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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