990 X 831
NIST-1260 REPORT OF FOREIGN VISITOR(S), 08/2006 X X 109
GUEST(S), CONFERENCE ATTENDEE(S)
NIST-1262 SINGLE COMPANY ADVANCED 04/2007 X X X 470
TECHNOLOGY PROGRAM (ATP)
PROPOSAL COVER SHEET
NIST-1263 JOINT VENTURE ADVANCED 04/2007 X X X 470
TECHNOLOGY PROGRAM (ATP)
PROPOSAL COVER SHEET
NIST-1268 MONTHLY METER READINGS-STEAM AND 04/1996 X X 193
CHILLED WATER PLANT-BUILDING 302
NIST-1272 NIST ARREST RECORD 05/1992 X 191
NIST-1273 REGISTRATION FOR USE OF CLASS 1A 07/1995 X X 173
OR 1B FLAMMABLE LIQUIDS
NIST-1274 AIR BALANCE SHEET (FUME HOOD) 11/1992 X X 191
NIST-1275 AIR BALANCE TEST REPORT 11/1992 X X 191
NIST-1276 EXPRESS PHOTOGRAPHIC SERVICES 07/2003 X X 192
NIST-1277 APPLICATION FOR OPERATOR'S 07/1993 X X 173
IDENTIFICATION CARD
NIST-1278 REQUEST FOR NON-EMPLOYEE 109
APPOINTMENT INFORMATION
NIST-1279 NIST MANUFACTURING EXTENSION 07/1994 X X 480
PARTNERSHIP
NIST-1281 VISA/BPA PURCHASE REQUEST 10/1994 X X 107
NIST-1282 COURIER SERVICES 12/2001 X X X 107
NIST-1283 REGISTRATION/CERTIFICATION OF 03/2003 X 173
AUTHORIZED INCIDENTAL OPERATORS
OF UNITED STATES MOTOR VEHICLES
ASSIGNED TO ORGANIZATIONAL UNIT
Page 9 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-1284 ACCESS REQUEST 06/2003 X X 191
NIST-1287A DEER CAPTURE DATA 03/1995 X 192
NIST-1287B DEER NECROPSY 03/1995 X 192
NIST-1287C FAWN CAPTURE DATA 03/1995 X 192
NIST-1288 CARPOOL LOCATOR ASSISTANCE 10/1997 X X 192
SYSTEM (CLAS) REQUEST
NIST-1289 CARPOOL APPLICATION 08/1995 X X 191
NIST-1290 ADMINISTRATIVE AWARDS APPLICATION 07/2001 X X 171
NIST-1291 FOREIGN GUEST RESEARCHER 12/2007 X 109
AGREEMENT
NIST-1292 PCB TRANSFORMER INSPECTION 11/2002 X 193
REPORT (PM#30)
NIST-1293 HIGH VOLTAGE MOTOR MEGGER 11/2002 X X 193
TESTING
NIST-1294 LOW VOLTAGE CIRCUIT BREAKER DATA 11/2002 X X 193
SHEET
NIST-1295 FEDERAL WORKPLACE 01/2008 X X X 192
TRANSPORTATION APPLICATION
NIST-1296 DOMESTIC GUEST RESEARCHER 12/2007 X 200
NIST-13 OTHER OBJECTS CORRECTION REQUEST 04/2004 X X 162
NIST-138 REAL ESTATE FOR SALE 09/1998 X X 172
NIST-138A REAL ESTATE FOR RENT 09/1998 X X 172
NIST-140 RECOMMENDATION FOR ADDITION TO 09/1998 X X 250
NIST RESEARCH LIBRARY
NIST-141 MUSEUM INFORMATION SHEET 01/2006 X X 250
NIST-153 EMERGENCY EQUIPMENT RECORD TAG 03/1991 X 191
NIST-162 PAYMENT AUTHORIZATION FOR GOODS 03/2005 X X 162
AND SERVICES
Page 10 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-165 STORES WITHDRAWAL AUTHORIZATION 11/1994 X X 164
NIST-170 WORK ORDER-NIST GARAGE 10/1988 X X 192
NIST-191 CHEMICAL SCIENCE AND TECHNOLOGY 01/1991 X X 830
LABORATORY-DISTRIBUTABLE COST
TRANSFER NOTICE
NIST-19A ROUTING AND TRANSMITTAL SLIP 09/2006 X X 810
NIST-20 REPORT OF MISSING PROPERTY 04/2003 X X 191
NIST-201 PARKING PERMIT REGISTRATION 09/1995 X X X 191
NIST-206 STANDARD REFERENCE MATERIAL 03/1989 X X 230
TRANSFER NOTICE
NIST-223 REQUISITION FOR 10/2003 X X 192
DUPLICATING/DISTRIBUTION SERVICES
NIST-225B PROCUREMENT RECORD CARD 07/1993 X 192
