USDA Rural Development-UP_ETPW

Rural Utilities Service Forms

Electric
Telecommunications
RUS Shared Forms (E & T)
Rural Development Forms
Department of Agriculture Forms
Rural Development Forms
FedForms.gov

Electric Forms

Financial and Operating Report - Electric Distribution
Financial and Operating Report - Power Supply
Form 87 Request for Mail List Data.(revised 5/05) Instructions
Form 138 GFR Checklist and Report for Electric Loan Applications (Rev. 8/85)
Form 168b Contractor's Bond (revised 2/04) Instructions
Form 168c Contractor's Bond (less than $1 million) ( 2/04) Instructions
Form 179 Architects and Engineers Qualifications (Rev. 9/66)
Form 181 Certificate of Completion - Force Account (Rev. 2/95)
Form 187 Certificate of Completion - Contract Construction (Rev. 2/04) Instructions
Form 198 Equipment Contract (fillable PDF) (Rev. 4/04) Instructions (PDF) (Word doc file) for contract attachments.
Form 200 Construction Contract - Generating (Rev. 2/04) Instructions (PDF) (Word doc file) for contract attachments
Form 211 Engineering Service Contract For The Design And Construction Of A Generating Plant (Rev. 4/04) Instructions
Form 213 Certificate (Buy American) (Rev. 2/04) Instructions
Form 219 Inventory of Work Orders (multi page with totals) (Rev. 10/12)
Form 219 Inventory of Work Orders (single page with totals) (Rev. 10/02)
Form 220 Architectural Services Contract (Rev. 6/98) Instructions
Form 224 Waiver and Release of Lien. (Rev. 2/04) Instructions
Form 231 Certificate of Contractor (Rev. 2/04) Instructions
Form 236 Engineering Service Contract - Electric System Design and Construction (Rev. 6/98) Instructions
Form 238 Construction or Equipment Contract Amendment (fillable PDF). Instructions are available. (Rev. 2/04)
Form 254 Construction Inventory (Rev. 2/04) Instructions
Form 257 Contract to Construct Buildings (Rev. 2/04) Instructions
Form 260 GFR Check of System Planning Report (Rev. 5/68)
Form 261 GFR Summary of System Planning Report (Rev. 1/95)
Form 266 Compliance Assurance (Rev. 1/00) (fillable PDF) Instructions
Form 300 Review Rating Summary - O and M (Rev. 4/02)
Form 307 Bid Bond (Rev. 2/04) Instructions
Form 324 Financial Forecast Review and Evaluation Work Sheet(Rev. 11/73)
Form 369 Request for Approval to Sell Capital Assets (Rev. 2/05)
Form 595 Financial Requirement and Expenditure Statement (Rev. 10/12)
Form 602 Loan Budget Analysis (Rev. 10/88)
Form 674 Certificate of Authority to Submit or Grant Access to Data (Rev. 3/06)- Instructions are available. Board resolution must be submitted with Form 674
Form 675 Certificate of Authority (revised 1/97) Instructions
Form 726 Distribution Loan Application Checklist and Index - Instructions (Rev. 4/02)
Form 740c ACost Estimates and Loan Budget for Electric Borrowers (Rev. 10/01)
Form 740g Application for Headquarters Facilities (Rev. 5/10) Instructions
Form 786 Electric System Communications and Control Equipment Contract (including installation) (Rev. 2/04) Instructions See RUS Bulletin 1726I-602 (PDF) (Word doc file) for contract attachments.
Form 790 Electric System Construction Contract - Non-Site Specific Construction (Rev. 2/04) (See 4/14/2004 letter concerning permitted modifications to Form 790.) Instructions See RUS Bulletin 1726I-602 (PDF) (Word doc file) for contract attachments.
Form 792b Certificate of Construction and Indemnity Agreement (Rev. 2/04) Instructions
Form 830 Electric System Construction Contract - Project Construction (Rev. 2/04) Instructions See RUS Bulletin 1726I-602 (PDF) (Word doc file) for attachments.

