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STANDARD FORMS

Paper State Standard Forms Price List

As of July 1, shipping charges will apply to Standard Form orders.

New prices are shown in red, and marked with an asterisk (*).

 

Form No. Rev. Date Form Title Product Code Unit Order Unit Quantity Unit Cost
std004 5/2002   Contract/Contractors Evaluation     LowUse   N/A  
  
std005 6/88   Intra-Office Requisition (Local Request)   800001  Pad   100  
$12.00 
std007 5/96   Message Transmittal   800002  Pad   100  
$1.45* 
std008 3/2007   Special Handling Request     LowUse   N/A  
  
std009 3/2002   Space Action Request     LowUse   N/A  
  
std012 4/2005   Fresh Produce Weekly Order   800003  LowUse   N/A  
  
std013a 6/88   Intergovernmental Service Agreement and Invoice   800139  Pkg   100  
$32.50 
std016 11/92   Contract Award Report     LowUse   N/A  
  
std017a 9/2000   Nondiscrimination Clause (OCP-1)     LowUse   N/A  
  
std018 1/95   Standard California Nondiscrimination Construction Contract Specifications     LowUse   N/A  
  
std019 3/95   Nondiscrimination Compliance Statement     LowUse   N/A  
  
std020 9/2003   Telecommunications Service Request   800007  Pad   25  
$10.75 
std021 12/93   Drug-Free Workplace Certification     LowUse   N/A  
  
std025 9/94   Transfer of Budget Allotment     LowUse   N/A  
  
std026 7/2000   Budget Revision     LowUse   N/A  
  
std027 8/97   Application for Discharge from Accountability     LowUse   N/A  
  
std027a 6/2000   Claim For Reimbursement     LowUse   N/A  
  
std029 10/2001   Real Estate Service Request     LowUse   N/A  
  
std031 4/95   Standard Budget Schedule     LowUse   N/A  
  
std033 4/95   Supplementary Schedule of Salaries and Wages     LowUse   N/A  
  
std040a 6/2001c   Sub-Purchase Order   800008  Pkg   100  
$81.73 
std056 4/95   Pocket Travel Guide   800009  Pkg   10  
$7.25 
std059 7/2000   Operators Booklet   800010  Pkg   10  
$22.50 
std061 3/2002   Glove Box Directory of Approved Auto Repair Facilities   800011  Pkg   10  
$21.00 
std065 7/2003   Purchasing Authority Purchase Order   800131  Pkg   50  
$11.88 
std065a 7/2003   Purchasing Authority Purchase Order Continuation   800132  Pkg   50  
$20.83* 
std065cont 7/2003   Purchasing Authority Purchase Order (Continuous)   800013  Box   550  
$137.28* 
std066 10/2006   Purchase Estimate   800015  Pad   100  
$13.50 
std066a 6/94   Purchase Estimate Continuation   800016  Pad   100  
$12.00 
std067 2/2003   Publishing Order   800017  Pad   100  
$6.75 
std070 5/92   Records Inventory Worksheet     LowUse   N/A  
  
std071 3/96   Records Transfer List   800140  Pkg   50  
$17.00 
std073 6/2002   Records Retention Schedule     LowUse   N/A  
  
std075 8/94   Confidential Destruction Label   800019  Pkg   100  
$17.97* 
std076 11/2006   State Records Center Reference Request   800020  Pkg   100  
$26.29* 
std076cont 11/2006   State Records Center Reference Request (Continuous)   800021  Box   1500  
$66.32 
std077 6/2008   Storage Label   800207  Pkg   100  
$17.97* 
std096 4/94   Purchase Order/Estimate Change Request     LowUse   N/A  
  
std099 11/2006   Report of Crime on State Property   800022  Pad   50  
$4.50 
std100 4/95   Office Memo   800023  Pad   100  
$5.26* 
std100b 9/70c   Mini Memo   800024  Pkg   100  
$8.24* 
std101 9/2007   Appointment Calendar   800205  Pkg   10  
$10.00 
std106 5/82c   Stock Received Report   800026  Book   50  
$27.26* 
std107 8/2005   Notice of Correction of Invoice   800027  Pad   100  
$19.19* 
std108 5/94   Returned Stock Report     LowUse   N/A  
  
