Department of Energy Forms is designed to obtain or provide structured information common to the needs of two or more DOE field or Headquarters organizations. The Forms are classified on the basis of the Subject
| Management & Administration | |
| Form No | Description |
| DOE F 206.3 | Personal Identity Verification (PIV) Request for DOE Security Badge |
| DOE F 241.2 | Notice of Energy RD&D Project |
| DOE F 241.3 | Announcement of Scientific and Technical Information (STI) (For use by Financial Assistance Recipients and Non-Major Contractors) |
| DOE F 241.4 | Announcement of Computer Software |
| DOE F 280.1 | Inventions Made by Government Employees Executive Order 10096 |
| DOE F 284 | Nuclear Material Transfer Report |
| DOE F 321.1 | Service Agreement for an Overseas Position |
| DOE F 331.2 | Senior Executive Service Performance AppraisalSES Form Only (word) |
| DOE F 350.1 | Contractor Salary-Wage Increase Expenditure Report |
| DOE F 360.1 | SESCDP – Executive Development Plan |
| DOE F 360.2 | SESCDP – Revisions to Executive Development Plan |
| DOE F 360.3 | SESCDP – Developmental Assignment Opportunity |
| DOE F 360.4 | SESCDP – Supervisor’s Evaluation of Candidate’s Performance During Developmental Assignment |
| DOE F 360.5 | SESCDP – Candidate Developmental Assignment Evaluation |
| DOE F 360.6 | SESCDP – Evaluation of Formal Training |
| DOE F 440.1DOE F 440.2 | 10 CFR Part 850 – Appendix A Chronic Beryllium Disease Prevention Program Informed Consent FormRequest for Investigation or Inspection of Safety or Security Violations |
| DOE F 470.1 | Contract Security Classification Specification (CSCS) Actual Place of Performane |
| DOE F 470.2 | Facility Data and Approval Record (FDAR) |
| DOE F 470.3 | Human Reliability Program Certification |
| DOE F 470.4 | Acknowledgment and Agreement to Participate in the Human Reliability Program |
| DOE F 470.5 | Authorization and Consent to Release Human Reliability Program Records in Connection with HRP |
| DOE F 470.6 | Refusal of Consent |
| DOE F 470.7 | Human Reliability Program Alcohol Testing Form |
| DOE F 470.8 | Survey/Inspection Report Form |
| DOE F 471.1 | Security Incident Notification Report |
| DOE F 472.1DOE F 473.2 | Fair Credit Reporting Act AuthorizationSecurity Badge Request |
| DOE F 540.1 | State Energy Program (SEP) Narative Information Worksheet |
| DOE F 540.2 | WAP Annual File Worksheet |
| DOE F 540.3 | WAP Quarterly Program Report |
| DOE F 540.4 | Weatherization Assistance Program Annual Training, Technical Assistance, Monitoring, and Leverage Report |
| DOE F 540.5 | Weatherization Assistance Program Subgrantee Information |
| DOE F 551.1 | Request for Approval of Foreign Travel |
| DOE F 580.1 | End-Use Certificate |
| DOE/NRC F 740M | Concise Note |
| DOE/NRC F 740M | Concise Note (Preprinted) |
| DOE F 741 | Nuclear Material Transaction Report |
| DOE/NRC F 741 | Nuclear Material Transaction Report |
| DOE/NRC F 742 | Material Balance Report |
| DOE/NRC F 742C | Physical Inventory Listing |
| DOE/NRC F 742 | Material Balance Report |
| DOE/NRC F 742C | DOE/NRC Physical Inventory Listing |
| DOE F 749 | ADP Transcription Sheet Internal Project Transfers |
| DOE/DP F 749 | ADP Transription Sheet – Internal Projects Transfers |
| DOE F 798 | Retirement Annuity Computation Request |
| DOE F 1300.2 | Report of Non-Government Standards Activity |
| DOE F 1300.5 | Project Registration and Approval Request |
| DOE F 1322.4 | Forms Checklist/Approval |
| DOE F 1324.1 | Division of Library Services Record of Accessions |
| DOE F 1324.5 | Request for Records Disposition Authority |
| DOE F 1324.9 | Records Inventory and Disposition Schedule (RIDS) [Continued…] |
| DOE F 1324.10 | Records Inventory and Disposition Schedule (RIDS) |
| DOE F 1324.14 | Records Maintenance and Disposition Instructions |
| DOE F 1325.7 | Telecommunication Message |