Telecommunications Forms

List of Acceptable Materials Contract Addendum
Contract Rider Form 220
Contract Rider Form 282
Contract Rider Form 398
Contract Rider Forms 217, 245, and 835
Contract Rider Form 257, 397, 525, and 545
Contract Rider Forms 515 and 773
Lobbying Certification
Form 87 Request for Mail List Data (revised 5/05) Instructions
Form 157 Certificate of Contract or Force Account Proposal Approval (Rev. 10/77)
Form 158 Certificate of Contract or Force Account Proposal Approval (Rev. 10/77) Instructions
Form 159 Summary of Completed Construction (Rev. 10/77) Instructions
Form 168b Contractor's Bond (revised 2/04) Instructions
Form 168c Contractor's Bond (less than $1 million) (2/04) Instructions
Form 179 Architects and Engineers Qualifications (Rev. 9/66)
Form 181 Certificate of Completion - Force Account (Rev. 2/95)
Form 187 Certificate of Completion - Contract Construction (Rev. 2/04) Instructions
Form 198 Equipment Contract (fillable PDF) (Rev. 4/04) Instructions See RUS Bulletin 1726I-602 (PDF) (Word doc file) for contract attachments.
Form 213 Certificate (Buy American) (Rev. 2/04) Instructions
Form 216 Construction Change Order (Rev. 7/67)
Form 217 Post-Loan Engineering Services Contract (Rev. 3/97)
Form 220 Architectural Services Contract (Rev. 6/98) Instructions
Form 224 Waiver and Release of Lien. (Rev. 2/04) Instructions
Form 231 Certificate of Contractor (Rev. 2/04) Instructions
Form 238 Construction or Equipment Contract Amendment (fillable PDF). Instructions are available. (Rev. 2/04)
Form 242 Assignment of Engineering Service Contract (Rev. 11/58)
Form 245 Engineering Service Contract Special Services - Telephone (Rev. 11/75)
Form 251 Materials Receipts (Rev. 2/95)
Form 254 Construction Inventory (Rev. 2/04) Instructions
Form 257 Contract to Construct Buildings (Rev. 2/04) Instructions
Form 266 Compliance Assurance (Rev. 1/00) (fillable PDF) Instructions
Form 268 Discountinued
SForm 269 Financial Status Report (Long Form) (Rev. 7/97)
SForm 269a Financial Status Report (Short Form)(Rev. 7/97)
SForm 270 Request for Advance or Reimbursement (Rev. 7/97)
Form 270 Equal Opportunity Addendum
Form 271 Notice to Contractors and Sellers (Rev. 7/70)
Form 274 Bidder's Qualifications (Rev. 6/81)
Form 276 Bidder's Qualifications for Buried Plant Construction (Rev. 5/59)
Form 281 Tabulation of Materials Furnished By Borrower (Rev. 5/61) Instructions
Form 282 Construction or Equipment Contracts (Rev. 11/53) Instructions
Form 284 Final Statement of Cost for Architectural Service (Rev. 4/72)
Form 291 Certification of Nonsegregated Facilities (Rev. 8/70) Instructions
Form 307 Bid Bond (Rev. 2/04) Instructions
Form 375 Interim Financing Addendum (Rev. 1/03)
Form 390 Software Licensing Agreement (Rev. 1/03)
Form 396 Certificate of Completion - Special Equipment Contract (Including Installation) (Rev. 3/64)
Form 396a Certificate of Completion - Special Equipment Contract (Not including installation) (Rev. 3/64)
Form 396a Total Cost of the Equipment by Group or Central Office (Rev. 3/64)
Form 397 Special Equipment Contract (including installation) (Rev. 8/00)
Form 397b Design Specifications for Trunk Carrier Systems (Rev. 10/80)
Form 397c Design Specifications for Subcriber Carrier Systems (Rev. 10/80)
Form 397dDesign Specification for Point-to-Point Microwave Systems (Rev. 7/87)
Form 397g Specification for Line Concentrators (Rev. 7/95)
Form 397h Design Specification for Digital Lightwave Transmisison Systems (Rev. 3/90)
Form 398-01 Special Equipment Contract (not including installation) (Rev. 11/62)
Form 398-02 Article I (Section 1 - Proposal Price) (Rev. 11/62)
Form 399 Supplement Agreement to Equipment Contract for Field Trial (Rev. 2/10) Instructions
Form 399a Telecommunications Equipment Field Trial (Rev. 2/10) Instructions
Form 399b Telecommunications Equipment Field Trial (Rev. 2/10) Instructions
Form 481 Financial Requirements Supplemental Sheet (Fillable MS Excel File w/macros) (Rev. 5/03)
Form 490 Application for Telecommunications Loan or Loan Guarantee (Rev. 09/03) Instructions
Form 494 Loan Proposal Summary (Rev. 09/03)
Form 495 Construction Cost Estimates (Rev. 09/03)
Form 506 Statement of Engineering Fees Telecommunications (Rev. 12/96)
Form 507 Report on Telephone Acquisitions (Rev. 9/03)
Form 515 Telecommunications System Construction Contract (Labor and Materials) (Rev. 9/01))
Form 517 Results of Acceptance Tests (Central Office Equipment (Rev. 9/03)
Form 521 BiWeekly Progress Report of Telephone Construction and Engineering Services (Rev. 7/77)
Form 522 Stored Program Controlled Central Office Equipment (Rev. 1/96)
Form 525 COE contract (with installation) Contract Form 525 (Rev. 7/94)
Form 526 Construction Contract Amendment (Rev. 8/66)
Form 527 Statement of Construction Telephone System Outside Plant (Rev. 3/71)
Form 532 Application for Broadband Loan or Loan Guarantee (Rev. 6/04)
Form 545 ICOE Contract (without installation) Contract Form 545 (Rev. 11/99)
Form 569 Local Service Data Form (Rev. 09/03)
Form 674 Certificate of Authority to Submit or Grant Access to Data (Rev. 3/06)- Instructions are available. Board resolution must be submitted with Form 674
Form 675 Certificate of Authority (revised 1/97) Instructions
Form 724 Final Inventory Telephone Contruction Contract (Rev. 10/63)
Form 724a Final Inventory Telephone Construction Contract (Labor and Materials)(Rev. 4/61)
Form 724b Final Inventory Telephone Construction Contract (Labor and Materials) Removal Units Section "X" (Rev. 3/61)
Form 743 Certificate of Contractor and Indemnity Agreement (Line Extensions) (Rev. 12/90)
Form 744 Certificate of Contractor and Indemnity Agreement (Rev. 2/62)
Form 752a Equipment Contract (Not including installation) (Rev. 4/66)
Form 754 Certificate of Completion Central Office(s) (Including Installations) (Rev. 6/66)
Form 756 Contract Closeout Certification (Rev. 1/03)
Form 771 Summary of Work Orders (Inspection by RUS Field Engineer) (Rev. 10/75) Instructions
Form 771a Summary of Work Orders (Inspection by Licensed Engineer or Borrower's Staff Engineer) (Rev. 10/75) Instructions
Form 773 Summary of Work Orders (Inspection by RUS Field Engineer) Instructions are available. (Rev. 10/75)
Form 787 Supplement A to Construction Contract (RUS Form 515) (Rev. 3/95)
Form 792b Certificate of Construction and Indemnity Agreement (Rev. 2/04)
Form 793 Request for release of Lien and/or approval of Sale (Rev. 6/70)
Form 817 Final Inventory Telephone Force Account Construction (Certificate of Engineer) (Rev. 6/60)
Form 817a Final Inventory Telephone Force Account Construction (Certificate of Engineer) (Rev. 6/60)
Form 817b Final Inventory Telephone Force Account Construction (Certificate of Engineer) (Rev. 6/60)
Form 835 Preloan Engineering Service Contract Telephone System Design (Rev. 3/66)

