Corporate Forms

The forms listed below are provided for the convenience and use of our extended Sandia family. We’ll do our best to keep things current! Always download a new form to ensure that you are getting the most recent version.

Forms are available as Microsoft Word templates or PDFs. When downloaded to your system, you will be able to fill out the Microsoft Word forms on your computer prior to printing.

Corporate Forms – All Forms

wdt_ID Form Number Title MS Word PDF
1 SF 4040-DOP Declaration of Occupational Medicine Provider

MS Word

PDF

2 SF 4400-PKG Employee Health Plan Benefits Enrollment/Disenrollment Packet

MS Word

PDF

3 SF 4560-G Physician Certificate of Disability (PCII)

PDF

4 SF 2050-P Report of Occupational Injury/Illness

MS Word

PDF

5 SF 4812-SOH Statement of Health Form (MetLife)

PDF

6 SF 4003-REC Retiree ECP/United Way

PDF

7 SF 4001-RBR Student Intern Relocation Benefit Request Form

MS Word

PDF

8 SF 6891-APF Affirmative Procurement Form for Federal Procurement

Excel

9 SF 9424-EFT Electronic Funds Transfer Agreement

MS Word

PDF

10 SF 6110-AC Residual Inventory of Material or Equipment Furnished by or Acquired for Sandia

MS Word

PDF

Human Resources

wdt_ID Form Number Title MS Word PDF
1 SF 4040-DOP Declaration of Occupational Medicine Provider

MS Word

PDF

2 SF 4400-PKG Employee Health Plan Benefits Enrollment/Disenrollment Packet

MS Word

PDF

3 SF 4560-G Physician Certificate of Disability (PCII)

PDF

4 SF 2050-P Report of Occupational Injury/Illness

MS Word

PDF

5 SF 4812-SOH Statement of Health Form (MetLife)

PDF

6 SF 4003-REC Retiree ECP/United Way

PDF

7 SF 4001-RBR Student Intern Relocation Benefit Request Form

MS Word

PDF

44 SF 4300-CRC Completion Record for Contractor Administered Training

MS Word

45

Procurement

wdt_ID Form Number Title MS Word PDF
8 SF 6891-APF Affirmative Procurement Form for Federal Procurement

Excel

9 SF 9424-EFT Electronic Funds Transfer Agreement

MS Word

PDF

10 SF 6110-AC Residual Inventory of Material or Equipment Furnished by or Acquired for Sandia

MS Word

PDF

11 SF 6430-RIT Sandia/NTESS Retiree Invoicing Template

MS Word

12 SF 6432-REC Supplier Data Sheet Reporting Supplement

PDF

14 SF 6432-CIP Subcontractor Improvement Plan

MS Word

15 SF 6432-H Payment Bond

PDF

16 SF 6432-I Performance Bond

PDF

17 SF 6432-K Quotation Bond

PDF

19 SF 6432-SCA Supply Chain Assessment

PDF

Security

wdt_ID Form Number Title MS Word PDF
23 DOE 470.5 Authorization and Consent to Release HRP Records in Connection with HRP

PDF

24 DOE 470.4 Acknowledgement and Agreement to Participate in the HRP

PDF

25 SF 312 Classified Information Nondisclosure Agreement

PDF

26 SF 2001-CSS Confined Space Permit Sign-in/Sign-out Sheet for Emergency Response

MS Word

PDF

27 DOE 5631.34 Data Report on Spouse/Cohabitant

PDF

28 SF 2730-LTR DBIDS: Long-Term Request

PDF

29 SF 2730-VPR DBIDS: Short-Term Visitor Request

PDF

30 Electronic Questionnaire for Investigations Processing (e-QIP) Tip Sheet 85

Instructions

44 Electronic Questionnaire for Investigations Processing (e-QIP) Tip Sheet 86

Instructions

46 SA 2712-CVC Non-US Government Computing Equipment and Media Temporary One-Time Exception to SNL Policy

MS Word

PDF

Travel

wdt_ID Form Number Title MS Word/Excel PDF
36 SF 4601-C Nonemployee Expense Voucher

MS Excel

37 SF 4600-LR Staff Augmentation Contract Associate - Authorization to Exceed PerDiem

MS Word

PDF

38 SF 4600-LRA Staff Augmentation Contract Associate - Travel Authorization

MS Word

PDF

39 SF 6432-J Subcontractor's Release Under Subcontract

PDF