NOAA forms library

NOAA Form Title of Form Edition Date
17-4 Initial Report on Weather Modification Activities (Approved Information collection 0684-0025) 04-1981
17-4A Interim Activity Reports and Final Report (Approved Information collection 0648-0025) 04-1981
25-13 Bibliographic Data Sheet (OAR) * 01-1978
25-18 Review of Manuscript (OAR) * 05-1971
25-20 Record of Review and Release of Scientific or Technical Manuscript (OAR)* 10-1976
25-23 Notice of Scientific or Technical Talk (OAR) * 10-1971
34-6 Imprest Fund Purchases 07-2012
34-25 Commuted Subsistence Voucher 04-2012
34-25A Commuted Subsistence Voucher (Continuation) 04-2012
34-34 NOAA Finance Accounting Coding Document (Cost Transfer) 04-1984
34-54 Daily Overtime Record 04-1971
34-68 Labor Cost Adjustment 02-1974
34-560 Reimbursable Project Authorization (OAR) * 06-1983
36-14 Agreement for Observer Reports 03-1976
36-30 Special Clothing and Equipment Purchase Authorization 02-2017
36-31 Purchase Card Transaction Authorization 12-2012
37-1 Telecommunications Service Authorization 09-1981
37-4 Stores Requisition 02-1989
37-6 Report of Property Constructed 10-2023
37-19 Property Loan Agreement 06-2018
37-19A Artifacts Loan Agreement 03-1977
37-39 Personal Property System (PPS) Acquisition Record 02-1999
37-41 Heritage Assets Data Compilation 08-2015
37-43 Report of Deferred Maintenance 06-2013
37-45 NOAA Computer/Hard Drive Sanitization Validation and PDA/Cell Phone Worksheet 08-2015
37-50 NOAA Non-Accountable Excess and Disposal 12-2015
37-509 Property Transaction Request 05-2017
41-1 Request for Office Services 10-2023
41-15 Mail Stop Change Request Form 11-2011
42-5 Trip Authorization 06-1980
42-15 Bill of Lading Request 09-1991
42-28 Application for Transit Benefits 07-2012
46-12 NOAA FTS 2001 Contract Service 06-2000
47-44 NOAA Section 508 Standards Checklist & Assessment Certification 12-2021
50-5A Requisition For Duplicate Service * Best viewed in Internet Explorer * 10-2018
51-3 State Tax Withholding Verification and Waiver 01-2012
56-1 Travel and/or Organization Change Order (Commissioned Officers) 06-2004
56-6A NOAA Commissioned Corps Officer Evaluation Report (OER) 11-2005
56-6B NOAA Commissioned Corps Reviewer Comments 07-2007
56-6C NOAA Commissioned Corps Officer Support Form (OSF) 11-1992
56-12 Officer Leave Request and Authorization 11-2004
56-14 Record of Emergency Data 07-2004
56-15 Family Separation Allowance (FSA) Worksheet (Commissioned Officers) 12-2004
56-18 Home of Record Report & Place From Which Ordered to Active Duty 12-2004
56-25A Service Report 07-1994
56-26 NOAA Corps Travel Information 09-1996
56-28A NOAA Commissioned Officer Billet Description 09-2009
56-30 Officer Diving Authorization Request 09-2012
56-42 Application for Appointment in the NOAA Commissioned Officer 08-2010
56-42A Application for Appointment in the NOAA Commissioned Officer Corps (Instruction/Questionnaire) 08-2010
56-63 Recommendation for Award - Commissioned Officers 08-2016
56-64 Reimbursement Request for Adoption Expenses – Commissioned Officers 07-2004
56-65 Reimbursement for Mess Food Supplies 01-2005
56-67 Authorization For Release of Medical Records 09-2007
57-01-01 Meal Day Count Log 03-2013
57-01-02 Reimbursement for Mess Food Supplies 01-2013
57-03-01 Diving Incident Report 03-2015
57-03-02 NOAA Diving Program Annual Report 03-2015
57-03-03 Diving Unit Safety Assessment Checklist 01-2014
57-03-04 Diving Unit Change Form 03-2015
57-03-05 Review for Scientific Diver Reciprocity 08-2014
57-03-06 Letter of Reciprocity Request 03-2015
57-03-07 Verification of Liability Coverage 03-2015
57-03-08 Observer Diver Waiver of Liability 03-2015
57-03-09 Liability Release and Assumption of Risk 03-2015
57-03-10 Agreement Approving Diving Operations from NOAA Owned or Contracted Vessels 03-2015
57-03-20 Dive Operations Plan 07-2014
57-03-21 Diving Emergency Assistance Plan  03-2015
57-03-22 Dive Operators Plan - Safe Ship 03-2015
57-03-23 Dive Operations Plan Pre and Post-Dive Checklist 03-2015
57-03-24 Monthly Dive Log 03-2015
57-03-25 Supervisor's Dive Log 03-2015
57-03-26 Observer Diver Report 03-2015
57-03-28 Decompression Diving Request 03-2015
57-03-29 Closed Circuit Rebreather (CCR) Decompression Diving Request 03-2015
57-03-35 Checkout Dive Skills Evaluation 03-2015
57-03-36 Scientific Diver Skills Checklist 03-2015
57-03-37 Scientific Diver Training Course Student Evaluation Record 12-2014
57-03-38 NOAA Diving Program Training Request and Authorization 10-2014
57-03-39 Swim Test Evaluation 03-2015
57-03-40 Annual Watermanship Assessment 06-2013
57-03-41 Diving Activity Resume 03-2015
57-03-50 Medical Evaluation Checklist and Authorization to Dive 09-2014
57-03-51 Report of Physical Examination - Diver 03-2015