| DOE F 1325.7A | Telecommunication Message (Data) |
| DOE F 1325.8 | Memorandum |
| DOE F 1340.3 | Request for Public Communications Publication Approval |
| DOE F 1340.3A | Public Communications Publications Procurement Proposal |
| DOE F 1350.2 | Property Receipt |
| DOE F 1350.4 | DOE Program Review Centers |
| DOE F 1400.8 | Motor Vehicle Petroleum Issue Record |
| DOE F 1400.10 | Record of Special Messenger Services |
| DOE F 1400.12 | Parking Permit Application |
| DOE F 1400.20DOE F 1420.7 | Retirement Work Order Graphics Work Request |
| DOE F 1420.11 | Direct Charge Authorization |
| DOE F 1430.1 | Energy Library Classified Receipt |
| DOE F 1430.5 | Request for Library Acquisition |
| DOE F 1440.3 | Letter Reporting Theft of Property on Non-GSA Site |
| DOE F 1450.5A | Certification of Timesharing Logon Id Owner Responsibilities |
| DOE F 1450.5b | Request for Commercial Timesharing Services |
| DOE F 1450.6 | Request for System Control Identification Number |
| DOE F 1500.4 | Request and Authorization for Expenditure of Official Reception and Representation Expenses |
| DOE F 1500.5 | United States Department of Energy Energy Finance and Accounting Service Center Travel Authorization and Program Manager Signature Card |
| DOE F 1500.6 | Employee Application for Relocation Services |
| DOE F 1500.7 | Employee Relocation Income Tax (RIT) Allowance Certification |
| DOE F 1510.9 | Request and Authorization for Official Travel (Change of Station) |
| DOE F 1512.3 | Security Analysis of Proposed Travel to Sensitive Countries |
| DOE F 1520.1 | Employee Application for Reimbursement of Expenses Incurred Upon Sale or Purchase (on separate form for each) of Residence Upon Change of Official Station |
| DOE F 1600.1 | Complaint of Discrimination |
| DOE F 1600.2 | EEO Counselor’s Report |
| DOE F 1600.3 | Monthly Precompliant Counseling Report |
| DOE F 1600.5 | Assurance of Compliance Nondiscrimination in Federally Assisted Programs |
| DOE F 1600.7 | Applicant Disability, Race/National Origin and Sex Identification |
| DOE F 1800.1 | Privacy Act Information Request |
Legal | |
| DOE F 2000.4 | Record of Invention |
| DOE F 2030.1 | Pre-Procuremet Organizational Conflict of Interest |
| DOE F 2030.2 | Pre-Procurement Organizational Conflicts of Interest Information Abstract |
| DOE F 2040.3 | Employee Claim for Loss or Damage to Person Property |
| DOE F 2050.2 | Patent Assignment Form |
| DOE F 2050.2A(Joint) | Patent Assignment Form |
| DOE F 2050.10 | Patent Information Sheet |
| DOE F 2050.11 | Patent Certification |
| DOE F 2100.1 | Request for Allotment of Funds for Transfer Appropriations and Other Special Accounts |
| DOE F 2100.2 | Financial Information Subsystem Transcription Sheet |
| DOE F 2050.4 | Invention Rights Questionnaire |
| DOE F 2220.2 | Overtime Request And Authorization For Payment |
| DOE F 2240.7 | Transfer Voucher |
Personnel Management | |
| DOE F 3220.3 | Report of Contractor Hours and Earnings |
| DOE F 3220.4A | Report of Contractor Expenditures for Employee Supplementary Compensation |
| DOE F 3220.5 | Application for Contractor Compensation Approval |
| DOE F 3230.6A | Report of Compensation, Part I-Individual Compensation |
| DOE F 3250.1 | Exit Interview |
| DOE F 3304.2 | Quarterly Report Expert or Consultant Appointment |
| DOE F 3305.2 | Request for Senior Executive Service (SES) Personnel Action |
| DOE F 3305.6 | Executive Personnel Board Action |
| DOE F 3305.8 | Executive Position Justification |
| DOE F 3305.10 | Senior Executive Service Candidate Development Program Application |
| DOE F 3305.11 | SES Executive Skills Matrix (Questionnaire to be completed by Career SES Members) |
| DOE F 3305.12 | SES Executive Skills Matrix (Questionnaire to be completed by Supervisors of Career SES Members) |
| DOE F 3305.13 | Part I – Executive Profile |