std113 3/95   Court Paper (Recycled paper)   800028  Pkg   500  
$40.27* 
std115 7/88   Storeroom Supplies Order   800029  Pkg   100  
$13.42* 
std115a 4/94   Requisition-Direct Deliveries Receipt     LowUse   N/A  
  
std116 6/99   Supply Order   800030  Pkg   50  
$6.50 
std117 3/2006   Interagency Messenger Service (IMS) Envelope   800031  Box   250  
$47.29* 
std119 8/97   Stock Control Record/Stock Price Quotation   800134  Pkg   50  
$2.75 
std152 9/2000   Property Survey Report   800033  Pad   50  
$4.25 
std157 6/94   Property Inventory Listing     LowUse   N/A  
  
std158 7/2000   Property Transfer Report     LowUse   N/A  
  
std204 6/2003   Payee Data Record   800034  Pad   50  
$6.95 
std208 1/2000   Penalty Calculation     LowUse   N/A  
  
std209 7/2006   Invoice Dispute Notification   800035  Pad   25  
$20.06* 
std215 4/2001   Agreement / Summary     Call    
  
std218cont 3/91   Claim Schedule (CALSTARS)   800036  Box   850  
$117.28* 
std218dd 6/94   Claim Schedule – EFT Transactions     LowUse   N/A  
  
std218et 6/94   Claim Schedule Electronic Tape     LowUse   N/A  
  
std219tt 4/2005   Replenishment Claim Schedule        
  
std236 9/91   Hotel/Motel Transient Occupancy Tax Waiver (Exemption Certificate for State Agencies)   800037  Pad   100  
$6.00 
std241 2/2001   Beneficiary Designation   800141  Pkg   25  
$10.50 
std241s 6/2002   Special CalPERS Beneficiary Designation   800166  Pkg   25  
$10.50 
std242 12/2005   U.S. Savings Bonds Purchase/Payroll Deduction Authorization   800142  Pkg   25  
$7.88 
std243 12/2004   Designation of Persons Authorized to Receive Warrants (Government Code Section 12479)   800040  Pad   50  
$6.13 
std250 3/2002   Employee Asbestos Notification   800041  Pkg   50  
$8.65* 
std254 6/2005   Straight Bill of Lading   800042  Pkg   100  
$21.79 
std255 7/2006   Moving Service Authorization (Employee Household Goods)     LowUse   N/A  
  
std255a 7/2006   Moving Service Authorization (Bid Proposal – Mobile Home)     LowUse   N/A  
  
std255c 12/2005   Excess Lodging Rate Request/Approval     LowUse   N/A  
  
std256 2/96   Moving/Relocation Expense Approval Request     LowUse   N/A  
  
std257 5/94   Out-of-State Travel Approval Request     LowUse   N/A  
  
std257c 5/94   Out-of-State Travel Request     LowUse   N/A  
  
std260 5/94   Blanket Approval for Out-of-State Travel     LowUse   N/A  
  
std261 3/95   Authorization to Use Privately Owned Vehicles on State Business   800043  Pad   25  
$4.76* 
std262 9/2007   Travel Expense Claim   800044  Pad   50  
$3.90* 
std262a 9/2007   Travel Expense Claim (CALSTARS)   800045  Pad   100  
$10.11 
std265 2/91   Insurance Verification and Authorization to Operate Privately Owned/Rented Leased Aircraft on State Business     LowUse   N/A  
  
std268 11/2007   Accident Report (Other than Motor Vehicle)   800046  Pad   50  
$6.63* 
std269 1/2002   Accident Identification   800047  Pkg   25  
$7.86* 
std270 2/2002   Vehicle Accident Report   800048  Pad   25  
$2.17 
std271 2/99   Automobile Maintenance Record   800143  Pkg   5  
$16.67* 
std273 9/2006   Official Monthly Travel Log   800050  Book   25  
$2.43* 
std274 1/2003   Review of State Driver Accident (Supervisor's)   800051  PAD   25  
$4.16 
std275 3/93   Claims Against the State of California     LowUse   N/A  
  