RUS Wide Forms (E & T)

Form 87 Request for Mail List Data (revised 5/05) Instructions
Form 168b Contractor's Bond (revised 2/04) Instructions
Form 168c Contractor's Bond (less than $1 million) (2/04) Instructions
Form 179 Architects and Engineers Qualifications (Rev. 9/66)
Form 181 Certificate of Completion - Force Account (Rev. 2/95)
Form 187 Certificate of Completion - Contract Construction (Rev. 2/04) Instructions
Form 198 Equipment Contract (fillable PDF) (Rev. 4/04) Instructions See RUS Bulletin 1726I-602 (PDF) (Word doc file) for contract attachments.
Form 213 Certificate (Buy American) (Rev. 2/04) Instructions
Form 220 Architectural Services Contract (Rev. 6/98) Instructions
Form 224 Waiver and Release of Lien (Rev. 2/04) Instructions
Form 231 Certificate of Contractor (Rev. 2/04) Instructions
Form 238 Construction or Equipment Contract Amendment (fillable PDF.) Instructions are available. (Rev. 2/04)
Form 254 Construction Inventory (Rev. 2/04) Instructions
Form 257 Contract to Construct Buildings (Rev. 2/04) Instructions
Form 266 Compliance Assurance (Rev. 1/00) (fillable PDF) Instructions
Form 307 Bid Bond (Rev. 2/04) Instructions
Form 674 Certificate of Authority to Submit or Grant Access to Data (Rev. 3/06)- Instructions are available. Board resolution must be submitted with Form 674
Form 675 Certificate of Authority (revised 1/97) Instructions

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Last Modified:05/17/2013

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