57-03-52 Report of Medical History - Diver 08-2014
57-03-53 Report of Medical History - Observer Diver 07-2012
57-03-54 Report of Medical History - Annual Update 07-2012
57-03-65 Standardized Equipment Program Measurement Form 03-2015
57-03-66 Standardized Equipment Program Transaction Form 03-2015
57-03-67 Standardized Equipment Program User Agreement 03-2015
57-03-68 Dive Computer User Agreement 03-2015
57-03-69 Standardized Equipment Program Off-Duty Equipment User Agreement 03-2015
57-03-70 Standardized Equipment Program Off-Duty Equipment User Release of Liability 11-2012
57-03-72 Standardized Equipment Program Review of Property 06-2014
57-03-81 Visual Cylinder Inspection Report 03-2015
57-03-82 Visual Cylinder Inspection Summary 03-2015
57-03-83 Emergency Oxygen Kit Maintenance Checklist 03-2015
57-03-84 Emergency Oxygen Kit - Order, Issue, and Maintenance Form 04-2013
57-03-85 Emergency Oxygen Kit Demand Valve Test Results 11-2012
57-06-01 Casualty Report and Correction 12-2013
57-06-02 NOAA Ship Declaration of Inspection 12-2011
57-06-03 Potable Water Log 03-2012
57-07-01 Ballast Water Log 06-2013
57-07-02 Request to Use Radioactive Material Aboard a NOAA Ship 03-2012
57-07-03 Radioactive Material Usage Aboard a NOAA Ship 01-2013
57-07-04 Ozone Depleting Substance Equipment List 01-2012
57-07-05 Ozone Depleting Substance and Refrigerant Usage Log 01-2012
57-07-06 Ozone Depleting Substance and Refrigerant Inventory Log 01-2012
57-08-03 Imprest Fund Cashier Roles and Responsibility Acceptance 04-2012
57-10-01 Health Services Questionnaire 03-2016
57-10-02 Tuberculosis Screening Form 04-2012
57-10-03 NOAA Ship Declaration of Health 03-2012
57-10-05 Medical Form For Minors 12-2011
57-10-10 Sick Call Log 02-2012
57-10-11 Expired Medications and Medical Supplies Return Packing List 02-2012
57-10-12 Controlled Substance Inventory Log 02-2012
57-10-12A Controlled Substance Inventory Log (Continuation Page) 02-2012
57-10-14 Gastrointestinal Illness Surveillance Questionnaire 02-2012
57-10-15 Gastrointestinal Illness Surveillance Log 02-2012
57-10-16 Gastrointestinal Illness Standardized Report 02-2012
57-10-19 Medical Equipment Maintenance Log 02-2012
57-10-21 Weekly Health and Sanitation Inspection 02-2012
57-10-22 Weekly Food Service Area Sanitation Inspection 02-2012
57-10-23 Annual Food Service Area Sanitation Inspection 05-2013
57-11-01 Ship Time Request 07-2012
57-11-02 Charter Vessel Services Request and Report 05-2012
57-11-05 Marine Operations Satisfaction Survey 06-2012
57-11-14 Floating Marine Debris Observed by NOAA Ships 06-2012
57-11-50 Monthly Charter Report 05-2012
57-11-51 Aircraft Support Request 05-2012
57-11-52 Charter Aircraft Services Report 05-2012
57-11-53 Flights of Opportunity Report 05-2012
57-11-55 Aviation Operations Satisfaction Survey 06-2012
57-12-01 Vessel Merit Program Application 01-2012
57-12-02 Vessel Assignment Program Application 01-2012
57-12-03 Quality of Life Travel Request 06-2011
57-12-04 Daily Time Record 01-2013
57-15-03 GOV Usage Log 07-2011
57-17-01 Respirator Medical Evaluation Employer Provided Information 09-2012
57-17-02 Respirator Medical Evaluation Questionnaire 09-2012
57-17-03 Respirator Qualitative Fit Test Record 09-2012
57-17-04 Respirator User Training Record 09-2012
57-17-05 Respirator Inspection Record 09-2012
57-17-06 Work Aloft Checklist 11-2011
57-17-07 Emergency Escape Breathing Device Training Record 09-2012
57-17-09 Hot Work Permit 07-2012
57-17-137 Report of Work Related Illness, Injury or Incident 12-2013
58-1 Clearance Sheet 04-2004
57-19-01 Annual Small Boat Evaluation/Small Boat Examination 09-2017
57-19-02 Annual Trailer Evaluation Checklist 09-2017
57-19-03 Small Boat Hull Registration Number Request 01-2013
57-19-04 Small Boat Operator Authorization 09-2017
57-19-05 Annual Small Boat Evaluation
For Class A and 1 Non-Motorized Boats or with Portable Outboard Motors		 09-2017
58-5 NOAA Administrative Order Series 04-2004
61-29 Letter Transmitting Data 12-1971
62-22 NOAA Vital Records Inventory 09-2002
62-23 Records Destruction Request Form 12-2011
65-8 Request for Security Services 05-2004
75-103 Floating Marine Debris Observed By Vessels At Sea 06-2012
89-812 U.S. Department of Commerce Seafood Inspection Program Monthly Summary 01-2007
89-812B U.S. Department of Commerce Seafood Inspection Program Monthly Summary (Part 2) 01-2007
370 Fisheries Certificate of Origin 08-2009
Stationery Common-use NOAA Letterhead (Official Government Use Only)
Stationery Specifications and Standards (DAO 214-2); Amendment 1
NOAA employees are advised that the generic format used is the Basic Letterhead, Section 4, Exhibits 4 and 6, DAO 214-2.		 02-1988
Business Card Form NOAA Business Card Order Form * Best Viewed in Internet Explorer * 10-2018