std276 10/96   Vehicle Usage Justification     LowUse   N/A  
  
std276a 1/2007   Passenger Vehicle Usage Report     LowUse   N/A  
  
std278 8/98   Superior Accomplishment Gift or Cash Award Recommendation     LowUse   N/A  
  
std340 2/75   Audit Report   800054  Pad   50  
$17.78* 
std350a 8/2002   Answer Sheet (State of California)   800055  Pkg   100  
$7.57* 
std377 10/97   Vehicle Home Storage Request/Permit     LowUse   N/A  
  
std399 2/98   Fiscal Impact Statement (Regulations and Orders)     LowUse   N/A  
  
std400 4/99   Notice Publication/Regulations Submission     LowUse   N/A  
  
std403 7/2001   Remittance Advice Envelope   800056  Pkg   50  
$18.58* 
std404c 4/95   Remittance Advice (Continuous) (carbonless)   800058  Box   2000  
$42.43* 
std407 4/97   Payroll Header Change     LowUse   N/A  
  
std422 8/2005   Salary Advances Paid/Offset Report     LowUse   N/A  
  
std432 4/2006   Stop Payment Request   800059  Pad   50  
$9.87* 
std435 9/2000c   Request for Duplicate Controller's Warrant/Stop   800060  Pkg   50  
$13.88 
std436 9/2006c   Duplicate Wage and Tax Statement Request   800061  Pad   50  
$6.25 
std438 10/2006   Revolving Fund Disbursement Voucher   800062  Pad   50  
$9.69* 
std439 3/2002   Disbursement Voucher   800063  Pad   50  
$22.37* 
std440 1/2006   Transfer Receipt   800064  Pad   50  
$3.98* 
std441 10/86   Report of Deposit (State Treasurer)   800065  Pkg   100  
$40.00 
std442 5/2001   Report of Deposit (Bank of America)   800066  Pkg   100  
$40.00 
std442p 2/97   Report of Deposit (Bank of America Presort Account)   800067  Pkg   100  
$52.89 
std442m 3/2002   Report of Deposit (Bank of America Misc-Sort Account)   800168  Pkg   100  
$40.00 
std445 6/98   Report of Bank/Savings and Loan Association Account-Outside the Treasury System     LowUse   N/A  
  
std446 10/2004   Report of Deposit (Bank of The West)   800068  Pkg   100  
$40.00 
std447 2/97   Report of Deposit (Union Bank of California)   800069  Pkg   100  
$40.00 
std448 11/2000   Report of Deposit (Wells Fargo Bank)   800163  pkg   100  
$40.00 
std448p 11/2000   Report of Deposit (Wells Fargo Bank - PRE-SORT)   800164  pkg   100  
$40.00 
std449 2/97   Report of Deposit (West America Bank)   800070  Pkg   100  
$53.88* 
std450 10/2004   Report of Deposit (US Bank of California)   800071  Pkg   100  
$40.00 
std456a 11/94   California State University Personnel/Payroll Transaction   800135  Pkg   100  
$20.00 
std457 11/2007   CSU Student Payroll Action Request   800136  Pkg   100  
$40.90* 
std458 6/2001   Voluntary Child Support Deduction/Authorization     LowUse   N/A  
  
std459 4/90   Voluntary Spousal Support Deduction/Authorization     LowUse   N/A  
  
std500 12/2005   The Work Number – Employee   800127  Pkg   100  
$9.00 
std501 10/98   The Work Number – Verifier   800128  Pkg   100  
$17.00 
std520 8/93   Meal Ticket Sales Report        
  
