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Browse Y-12's official forms.

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 PDF
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 PDF
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 PDF
UCN-22354 Exemption from Application of the Service Contract Act — Maintenance, Calibration or Repair of Certain Equipment — Requirements PDF
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 PDF
UCN-22363 Fair Labor Standards Act and Service Contract Act — Price Adjustment (Multiple Year and Option Contracts) PDF
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 PDF
UCN-22375 Smoking Policy PDF
UCN-22376 Motor Vehicle Leases PDF
UCN-22377 Personal Property Taxes PDF
UCN-22379 Seller's Assignment of Refunds, Rebates, Credits, and Other Amounts PDF-fil
UCN-22380 Cost Accounting Standards — Clauses PDF
UCN-22381 Civil Penalties for Classified Information Security Violations PDF
UCN-22382 Subcontract Pricing Proposal (Cost or Pricing Data Required) PDF-fil
UCN-22384 Progress Payments PDF
UCN-22398 Cost Accounting Standards Notices and Certification PDF-fil
UCN-22399 Milestone Payments PDF
UCN-22400 Continuity of Services PDF
UCN-22401 Organizational Conflicts of Interest PDF
UCN-22402 Facility Clearance PDF
UCN-22403 Organizational Conflicts of Interest Disclosure — Advisory and Assistance Services PDF
UCN-22404 Foreign Nationals PDF
UCN-22405 Procurement of Quality or Risk Significant Products or Services PDF
UCN-22406 Government Property — Research and Development PDF
UCN-22407 Reporting Requirements PDF
UCN-22408 Insurance — Work on a Government Installation PDF
UCN-22409 Environment, Safety and Health (Company) PDF
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 PDF
UCN-22415 Sensitive Foreign Nations Controls PDF
UCN-22416 Service Contract Act of 1965, As Amended PDF
UCN-22417 Special Tooling PDF
UCN-22418 Statement of Equivalent Rates for Federal Hires PDF-fil
UCN-22423 Proposal Bond PDF-fil
UCN-22427 Travel Reimbursement Policy PDF
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 PDF
UCN-22432 American Recovery and Reinvestment Act of 2009: Special Provisions PDF
UCN-22433 Nuclear Hazards Indemnity and Price-Anderson Amendments Act PDF
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 PDF
UCN-22477 Hazardous Materials Reporting PDF
UCN-22478 Certification of Most Favored Customer Pricing PDF-fil
UCN-22479 Environment, Safety and Health Compliance — Alternative III PDF
UCN-22480 Hazardous Materials Identification and Material Safety Data PDF
UCN-22481 Environment, Safety and Health into Work Planning and Execution, Alternative I PDF
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) PDF
UCN-22504 Restricted Rights Notice (Exhibit 12) PDF-fil
UCN-22505 Seller Licensing (Exhibit 13) PDF
UCN-22506 Rights in Data — Special Works (Exhibit 15) PDF
UCN-22507 Authorization and Consent (Exhibit 4) PDF
UCN-22508 Classified Inventions (Exhibit 7) PDF
UCN-22509 Technical Data (Exhibit 9) PDF
UCN-22510 Limited Rights in Proprietary Data (Exhibit 11) PDF
UCN-22511 Patent Rights — Acquisition by the Government (Exhibit 1B) PDF
UCN-22512 Patent Rights — Retention by the Seller (Short Form) (Exhibit 1C) PDF
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) PDF
UCN-22516 Agreement to Company Solicitation Provisions PDF
UCN-22522 Cargo Configuration for Trailers Entering Y-12 National Security Complex PDF
UCN-22523 Export Compliance PDF
UCN-22524 Export Compliance (MPO) PDF
UCN-22525 Letter of Intent to Perform as a Subcontractor/Teaming Partner PDF-fil
UCN-22526 Escrow of Bid Documents PDF
UCN-22527 Y-12 Motor Vehicle and Pedestrian Safety PDF
UCN-22529 Required Training PDF
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 PDF
UCN-22646 Sustainable Acquisition Program — Construction PDF