Title | Description |
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BIA 4287 - Request for Relief of Collection Officer |
Used for requesting relief on behalf of a Collection Officer when a loss has been incurred. Instructions are also included. |
BIA 4314 - Requisition |
[Note: This form is for IA Internal Use Only] This form is for purchases up to the micropurchase threshold; all other purchases should use the "BIA/BIE Electronic Purchase Request (EPR) Form". |
BIA 4335 - Donation of Personal Property to Indian Tribes or Tribal Organizations |
[Note: This form is for IA Internal Use Only] This form is used by the Division of Property Management. |
BIA/BIE eQIP Request Form |
[Note: This form is for IA Internal Use Only] Form created by the Office of Human Capital Management |
BIE 504 Consent for Initial Evaluation/Receipt of 504 Rights and Procedural Safeguards |
BIE uses this form to implement 30 IAM 15: Section 504 of the Rehabilitation Act of 1973. |
BIE 504 Rights and Procedural Safeguards |
BIE uses this form to implement 30 IAM 15: Section 504 of the Rehabilitation Act of 1973. |
BIE Consent to Review Evaluative Information |
BIE uses this form to implement 30 IAM 15: Section 504 of the Rehabilitation Act of 1973. |
BIE Invitation to 504 Meeting |
BIE uses this form to implement 30 IAM 15: Section 504 of the Rehabilitation Act of 1973. |
BIE Section 504 Checklist |
BIE uses this form to implement 30 IAM 15: Section 504 of the Rehabilitation Act of 1973. |
BIE Section 504 Identification Determination Summary |
BIE uses this form to implement 30 IAM 15: Section 504 of the Rehabilitation Act of 1973. |
BIE Section 504 Manifestation Determination |
BIE uses this form to implement 30 IAM 15: Section 504 of the Rehabilitation Act of 1973. |
BIE Section 504 Meeting Parent Input |
BIE uses this form to implement 30 IAM 15: Section 504 of the Rehabilitation Act of 1973. |
BIE Section 504 Plan |
BIE uses this form to implement 30 IAM 15: Section 504 of the Rehabilitation Act of 1973. |
BIE Section 504 Teacher Input |
BIE uses this form to implement 30 IAM 15: Section 504 of the Rehabilitation Act of 1973. |
Carryover Appeal Request Form |
[Note: This form is for IA Internal Use Only] This form is used to submit a carryover funding request to the DAS-M |
Categorical Exclusion Exception Review (CEER) Checklist |
[Note: This form is for IA Internal Use Only] Checklist that can be used to facilitate compliance with the National Environmental Policy Act (NEPA); also used as part of the Housing Improvement Program (HIP) |
Certification of Final Inspection |
Form used as part of the Housing Improvement Program (HIP) |
Certification of Permanently Corrected Deficiencies |
[Note: This form is for IA Internal Use Only] This is a Word form used by the Division of Safety and Risk Management (please open using Chrome due to issues with IE and Excel/Word docs.) |
Certification of Preliminary Site Evaluation |
Form used as part of the Housing Improvement Program (HIP) |
Checklist for HIP Applications |
Form used as part of the Housing Improvement Program (HIP) |
Equipment Operation Data Form |
[Note: This form is for IA Internal Use Only] This form is used by the Division of Property Management (Excel) (note: please open using Chrome due to issues with IE and Excel/Word docs.) |
Equipment Operation Data Form |
(Formerly DI-120) Division of Property Excel form used by programs to document monthly fleet utilization (note: please open using Chrome due to issues with IE and Excel/Word docs.) |
Excess Real Property Transfer Forms, Checklists, and Templates These forms, checklists, and templates are used and referenced to implement 52 IAM 16: Processing Excess Real Property Land Transfers and 52 IAM 16-H: Excess Real Property Transfers Handbook. |
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FBMS FED Form and Instructions |
Data entry form and instructions |
Federal Register documents: DOI Briefing Paper Template |
[Note: This form is for IA Internal Use Only] Template (Word) used to obtain Departmental clearance for Federal Register documents (please open using Chrome due to issues with IE and Excel/Word docs.) |
Federal Register documents: Formatting Checklist |
[Note: This form is for IA Internal Use Only] Checklist |
Financial Assistance and Social Services Report (FASSR) |
Welfare Assistance program form (Excel) (note: please open using Chrome due to issues with IE and Excel/Word docs.) |
Fire Damage Report |
[Note: This form is for IA Internal Use Only] This form is used by the Division of Safety & Risk Management. |
Fire Loss Report |
[Note: This form is for IA Internal Use Only] This form is used by the Division of Safety & Risk Management (it is related to 25 IAM 8: Fire Safety Program). |
Forestry: (BIA 5-5323) Contract Part B Standard Provisions |
Forestry & Wildland Fire Management form |
Forestry: (BIA 5-5324) Estimated Volume Contract - Part A |
Forestry & Wildland Fire Management form (Word) (note: please open using Chrome due to issues with IE and Excel/Word docs.) |
Forestry: (BIA 5-5326) Estimated Volume Contract - Allotment Supplementary Agreement |
Forestry & Wildland Fire Management form (Word) (note: please open using Chrome due to issues with IE and Excel/Word docs.) |
Forestry: (BIA 5-5327) Predetermined Volume Contract - Part A |
Forestry & Wildland Fire Management form (Word) (note: please open using Chrome due to issues with IE and Excel/Word docs.) |
Forestry: (BIA 5-5328) Sole Owner Allotment Harvest Permit |
Forestry & Wildland Fire Management form (Word) (note: please open using Chrome due to issues with IE and Excel/Word docs.) |
Forestry: (BIA 5-5331) Timber Harvest Permit |
Forestry & Wildland Fire Management form (Word) (note: please open using Chrome due to issues with IE and Excel/Word docs.) |
Forestry: (BIA 5-5332) Non-Timber Forest Products Harvest Permit |
Forestry & Wildland Fire Management form (Word) (note: please open using Chrome due to issues with IE and Excel/Word docs.) |
HIP - Authorization to Release Information |
Form used as part of the Housing Improvement Program (HIP) |
HIP - Grant Agreement (Sample) |