std567 4/97   Depositor's Disbursement Voucher     LowUse   N/A  
  
std603 10/92   Absences Without Pay Report   800074  Pad   50  
$6.02* 
std607 7/98   Change in Established Position   800075  Pad   50  
$7.00 
std607a 12/93   Change in Established Position   800076  Box   700  
$88.75 
std608 4/2002   Established Position Record (Permanent)   800144  Pkg   50  
$21.34* 
std608a 9/2000   Established Position Record (Temporary)   800145  Pkg   50  
$6.78 
std610 12/2002   Health Questionnaire (With Physician’s Report)   800079  Pkg   50  
$9.68* 
std612 6/2001   Employee Transfer Data   800081  Pad   25  
$7.25 
std618 4/93   Benefit Option Selection   800082  Pad   50  
$6.50 
std618s 6/94   Industrial Disability Leave With Supplementation Benefits Information and Options Selection     LowUse   N/A  
  
std619 7/93   Industrial Disability Benefits Information     LowUse   N/A  
  
std621 5/99   Workers' Compensation Notice to State Employees   800138  Pkg   20  
$15.00 
std625 8/88   Classification and/or Certification Action Request     LowUse   N/A  
  
std628 12/95   Employment Inquiry   800084  Pkg   25  
$6.75 
std628cont 12/95   Employment Inquiry (Continuous)   800085  Box   900  
$78.96* 
std628laser 12/95   Employment Inquiry (Laser)   800086  Pkg   300  
$7.23* 
std630 10/95   Employee Contract Grievance     LowUse   N/A  
  
std631 8/2002   Excluded Employee Grievance     LowUse   N/A  
  
std634 8/2002   Absence and Additional Time Worked Report   800087  Pad   50  
$3.24* 
std636 8/2002   Report of Performance for Probationary Employee   800146  Pkg   50  
$16.04 
std636a 6/96   Report of Performance for Probationary Employee (For Performance Based Budget Agencies)   800147  Pkg   50  
$12.50 
std637 7/94c   Performance Appraisal Summary/Individual Development Plan   800090  Pad   50  
$2.25 
std637a 9/98   Performance Appraisal Summary/Individual Development Plan (For Performance-Based Budget Agencies)   800091  Pad   50  
$2.75 
std639 4/2005   Salary Garnishment   800092  Pad   50  
$1.75 
std640 9/2006c   Employee Attendance Summary   800093  Pad   50  
$2.54* 
std642 4/93   Monthly Employee Leave Record   800094  Pkg   100  
$7.75 
std644 9/94   Annual Leave Credits Statement   800095  Pad   25  
$2.50 
std645 7/2007   Employee Suggestion   800148  Pkg   100  
$96.78 
std645a 4/95   Suggestion Evaluation Report     LowUse   N/A  
  
std650 8/2005   Miscellaneous Deduction Change Report     LowUse   N/A  
  
std653 6/94   Long-Term Assignment (LTA) Information and Certification of Subsistence Rate     LowUse   N/A  
  
std654 8/89   Long-Term Assignment Cost Analysis     LowUse   N/A  
  
std664cont 4/2001   Certification of Eligibles   800097  Box   1000  
$120.16* 
std666 3/97   Payroll Exceptions Report   800098  Pad   50  
$14.89* 
std671 12/99   Miscellaneous Payroll/Leave Actions   800099  Pad   50  
$3.81* 
std674 10/2000   Payroll Adjustment Notice   800100  Pad   50  
$5.70* 
std674ar 12/2005   Payroll Adjustment Notice – Accounts Receivable (A/R)   800101  Pad   50  
$8.21* 
std674d 7/2006   Industrial/Non-Industrial Disability Pay Request   800102  Pad   50  
$4.21* 
std675 9/97   Supplemental Wage Deduction     LowUse   N/A  
  
std676p 12/2007   Non-USPS Adjustment Request – Payments     LowUse   N/A  
  
std676v 12/2007   Non-USPS Adjustment Request – Values     LowUse   N/A  
  
std677 2/99   Nondisclosure of Employee Home Address Request     LowUse   N/A  
  
std678 12/2006c   Examination and/or Employment Application   800103  Pkg   100  
$11.02* 
std680a 8/2003   Personnel Action Request   800104  Pad   50  
$6.47 
std681 1/2000   Monthly Attendance Report   800105  Pad   50  
$9.61* 
std682 2/2007   Authorization for Extra Hours   800106  Pad   75  
$3.64* 
std683 6/2000   Pay Adjustment Request (New)   800158  Pad   50  
$1.60 
std686 7/2007   Employee Action Request   800149  Pkg   50  
$6.35* 
std687 11/2006   Separation/Disposition of CalPERS Contributions   800150  Pkg   50  
$35.33* 
std688 11/99   Oath of Office     LowUse   N/A  
  