NIST-229 FILE CHARGE OUT 06/2003 X 172
NIST-233 OUTAGE REQUEST-SHOPS 10/1995 X X 193
NIST-234 STOREROOM REQUISITION-BILL OF 05/1990 X 193
MATERIALS
NIST-23A PUBLISHED MATERIAL LOAN 12/1995 X X 866
NIST-262C CHILLED WATER PLANT-MISCELLANEOUS 03/1995 X X X 193
LOG
NIST-262D REFRIGERATION EQUIPMENT 08/2002 X X X 193
OPERATING LOG
NIST-266 NOTICE OF PUBLICATION IN NON-NIST 01/2006 X X 250
MEDIA
NIST-28 BIOGRAPHICAL DATA FOR 05/2001 X X 250
BIOGRAPHICAL FILES
NIST-289 PAYMENT AND ACCOUNTING RECORD 04/2005 X X 162
NIST-290 DIRECTIVES CLEARANCE SHEET 07/2008 X X 171
NIST-292 STANDARD REFERENCE MATERIAL 05/2003 X X 230
INVOICE
Page 11 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-292A STANDARD REFERENCE MATERIALS 05/2002 X X 230
PACKING SLIP
NIST-292B STANDARD REFERENCE MATERIALS 02/2002 X X 230
COMMERCIAL CUSTOMS INVOICE
NIST-292C STANDARD REFERENCE DATA 10/2008 X X 230
COMMERCIAL CUSTOMS INVOICE
NIST-293 STOREROOM REQUISITION 07/2006 X X 192
NIST-293S STOREROOM REQUISITION FOR 02/2009 X X 173
PERSCRIPTION EYE GLASSES
NIST-294 SHIPPING AND RECEIVING COMMERCIAL 01/2009 X X 192
CUSTOMS INVOICE
NIST-295 TRANSFER OF MATERIALS BETWEEN 04/1992 X X X 192
STOREROOMS
NIST-296 VARIATION OF ITEMS 04/1992 X X 192
NIST-297 AUTHORIZATION OF EXCHANGE AND/OR 09/1998 X X 250
FREE AND OFFICIAL PUBLICATIONS
NIST-300 RETIRED RECORDS REFERENCE 02/1990 X X 171
NIST-307 PAYMENT AUTHORIZATIONS 04/1989 X X 164
NIST-313 REIMBURSEABLE AGREEMENT COVER 06/2004 X 163
SHEET
NIST-321 REGISTER OF PERSONS ADMITTED 05/1995 X X 191
NIST-340A RECORD OF BALANCES 09/1995 X X 162
NIST-340B RECORD OF BALANCES 09/1995 X X 162
NIST-341A COST ACCOUNTING POSTING SHEET 05/1995 X X 162
NIST-341B NIST COST TRANSFER FORM 04/2004 X X 162
NIST-35 PROBATIONARY OR TRIAL PERIOD 08/2003 X X 172
REPORT
NIST-351 REQUEST FOR ID/CARD PASS 01/2009 X X X X 191
NIST-352 RESERVED
NIST-358 RECORD OF DISPOSITION OF LOST 04/1992 X X 191
ARTICLES
Page 12 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-360 BOOK AND ARTICLE REQUEST 07/2000 X X 250
NIST-361 INTERLIBRARY LOAN REQUEST 09/1998 X 250
NIST-362 RADIATION WORK PERMIT 04/1991 X X 173
NIST-362A RADIATION WORK PERMIT 04/1991 X X 173
(CONTINUATION SHEET)
NIST-364 PROPOSAL TO AQUIRE A RADIATION 08/1991 X X X 173
SOURCE
NIST-365 PROPOSED CHANGE IN UTILIZATION OF 08/1991 X X 173
RADIATION SOURCE
NIST-366A REQUEST FOR PERSONAL RADIATION 08/1991 X X 173
MONITORING SERVICES
NIST-366B PERSONAL DOSIMETRY MODIFICATION 12/1992 X X 173
NIST-382A FOLLOW-UP/DISCREPANCY NOTICE 04/1992 X X 164
NIST-386 SHIPPING ORDER 04/2008 X X X 192
NIST-391 SAFE REPORT 09/1994 X X 191
NIST-393 EQUIPMENT LOAN AUTHORIZATION, 09/2003 X X 192
RECEIPT, AND PROPERTY PASS
NIST-394 COST ACCOUNTING MULTI-DOCUMENT 07/1993 X X 162
POSTING SHEET
NIST-395 PROTECTIVE FOOTWARE 08/2003 X X 173
AUTHORIZATION
NIST-398 NOTICE OF OUTAGE SITEWIDE 03/1991 X 193
NIST-409 NOTICE OF COMPLETED 02/2009 X X 162
MANUFACTURED EQUIPMENT
