Procurement-Related Forms
The following procurement-related forms are provided in PDF fillable and/or Word format. Click the link in the "Format" column to open a copy of the form or right-click to download.
| Number | Title/Description | Format |
|---|---|---|
| UCN-4452S | B&W Y-12 Subcontractor Personnel Exit Checklist | PDF-fil |
| UCN-6573 | Subcontractor's Invoice for Travel and/or Services | PDF-fil |
| UCN-13816B | Request for Waiver or Deviation | Word |
| UCN-13816C | Request for Waiver or Deviation (Continued) | Word |
| UCN-20856 | Nonpossessing Security Plan | PDF-fil, Word |
| UCN-21329 | Subcontract Technical Representative (STR) Change Notice | PDF-fil |
| UCN-21364 | Subcontractor Request for Y-12 National Security Complex Training | Word |
| UCN-21439 | Subcontract Safety Performance Report | Word |
| UCN-21445 | Subcontractor Hazardous Materials Inventory Report | Word |
| UCN-21519 | Badge Request Form | PDF-fil |
| UCN-21681 | B&W Y-12 Subcontractor Submittal Status Sheet | Word |
| UCN-21709 | Subcontract Badge/Clearance Status Report | Word |
| UCN-21752 | Seller Safety Qualification Questionnaire | PDF-fil, Word |
| UCN-22179 | Certification Special Provisions American Recovery and Reinvestment Act of 2009 | PDF-fil |
| UCN-22181 | American Recovery and Reinvestment Act (ARRA) Monthly Man-Hour Reporting | Excel |
| UCN-22212 | Submittal Checklist | Word |
| UCN-22327 | International Traffic in Arms Regulations (ITAR) Notice and Acknowledgement | PDF-fil |
| UCN-22338 | Representations and Certifications | PDF-fil |
| UCN-22345 | Workplace Substance Abuse Program | |
| UCN-22346 | Request for Inspection of Completed Work | PDF-fil |
| UCN-22347 | Daily Summary of Backcharge Work | PDF-fil |
| UCN-22348 | Indemnification and Medical Liability Insurance | |
| UCN-22349 | Representations Regarding Subcontracting Plans | PDF-fil |
| UCN-22350 | Request for Information (RFI) | PDF-fil |
| UCN-22351 | Subcontract Request for Travel, Pre-Approval | PDF-fil |
| UCN-22353 | Exemption from Application of the Service Contract Act — Certain Services — Requirements | |
| UCN-22354 | Exemption from Application of the Service Contract Act — Maintenance, Calibration or Repair of Certain Equipment — Requirements | |
| UCN-22355 | Exemption from Application of the Service Contract Act — Maintenance, Calibration or Repair of Certain Equipment — Certification | PDF-fil |
| UCN-22361 | Exemption from Application of the Service Contract Act — Certain Services — Certification | PDF-fil |
| UCN-22362 | Fair Labor Standards Act and Service Contract Act — Price Adjustment | |
| UCN-22363 | Fair Labor Standards Act and Service Contract Act — Price Adjustment (Multiple Year and Option Contracts) | |
| UCN-22371 | Release and Certificate of Final Payment | PDF-fil |
| UCN-22372 | Release and Certificate of Interim Payment | PDF-fil |
| UCN-22373 | Subcontract Overtime Request | PDF-fil |
| UCN-22374 | Appropriate Footwear Policy | |
| UCN-22375 | Smoking Policy | |
| UCN-22376 | Motor Vehicle Leases | |
| UCN-22377 | Personal Property Taxes | |
| UCN-22379 | Seller's Assignment of Refunds, Rebates, Credits, and Other Amounts | PDF-fil |
| UCN-22380 | Cost Accounting Standards — Clauses | |
| UCN-22381 | Civil Penalties for Classified Information Security Violations | |
| UCN-22382 | Subcontract Pricing Proposal (Cost or Pricing Data Required) | PDF-fil |
| UCN-22384 | Progress Payments | |
| UCN-22398 | Cost Accounting Standards Notices and Certification | PDF-fil |
| UCN-22399 | Milestone Payments | |
| UCN-22400 | Continuity of Services | |
| UCN-22401 | Organizational Conflicts of Interest | |
| UCN-22402 | Facility Clearance | |
| UCN-22403 | Organizational Conflicts of Interest Disclosure — Advisory and Assistance Services | |
| UCN-22404 | Foreign Nationals | |
| UCN-22405 | Procurement of Quality or Risk Significant Products or Services | |
| UCN-22406 | Government Property — Research and Development | |
| UCN-22407 | Reporting Requirements | |
