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
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
PDF
5
SF 4812-SOH
Statement of Health Form (MetLife)
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
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
20
SF-6432-SOT
Supply Chain Assessment (Information & Operational Technology)
PDF
21
SF 6432-SVA
Supply Chain Assessment (Software)
PDF
22
SF 6432-SDA
Supply Chain Assessment (Consultants/Individuals)
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
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
31
SF 2730-NCB
Name Change Request for Badge Office and Staffing
PDF
32
SA 2712-CVC
Non-US Government Computing Equipment and Media Temporary One-Time Exception to SNL Policy
MS Word
PDF
33
SF 2730-LSB
Reporting Lost, Stolen, Forgotten or Unrecovered Badge
PDF
34
DOE 5631.18
Security Acknowledgement Form
PDF
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
43
Electronic Questionnaire for Investigations Processing (e-QIP) Tip Sheet 86
Instructions
65
DOE F 272.2-NC
U.S. Department of Energy Personnel Security Information Reporting Form
PDF
66
Declaration for Federal Employment
PDF
68
SF 6432-CIP
Subcontractor Performance Improvement Plan
MS Word
70
SF 9424-EFT
Electronic Funds Transfer Agreement
MS Word
PDF
77
SF 4003-REC
Sandia Gives/United Way Retiree Pledge Form
PDF
80
SF 4601-C
Nonemployees Expense Voucher
MS Excel
Human Resources
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
PDF
5
SF 4812-SOH
Statement of Health Form (MetLife)
PDF
7
SF 4001-RBR
Student Intern Relocation Benefit Request Form
MS Word
PDF
45
46
SF 4003-REC
Sandia Gives/United Way Retiree Pledge Form
PDF
Procurement
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
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
20
SF-6432-SOT
Supply Chain Assessment (Information & Operational Technology)
PDF
21
SF 6432-SVA
Supply Chain Assessment (Software)
PDF
22
SF 6432-SDA
Supply Chain Assessment (Consultants/Individuals)
PDF
44
SF 6432-SAS
Statement of Authorized Signatory Form
MS Word
45
SF 6432-CIP
Subcontractor Performance Improvement Plan
MS Word
46
SF 9424-EFT
Electronic Funds Transfer Agreement
MS Word
PDF
47
SF 6891-APF
Affirmative Procurement Form for Federal Procurement
Excel
Security
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
47
SF 2730-LSB
Reporting Lost, Stolen, Forgotten or Unrecovered Badge
PDF
48
DOE 5631.18
Security Acknowledgement Form
PDF
50
SF 2730-NCB
Name Change Request for Badge Office and Staffing
PDF
68
Declaration for Federal Employment
PDF
71
U.S. Department of Energy Personnel Security Information Reporting Form
Link
75
DOE 272.2-NC
U.S. Department of Energy Personnel Security Information Reporting Form--Name Change
PDF
Travel
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
60
SF 4601-C
Nonemployees Expense Voucher
MS Excel