| DOE F 3305.14a | Part II – Managerial Competencies A. Integration of Internal and External Program/Policy Issues |
| DOE F 3305.14b | Part II – B. Organizational Representation and Liaison |
| DOE F 3305.14c | Part II – C. Direction and Guidance of Programs, Projects or Policy Development |
| DOE F 3305.14d | Part II – D. Acquisition and Administrative of Financial and Material Resources |
| DOE F 3305.14e | Part II – E. Utilization of Human Resources |
| DOE F 3305.14f | Part II – F. Review of Implementation and Results |
| DOE F 3305.15 | Part III – Technical Competencies |
| DOE F 3315.1 | Probationary Period Evaluation for Supervisors and Managers |
| DOE F 3330.1 | Priority Consideration or Placement Registration |
| DOE F 3420.2 | Action Plan |
| DOE F 3430.7 | Performance Record for Performance Management and Recognition System Employees and Performance Management System Employees |
| DOE F 3430.7A | Certifications |
| DOE F 3430.7B | Performance Appraisal Plan (Continuation Sheet) |
| DOE F 3430.7C | PMRS/PMS Performance Rating |
| DOE F 3450.1 | Employee Suggestion |
| DOE F 3450.2 | Evaluation of Employee Suggestion/Invention, Adoption, and Approval of Award |
| DOE F 3450.3 | Nomination for Incentive Award |
| DOE F 3511.1 | Position Description |
| Nomination for PMRS Performance Award | |
| DOE F 3550.2 | Nomination for Quality Increase |
| DOE F 3630.1 | Leave Donation |
| DOE F 3731.1 | Position Sensitivity Level Designation |
| DOE F 3735.2 | Foreign Gifts Statement |
| DOE F 3735.3 | Foreign Travel Statement |
Logistic Management | |
| DOE F 4200.33 | Procurement Request-Authorization |
| DOE F 4200.34 | Procurement Request-Authorization Funding Data (Continuation Sheet) |
| DOE F 4200.40 | Individual Procurement Action Report (IPAR) |
| DOE F 4200.40A | Individual Procurement Action Report (IPAR) |
| DOE F 4200.41 | Individual Procurement Action Report Supplement for Procurement and Financial Assistance |
| DOE F 4220.2 | Small Business Review |
| DOE F 4220.10 | Congressional, Public, and Intergovernmental Affairs (CP) Notification |
| DOE F 4220.23 | Weighted Guidelines Profit/Fee Objective |
| DOE F 4250.2 | Requisition for Supplies, Equipment, or Service |
| DOE F 4250.3 | Order for Supplies or Services |
| DOE F 4250.4 | Order for Supplies or Services Schedule – Continuation |
| DOE F 4300.3 | Semi-Annual Summary Report of DOE-Owned Plant and Capital Equipment (P&CE) |
| DOE F 4420.2 | Personal Property Loan Agreement |
| DOE F 4600.1 | Notice of Financial Assistance Award |
| DOE F 4600.2 | Federal Assistance Reporting Checklist |
| DOE F 4600.3 | Federal Assistance Milestone Plan |
| DOE F 4600.3A | Milestone Log |
| DOE F 4600.4 | Federal Assistance Budget Information |
| DOE F 4600.5 | Federal Assistance Summary Report |
| DOE F 4600.6 | Federal Assistance Program/Project Status Report |
| DOE F 4620.1& DOE F 4650.2 | Grant Application Forms (In Excel 5.0 format) |
| DOE F 4700.2 | Federal Assistance Budget Information |
Program Planning & Management | |
| DOE F 5160.1 | Reprogramming, Restructuring, and Appropriation Transfer Summary |
| DOE F 5480.4 | Contractor Employee Occupational Safety or Health Complaint |
| DOE F 5484.3 | Individual Accident/Incident Report |
| DOE F 5484.4 | Tabulation of Work-Hours and Vehicle Usage, and Property Valuation |
| DOE F 5500.2 | Operational Incident Report |
| DOE F 5631.18 | Security Acknowledgement |
| DOE F 5631.20 | Request for Visit or Access Approval |
| DOE F 5631.29 | Security Termination Statement |
| DOE F 5631.34 | Data Report on Spouse/Cohabitant |
| DOE F 5632.15 | Request for Lost/Stolen Badge Replacement |
| DOE F 5634.1 | Safeguards and Security Survey Report |
| DOE F 5635.3 | Classified Document Receipt |
| DOE F 5635.9 | Record of Destruction |
| DOE F 5639.2 | Reporting Unaccounted for Documents |