Form used as part of the Housing Improvement Program (HIP) |
HR - Exit Clearance Form |
[Note: This form is for IA Internal Use Only] This (Word) form applies to ASIA, BIA, and BIE (note: please open using Chrome due to issues with IE and Excel/Word docs.) |
HR - IA Compressed Work Schedule Agreement |
[Note: This form is for IA Internal Use Only] Request for Compressed work schedule |
HR - IA Fitness Membership Fee Reimbursement - Self-Certification of Usage Form |
See 28 IAM 11: Fitness Membership Fee Reimbursement policy for more information on this form. |
HR - IA Fitness Membership Fee Reimbursement Program - Report of Taxable Fringe Benefit Form |
See 28 IAM 11: Fitness Membership Fee Reimbursement policy for more information on this form. |
HR - IA Fitness Membership Fee Reimbursement Program Application |
Employees must use this form to apply to participate in IA's fitness center fee reimbursement program. See 28 IAM 11: Fitness Membership Fee Reimbursement policy for more information. |
HR - IA Flexitime (Gliding Schedule) Work Schedule Agreement |
[Note: This form is for IA Internal Use Only] Request for Flexitime work schedule |
HR - IA Maxiflex Work Schedule Agreement |
[Note: This form is for IA Internal Use Only] Request for Maxiflex work schedule |
HR - Remote Work Agreement |
This form should be completed once an employee's Remote Work Request has been approved. |
HR - Remote Work Request Form |
This form should be used by Indian Affairs employees who would like to begin the process for requesting the remote work option. |
IA Annual Incidental Motor Vehicle Operator's Certification |
[Note: This document is for IA Internal Use Only] This certification statement is completed annually by incidental motor vehicle operators (see 25 IAM 4-H for more details). |
IA Fire Protection and Life Safety Systems Inspection, Testing, and Maintenance Guidelines |
[Note: This form is for IA Internal Use Only] This guidance is used by the Division of Safety & Risk Management (it is related to 25 IAM 8: Fire Safety Program). |
IA Motor Vehicle Operator Authorization Card |
[Note: This document is for IA Internal Use Only] This is the template used by the Division of Safety and Risk Management to issue Motor Vehicle Operator Authorization cards |
This form is used as part of the BIA's Office of Indian Services Division of Human Services' supervised Individual Indian Money (IIM) program. |
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IIM Accounts: Assessment Request - Outside of Service Area Procedures |
This guidance is related to the BIA's Office of Indian Services Division of Human Services' supervised Individual Indian Money (IIM) program. |
IIM Accounts: Distribution Plan Form |
This form is used as part of the BIA's Office of Indian Services Division of Human Services' supervised Individual Indian Money (IIM) program. |
IIM Accounts: Major Purchase Request Worksheet |
This form is used as part of the BIA's Office of Indian Services Division of Human Services' supervised Individual Indian Money (IIM) program. |
IIM Accounts: Six Month Case File Review Form |
This form is used as part of the BIA's Office of Indian Services Division of Human Services' supervised Individual Indian Money (IIM) program. |
Impaired Fire Protection Systems Report |
[Note: This form is for IA Internal Use Only] This form is used by the Division of Safety & Risk Management. |
[Note: This form is for IA Internal Use Only] This form should be used by all IA officials to record a report of harassing conduct. |
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Indian Affairs Technology Waiver Request Form |
[Note: This form is for IA Internal Use Only] The Indian Affairs Technology Waiver Request Form is used for requesting a waiver for unapproved or non-standard technology. Employees can find additional details about the process by accessing the Configuration Management Asset Management SharePoint site here. |
Job Hazard Analysis (JHA) form |
[Note: This form is for IA Internal Use Only] This form is used by the Division of Safety & Risk Management. |
Land Description Review-Realty Form: Land Description Examination and Validation (LDEV) Request |
BIA uses this form to implement NPM-TRUS-43 A1: Modernize the Land Description Review Process for Fee-to-Trust Acquisitions - Amendment 1 |
Land Description Review-Realty Form: Realty Land Description Review (RLDR) Form |
BIA uses this form to implement NPM-TRUS-43 A1: Modernize the Land Description Review Process for Fee-to-Trust Acquisitions - Amendment 1 |
Mortgage HB Attachment 10: Leasehold Certificate of Approval |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 11: Leasehold Disapproval Decision Letter |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 12: Leasehold Lender Transmittal Letter |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 13: Trust Land Mortgage Loan Checklist |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 14: Land Mortgage Acknowledgement Incomplete Letter |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 15: Land Mortgage Agency Transmittal Memorandum |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 16: Trust Land Mortgage Commitment to Approve Letter |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 17: BIA Disclosure Statement |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 18: Land Mortgage Certificate of Approval |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 19: Land Mortgage Disapproval Letter |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 20: Land Mortgage Lender Transmittal Letter |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
Mortgage HB Attachment 21: RD Recommendation Memorandum |
This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
See the IA Paperwork Reduction Act (PRA) tab for this form. This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
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See the IA Paperwork Reduction Act (PRA) tab for this form. This form is used as part of the mortgage process, as described in 52 IAM 4-H. (Word version only) |
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