NIST-42 SUGGESTION FOR NEW ITEM IN 11/1994 X X 192
STOREROOM
NIST-43 MOTOR VEHICLE TRIP AUTHORIZATION 11/1988 X 192
AND EXPENSE REPORT
NIST-440A TRAVEL ORDER LOG 12/1990 X X 162
NIST-446 PLANT DIVISION TRAINING/TRAVEL 04/2006 X X 193
REQUEST
Page 13 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-447 EQUIPMENT TO HAVE PREVENTIVE 11/1990 X X 193
MAINTENANCE
NIST-447A PREVENTIVE MAINTENANCE 11/1990 X X 193
INSTRUCTIONS
NIST-448 REPORT OF ELECTRIC TESTS- 11/2002 X X 193
TRANSFORMERS
NIST-449 REPORT OF ELECTRIC TESTS-STARTERS 11/1990 X X 193
NIST-450 REPORT OF ELECTRIC TESTS-RELAYS 11/2002 X X X 193
NIST-450A NIST RELAY TEST REPORT (OC) 11/2002 X X X X 193
NIST-451 REPORT OF ELECTRIC TESTS-NETWORK 11/1990 X 193
PROTECTORS
NIST-451A SWITCHBOARD BREAKER TEST SHEET 1 11/2002 X X X 193
NIST-451B SWITCHBOARD BREAKER TEST SHEET 2 11/2002 X X X X 193
NIST-452 CIRCUIT BREAKER FIELD TEST SHEET 11/2002 X X 193
NIST-453 BATTERY LOG (PM #59) 05/1990 X X 193
NIST-453A QUARTERLY BATTERY MAINTENANCE 07/1996 X X 193
REPORT (PM #59)
NIST-458 NIST ID CARD/PASS 05/1992 X 191
NIST-461 INTERDIVISION WORK ORDER 08/2007 X X 162
NIST-51 CUTTING AND WELDING PERMIT 12/1988 X 193
NIST-52 BOILER ROOM LOG 04/2003 X X 193
NIST-528 AUTHORIZATION FOR RESTORED 08/2003 X X 172
ANNUAL LEAVE
NIST-54 ACCEPTANCE NOTIFICATION 03/1990 X X 162
NIST-55 AUTHORIZATION FOR WITHHOLDING OF 09/1994 X X 172
STATE INCOME TAX
NIST-57 BIDDERS AND NAMES OF PERSONS 04/1992 X X 164
QUOTING
NIST-58 TORT CLAIM COVER SHEET 10/1990 X X 173
NIST-583 APPLIANCE INSTALLATION - APPROVAL 11/1997 X X 191
AND INSPECTION TAG
Page 14 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-593 FIRE PREVENTION INSPECTION REPORT 01/2005 X X X X 191
NIST-595 NIST PASS INSPECTION RECORD 05/1995 X X 191
NIST-597 REQUEST FOR WAREHOUSE STORAGE 11/1994 X X 164
SPACE
NIST-598 SEPARATION CLEARANCE CERTIFICATE 07/2008 X X 172
(Supplemental Sheet to CD-126) CD-126
NIST-6 REPORT OF EXCESS PROPERTY 12/1998 X X 192
NIST-607 REQUEST FOR AUTHORIZATION OF AN 07/2003 X X 161
EXPENSE AND INCOME PROJECT-TASK
NIST-608 VALID COMMITMENT LISTING 07/2003 X X 162
NIST-611 REPORT OF E&I WORK IN PROCESS 07/2003 X X 162
EXPENSE AND INCOME PROJECT-TASK
NIST-627 NOTIFICATION OF PREDETERMINED 11/2005 X X 161
LABORATORY OVERHEAD OR DIVISION
AMORTIZATION EXPENSE OVERHEAD
RATE
NIST-628 CWIP RECONCILIATION TEMPLATE 12/2007 X
NIST-629 NIST REAL PROPERTY - COMPLETED 12/2006 X
CONSTRUCTION FORM
NIST-630 REQUEST FOR COST CENTER 11/2003 X X 162
AUTHORIZATION OR CHANGE
NIST-631A FINANCE NOTICE - ADVANCES AND 02/2003 X 162
REIMBURSEMENTS
NIST-633 COST CENTER AUTHORIZATIONS 12/1994 X X 162
Page 15 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-635 REQUEST FOR AUTHORIZATION OF 07/2003 X X 161
MANUFACTURE OF INVESTED
EQUIPMENT PROJECT OR CHANGE
NIST-64 TEST RECORD 08/1997 X X 230
NIST-65 EQUIPMENT REPAIR REQUEST AND 04/1992 X 164
AUTHORIZATION
NIST-66 REQUEST FOR FORMS MANAGEMENT 08/2007 X X 171
SERVICES