| UCN-22408 | Insurance — Work on a Government Installation | |
| UCN-22409 | Environment, Safety and Health (Company) | |
| UCN-22410 | Payment Bond — Construction Contracts | PDF-fil |
| UCN-22411 | Payment Bond — Other Than Construction Contracts | PDF-fil |
| UCN-22412 | Performance Bond — Construction Contracts | PDF-fil |
| UCN-22413 | Performance Bond — Other Than Construction Contracts | PDF-fil |
| UCN-22414 | Security of Unclassified Controlled and Proprietary Information | |
| UCN-22415 | Sensitive Foreign Nations Controls | |
| UCN-22416 | Service Contract Act of 1965, As Amended | |
| UCN-22417 | Special Tooling | |
| UCN-22418 | Statement of Equivalent Rates for Federal Hires | PDF-fil |
| UCN-22423 | Proposal Bond | PDF-fil |
| UCN-22427 | Travel Reimbursement Policy | |
| UCN-22428 | Acknowledgement Intent to Participate in the Bidding Event | PDF-fil |
| UCN-22429 | Agreement Regarding Company Workplace Substance Abuse Program | PDF-fil |
| UCN-22430 | Badging, Personal Identity Verification and Security Clearances for Seller Employees | |
| UCN-22432 | American Recovery and Reinvestment Act of 2009: Special Provisions | |
| UCN-22433 | Nuclear Hazards Indemnity and Price-Anderson Amendments Act | |
| UCN-22434 | Small Business Subcontracting Plan | PDF-fil |
| UCN-22435 | Unclassified Controlled Information Certification Form | PDF-fil |
| UCN-22437 | Certificate of Current Cost or Pricing Data | PDF-fil |
| UCN-22438 | Suspect/Counterfeit Fastener Certification | PDF-fil |
| UCN-22440 | Pre-Employment Certification Letter | Word |
| UCN-22476 | Environment, Safety and Health Compliance — Alternative II | |
| UCN-22477 | Hazardous Materials Reporting | |
| UCN-22478 | Certification of Most Favored Customer Pricing | PDF-fil |
| UCN-22479 | Environment, Safety and Health Compliance — Alternative III | |
| UCN-22480 | Hazardous Materials Identification and Material Safety Data | |
| UCN-22481 | Environment, Safety and Health into Work Planning and Execution, Alternative I | |
| UCN-22482 | EEO Preaward Clearance Request | PDF-fil |
| UCN-22483 | Assignee's Release | PDF-fil |
| UCN-22484 | Assignee's Assignment of Refunds, Rebates, Credits and Other Amounts | PDF-fil |
| UCN-22485 | Seller's Release | PDF-fil |
| UCN-22502 | Rights in Data — Facilities, Exhibit 21 | PDF-fil |
| UCN-22503 | Commercial Computer Software — Restricted Rights (Exhibit CCS) | |
| UCN-22504 | Restricted Rights Notice (Exhibit 12) | PDF-fil |
| UCN-22505 | Seller Licensing (Exhibit 13) | |
| UCN-22506 | Rights in Data — Special Works (Exhibit 15) | |
| UCN-22507 | Authorization and Consent (Exhibit 4) | |
| UCN-22508 | Classified Inventions (Exhibit 7) | |
| UCN-22509 | Technical Data (Exhibit 9) | |
| UCN-22510 | Limited Rights in Proprietary Data (Exhibit 11) | |
| UCN-22511 | Patent Rights — Acquisition by the Government (Exhibit 1B) | |
| UCN-22512 | Patent Rights — Retention by the Seller (Short Form) (Exhibit 1C) | |
| UCN-22513 | Representation of Limited Rights Data and Restricted Computer Software (Exhibit 2) | PDF-fil |
| UCN-22514 | Questionnaire (Petition for Advance Waiver of Patent Rights under 41 CFR Sect. 9-9.109-6) (Exhibit 2B) | PDF-fil |
| UCN-22515 | Refund of Royalties (Exhibit 2D) | |
| UCN-22516 | Agreement to Company Solicitation Provisions | |
| UCN-22522 | Cargo Configuration for Trailers Entering Y-12 National Security Complex | |
| UCN-22523 | Export Compliance | |
| UCN-22524 | Export Compliance (MPO) | |
| UCN-22525 | Letter of Intent to Perform as a Subcontractor/Teaming Partner | PDF-fil |
| UCN-22526 | Escrow of Bid Documents | |
| UCN-22527 | Y-12 Motor Vehicle and Pedestrian Safety | |
| UCN-22529 | Required Training | |
| UCN-22533 | Supplier Information | PDF-fil |
| UCN-22544 | Property and Materials Certificate | PDF-fil |
| UCN-22565 | Transparency Act — Executive Compensation and Subcontracting Reporting Information (Company) | PDF-fil |
| UCN-22645 | Sustainable Acquisition Program | |
| UCN-22646 | Sustainable Acquisition Program — Construction |