std689 5/2002   Oath of Allegiance and Declaration of Permission to Work for Persons Employed by the State of California   800109  Pad   50  
$8.48* 
std692 2/2008   Dental Plan Enrollment Authorization   800151  Pkg   25  
$5.81* 
std696 5/2007   Dental Plan Direct Payment Authorization   800152  Pkg   25  
$11.01* 
std697 10/2004   Training Request     LowUse   N/A  
  
std698 3/97   Life Insurance Enrollment Authorization   800153  Pkg   25  
$12.50 
std699 1/2006   Direct Deposit Enrollment Authorization   800154  Pkg   25  
$10.96* 
std700 2/2008   Vision Plan Enrollment Authorization   800155  Pkg   25  
$13.63* 
std701c 9/2005   Cash Option Enrollment Authorization – FlexElect Program   800115  Pkg   25  
$11.87* 
std701r 5/2002   Reimbursement Account Enrollment Authorization – FlexElect Program   800116  Pkg   25  
$9.21* 
std702 4/2000   Consolidate Benefits (CoBen) Cash Enrollment Election   800130  Pkg   50  
$15.00 
std703 5/2007   Vision Plan Direct Payment Authorization   800160  Pkg   25  
$16.44 
std740 9/2007   State Employees Disability Questionnaire   800201  Pkg   25  
$2.78 
std750 6/94   Managerial Performance Appraisal Summary     LowUse   N/A  
  
std802 9/93   Federal Excise Tax Exemption Certificate     LowUse   N/A  
  
std805a 9/2001   State Agency Trust Check Replacement Application (Executed WITHIN the State of California)     LowUse   N/A  
  
std805b 4/94   State Agency Trust Check Replacement Application (Executed OUTSIDE the State of California)     LowUse   N/A  
  
std807 9/87   Payment Bond to Accompany Construction Contract     LowUse   N/A  
  
std810 11/2003   Contracting Activity Report     LowUse   N/A  
  
std811 12/2007   Small Business Preference and Certification Request     LowUse   N/A  
  
std813 1/2002   Small Business Certification Application   800161  Pkg   25  
$18.12 
std815 6/2002   Advertising in the Contracts Register   800156  Pkg   25  
$7.00 
std821 10/2006   Contract Advertising Exemption Request   800157  Pkg   25  
$12.50 
std830 1/2005   Target Area Contract Preference Act Preference Request For Goods and Services     LowUse   N/A  
  
std831 1/2005   Enterprise Zone Act (EZA) Preference Request     LowUse   N/A  
  
std832 1/2005   Local Agency Military Base Recovery Area (LAMBRA) Preference Request     LowUse   N/A  
  
std840 3/2007   Disabled Veteran Business Enterprise Participation Summary     LowUse   N/A  
  
std840a 3/2007   Additional Disabled Veteran Business Enterprise Contacts     LowUse   N/A  
  
std850 4/2000   Fire Safety Inspection Request   800137  Pkg   50  
$18.00 
std897 4/95   Bilingual Pay Authorization     LowUse   N/A  
  
std910 1/2002   Essential Functions Health Questionnaire   800167  Pad   50  
$2.50 
std912 2/2000   Military Service Declaration     LowUse   N/A  
  
std930   Catastrophic Leave Transfer of Leave Credits for Family Members Donation Record        
  
std966 6/2000   Employee Time Certification   800159  Pad   50  
$1.45 
std995a 7/94   Non-USPS-Agency Collection Accounts Receivable     LowUse   N/A  
  
std995r 7/94   Non-USPS Refund of Overcollections     LowUse   N/A  
  
std000 EST. 12/2006   Data Degaussed Confirmation   800206     
  
Updated : 8/14/2007