NIST-6A REQUEST FOR PROPERTY BOARD OF 06/1996 X X 192
REVIEW ACTION
NIST-753 DOSIMETER ISSUANCE LOG FOR VISITOR 12/1989 X X 173
NIST-766A TRANSMITTAL SHEET FOR CASH 08/2005 X X 162
COLLECTIONS
NIST-77 CALIBRATION AND TEST FEE 07/1991 X 230
COMPUTATION
NIST-770 NIST INQUIRY REPORT __ MEDIA __NON- 01/2002 X X X 107
MEDIA
NIST-773 LINE UNIT SAFETY INSPECTION REPORT 09/1994 X X 173
(WPF)
NIST-785 CORRECTION CODE SHEET- NIST 11/1998 X X 162
MISCELLANEOUS VENDOR PAYMENTS
NIST-789 REQUEST FOR VISUAL ARTS SERVICES 08/2003 X X 192
NIST-796A SHIPPER'S DECLARATION FOR 05/2005 X X 173
RADIOACTIVE MATERIALS
NIST-796B SHIPPER'S DECLARATION FOR 03/2007 X X 173.02
RADIOACTIVE MATERIALS
NIST-81 INTRA-OFFICE TRANSFER OF 09/2006 X X 192
EQUIPMENT
NIST-83 RECORD OF COMMITTEE ASSIGNMENT 09/1997 X X 210
Page 16 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST-83A RECORD OF STANDARDS COMMITTEE 09/1997 X X 210
ASSIGNMENT
NIST-89 REQUEST FOR DOOR CARD OR SPECIAL 09/1994 X X 192
SIGN
NIST-899 SAFETY INVESTIGATION REPORT 10/1988 X X 173
NIST-90 BATCH CONTROL 09/1998 X 162
NIST-901 FORMS HISTORY RECORD 06/2002 X X 171
NIST-905 VOLT TRANSFER PROGRAM - DATA 11/1990 X X 817
SHEET
NIST-906 VOLT TRANSFER PROGRAM - 11/1990 X X 817
OBSERVATION SHEET
NIST-90A BATCH CONTROL 11/2000 X X 162
NIST-915 JANITORIAL SERVICES WORK ORDER 06/1990 X X 192
NIST-916 NBSR IRRADIATION RECORD 07/1991 X X 856
NIST-94 STATEMENT OF SERVICES PERFORMED 07/2003 X X X 162
BY NIST
NIST-962 SERVICE COMPUTATION DATE 09/1998 X X 172
WORKSHEET
NIST-97 MOTOR VEHICLE TRIP REQUEST AND 08/2003 X X 192
AUTHORIZATION
NIST-98 RECEIPT OF FORM OF-346 07/1993 X X 173
NIST-986 EMPLOYEE HEALTH RECORD 02/2004 X X X 173
NIST-995 CHILLED WATER PLANT - 08/2002 X X 193
REFRIDGERATION UNIT LOG SHEET
NIST-996 KEY CONTROL RECORD 01/1989 X X 191
BUSINESS REPLY MAILING LABEL 192
CHANGE OF ADDRESS POSTCARD 192
KEY CONTROL REGULATIONS CARD 193
NIST BUSINESS CARD REQUEST 10/2007 X X 164
NIST LABORATORY NOTEBOOK 192
NIST POCKET CARD 192
Page 17 of 36
FORMS CATALOG 02/04/2009
Form Form Revision Division Form
No. Name Date Adobe E-Approval Word Only Owner
NIST VACANCY NOTIFICATION CARD 172
NIST VISITOR INFORMATION CARD 191
OVERFLOW LABEL X 192
PRIMARY LIST OF HAZARDOUS 192
SUBSTANCES
PRIMARY LIST OF HAZARDOUS Building 193
SUBSTANCES (BUILDING 227) 227 Only
REPRINT POSTCARD 192
TEMP FORM - PLANT DIVISION X 193
TRAINING/TRAVEL REQUEST
TEST FOLDERS X 230
U.S. DISTRICT COURTS CITATION NOTICE 191
UNWANTED MAIL POSTCARD 192
VISITOR BADGE X 856
Page 18 of 36
Notes
In eApproval development -
requested by Lina Kassis for Jack
Newmeyer Div. 184
In eApproval development -
requested by Patrick Moloney for
Michael Gaitan Div. 812
OBSOLETE - 7/5/2007
Replaced with SF-182
REMOVED FROM ALL FORMS
SITES AT HRMD'S REQUEST -
UNDERGOING POLICY CHANGE
AND REVISIONS 6/9/2004
Page 19 of 36
Notes
OBSOLETE - 1/2003 - FORM
TFRS AVAIL THRU GSA
Word version available from Forms
Management.
