Official AmeriCorps Forms

This page provides links to official forms required by AmeriCorps to manage and report on grants. A link to sample forms submitted by grantees and others is also included. PLEASE NOTE: Some of these forms may be outdated.

The following titles are included in the forms collection:

  • AmeriCorps Application Reference Form
  • AmeriCorps Enrollment Form
  • AmeriCorps Exit Form
  • AmeriCorps FSR (Financial Status Report)
  • AmeriCorps Materials Request
  • AmeriCorps Member Application
  • AmeriCorps Member Application - Braille
  • AmeriCorps NCCC Project Sponsor
  • AmeriCorps NCCC Team Leader
  • AmeriCorps VISTA Concept Paper
  • AmeriCorps VISTA Designation of Beneficiary or Waiver for CNCS Life Insurance
  • AmeriCorps VISTA Member Benefit Election Form
  • AmeriCorps VISTA Member Registration Form
  • AmeriCorps VISTA Payment Voucher
  • AmeriCorps VISTA Project Application and Instructions
  • AmeriCorps VISTA Project Progress Report
  • AmeriCorps VISTA Second Choice Member Benefits Election form
  • AmeriCorps VISTA Sponsor Evaluation Form
  • AmeriCorps VISTA Standard Budget
  • AmeriCorps VISTA Statement of Mileage
  • AmeriCorps VISTA Support Budget
  • Certification of Subgrant Closeout
  • Claim for Damage Injury or Death (SF-95)
  • Closeout Instructions
  • DHHS Contact Form for New Grant Recipients
  • Equipment Inventory
  • Final Project Report including Cover and Narrative Page
  • Financial Status Report (FSR) SF-269A
  • Financial System Survey
  • Forbearance Request for National Service Form
  • Future Plans Form or Early Termination Request
  • Health Enrollment Questionnaire
  • Momentum Contact Information
  • Motor Vehicle Accident Report (SF-91)
  • Motor Vehicle Accident Statement of Witness (SF-94)
  • Pre-existing Condition Form
  • Refund Procedures
  • Residual Supply Inventory
  • SF1199A - Direct Deposit
  • Use of Vehicles or Public Transportation

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