Forms
Division of Policy and Directives Management
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Form No. Format OPR Title Date Reference
3-2200  PDF-F PA  Fax Form
11/01         
3-2201  PDF-F PES  Customer Service Excellence Award Nomination
11/01         
3-2208  PDF-F DFM  Request for Exception to Cost Recovery Policy
09/10 264 FW 1      
3-2211  PDF-F IRTM  Password Request Document
06/03 270 FW 7      
3-2212  PDF-F IRTM  Automated Information System Statement of Responsibility
06/03 270 FW 7      
3-2213  PDF DF  Annual / Semiannual Unannounced Case Verification
04/02 262 FW 2      
3-2218  PDF-F HR  Student Loan Repayment Service Agreement
05/02 225 FW 11      
3-2219  PDF-F HR  Other Taxable Income- Student Loan Repayment Benefit - Payroll Memo
10/07 225 FW 11      
3-2221  PDF-F DSSA  Dive Log
03/03 241 FW 10      
3-2222  PDF-F DSSA  Field Crew Emergency Plan and Pre-Dive Briefing
12/05 241 FW 10      
3-2223  PDF-F DSSA  Checklist of Requirements for Authorization of Service Divers
03/03 241 FW 10      
3-2224  PDF-F DSSA  Scuba Diving Medical Examination Form
07/11 241 FW 10      
3-2224-A  PDF-F DSSA  Physician's Qualification Statement
03/03 241 FW 10      
3-2225  PDF-F DSSA  Diving Authorization Card
03/03 241 FW 10      
3-2226  PDF-F DSSA  Preventative Maintenance Checklist
06/02 241 FW 1      
3-2227  PDF-F DSSA  Float Plan
06/02 241 FW 1      
3-2228  PDF-F DSSA  Hazard Report
06/02 240 FW 6      
3-2229  PDF-F PDM  Nomination for Appointment to Advisory Committee
05/07         
3-2235  PDF-F IRTM  Nondisclosure Agreement
09/02         
3-2237  PDF DSSA  Safety and Occupational Health Assessment Pre-Visit Questionaire
06/11         
3-2238  PDF-F DSSA  Airboat Operation Documentation Exemption Form
09/02         
3-2242  PDF-F DF  Processing Payments and Redistributions Against Expired Funds
10/12 272 FW 2      
3-2250      LE  Cover Sheet for Law Enforcement Sensitive Material
08/03         
3-2251  PDF-F DFM  Determination of Capital versus Operating Leases
07/03 DO 157      
3-2252  PDF-F CLE  Request, Authorization and Report of Overtime
08/03 LE Memo 38      
3-2253  PDF-F CLE  Shift Schedule
08/03 LE Memo 38      
3-2254  PDF-F IRTM  Information Technology Waiver Request Form
09/03         
3-2255  PDF-F CFM  Project Plan
09/03 640 FW 1      
3-2256  PDF-F CFM  Findings and Determination to Support Habitat Development on Private Lands
09/03 640 FW 1      
3-2257  PDF-F CFM  Wildlife Cooperative Extension Agreement
09/03 640 FW 1      
3-2258  PDF-F HR  Temporary/Nontemporary Request for Waiver - Electronic Leave and Earnings Statement
10/03         
3-2259  PDF-F PA  Agreement for Use of Non-Service Products (Copyright)
02/11         
3-2260  PDF-F PA  Agreement for Use of Images and Likenesses in Service Products
01/11         
3-2260 S  PDF-F EA  Spanish - Agreement for Use of Likeness in Service Products
03/12         
3-2261  PDF-F FHS  Considerations or Factors Relative to Movements Into a Facility
11/03 713 FW 5      
3-2262  PDF-F FHS  Considerations or Factors Relative to Movements From a Facility
11/03 713 FW 5      
3-2265  PDF-F HR  IPA Assignment Summary Sheet
12/03 223 FW 11      
3-2266  PDF-F HR  IPA Profile Sheet
12/03 223 FW 11      
3-2267  PDF-F DSH  Authorization for Operation of Motor Vehicles and/or Equipment
04/11 321 FW 1      
3-2268  PDF-F DSH  Record of Heavy Equipment Training
08/09 321 FW 1      
3-2270  PDF-F IRTM  Internet Service Provider (ISP) Reimbursement Agreement for New Service
06/06         
3-2271  PDF-F DVSC  Volunteer Services Report
11/12 150 FW 3      
3-2272  Word DFM  Risk Assessment for Improper Payments - Word Version
04/06         
3-2273  PDF-F FHS  Title 50 Certifying Official Form
1018-0078
10/04 50 CFR 16      
3-2274  PDF-F FHS  U.S. Title 50 Certification Form
1018-0078
10/04 50 CFR 16      
3-2275  PDF-F FHS  Title 50 Importation Request Form
1018-0078
10/04 50 CFR 16      
3-2277      FHS  National Wild Fish Health Survey
pending OMB approval
02/04         
3-2278  PDF-F PDM  Advisory Committee Membership List
02/04         
3-2279  PDF-F DSH  Job Hazard Assessment (JHA)
03/04 241 FW 3      
3-2280  PDF-F DSH  Hazardous Energy Control Procedures Energy Source Evaluation
03/04 241 FW 8      
3-2281  PDF-F DSH  Specific Energy Control Procedures for Each Piece or Type of Machine or Equipment
03/04 241 FW 8      
3-2282  PDF-F DSH  Occupational Exposure List
09/10 242 FW 12      
3-2283  PDF-F DSH  Hepatitis B Immunization Consent/Refusal Form
09/10 242 FW 12      
3-2286  PDF-F DSH  Audiometric Report
09/2008 242 FW 3      
3-2288  Word DSH  Chemical Inventory
05/11 242 FW 2      
3-2289  PDF-F DSH  Guidelines for Determining Confined Spaces
03/04 242 FW 11      
3-2290  PDF-F DSH  Confined Space Entry Permit
03/04 242 FW 11      
3-2291  PDF-F DSH  Confined Space Entry Checklist
03/04 242 FW 11      
3-2292  PDF-F DSH  Respirator Training Certification
05/08 242 FW 14      
3-2293      DFM  Collection Officer Designation Certification
03/04 261 FW 1      
3-2294  PDF-F DFM  Budget Object Class (BOC) Change Request Form
03/04         
3-2295  PDF-F DCPP  Leadership Effectiveness Checklist
04/04 230 FW 7      
3-2296  Excel DFM  The FWS Acquisition and Replacement Cost Estimate Worksheet (Excel Worksheet)
07/04         
3-2297  PDF-F DFM  Determination of Capital Versus Operating Leases (Word Version)
07/04         
3-2298  PDF-F HR  Disqualification Statement
08/04         
3-2299  Excel AFHC  Natural Resource Damage Assessment Settlement Form (Excel Worksheet)
09/04         

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