OBSOLETE - 5/19/2004
OBSOLETE - 5/19/2004
OBSOLETE - 5/19/2004
Page 20 of 36
Notes
CURRENTLY IN DEVELOPMENT
(Mary Clague 7/13/06, used in
NAIS)
Developed by eApproval
Developed by eApproval
Boulder Use Only
Boulder Use Only
Boulder Use Only
PRINTED CARD
Boulder Use Only
Boulder Use Only
Page 21 of 36
Notes
Boulder Use Only
Boulder Use Only
OBSOLETE
use CD-326 (REV 7-2008)
CSTARS
OBSOLETE
OBSOLETE - 12/14/2005,
Replaced by CD-430
Currently in development -
contact Barbara Lambis
OBSOLETE 5/19/2004
OBSOLETE - 4/26/2004
OBSOLETE - 4/20/2004
OBSOLETE - 4/26/2004
Page 22 of 36
Notes
OBSOLETE - 4/26/2004
CSTARS
In Development
Revised to match NAIS version
2/22/06
OBSOLETE - 4/26/2004
OBSOLETE - 5/17/2004
Page 23 of 36
Notes
OBSOLETE - 9/16/2003
Posted to Admin. Forms 8/04/08
for Police Services use.
OBSOLETE - 4/12/2004
OBSOLETE - 5/17/2004
OBSOLETE - 5/17/2004
OBSOLETE - 1/2002
Page 24 of 36
Notes
OBSOLETE - 4/20/2004
OBSOLETE - 5/04/2004
eApproval
WEB VERSION
OBSOLETE - 4/20/2004
OBSOLETE - 4/20/2004
Page 25 of 36
Notes
OBSOLETE - 4/20/2004
PRINTED
OBSOLETE - 5/20/2004
RESERVED
OBSOLETE - 5/19/2004
PRINTED
PRINTED
Page 26 of 36
Notes
OBSOLETE - 10/2007
OBSOLETE - 10/2007
OBSOLETE - 5/20/2004
OBSOLETE - 2/14/2008
NEVER ACTIVATED - REQUEST
CANCELLED
Page 27 of 36
Notes
OBSOLETE - 4/26/2004
OBSOLETE - 4/26/2004
OBSOLETE - 4/26/2004
OBSOLETE - 1/23/2009
USED THROUGH NAIS ONLY
Word version available from Forms
Management.
USED THROUGH NAIS ONLY
Developed for the NIST Museum
Page 28 of 36
Notes
OBSOLETE - 6/07/2004
OBSOLETE - 4/20/2004
PRINTED
PRINTED
PRINTED
Page 29 of 36
Notes
OBSOLETE - 6/07/2004
eApproval
OBSOLETE - 5/19/2004
Word version available from Forms
Management.
RESERVED
Page 30 of 36
Notes
OBSOLETE - 5/10/2004
OBSOLETE - 5/20/2004
Word version available from Forms
Management.
OBSOLETE - 5/19/2004
PRINTED
Available on Admin Forms page to
make more accessible for Plant
employees.
Page 31 of 36
Notes
PRINTED
PRINTED
OBSOLETE - 6/07/2004
PRINTED
Page 32 of 36
Notes
OBSOLETE 06/07/2004
Stand alone version obsolete
10/2007, now combined with CD-
126 as NIST Supplemental Sheet
Available in Excel
Available in Excel
OBSOLETE - 11/20/2003
OBSOLETE - 5/19/2004
OBSOLETE - 11/20/2003
Page 33 of 36
Notes
PRINTED
PRINTED
OBSOLETE - 5/19/2004
PRINTED
For Boulder use only
Page 34 of 36
Notes
OBSOLETE - 5/19/2004
OBSOLETE - 5/19/2004
OBSOLETE - 4/26/2004
STOCKED BY STOREROOM
STOCKED BY STOREROOM
Available in Word on AMD
STOCKED BY STOREROOM
STOCKED BY STOREROOM
Page 35 of 36
Notes
STOCKED BY STOREROOM
STOCKED BY STOREROOM
STOCKED BY STOREROOM
Page 36 of 36