Form RD 3560-12 at a glance
What it is: Form RD 3560-12, FORM APPROVED OMB No. 0575-0189, is the Request for Authorization to Withdraw Reserve Funds.
Who signs: Sign on the Signed line.
What to bring and attach to Form RD 3560-12
For properties with 24 units or less, attach invoices or scope of work and cost estimates for items in excess of $10,000 (checked November 8, 2026).
For properties with 25 units or more, attach invoices or scope of work and cost estimates for items in excess of $25,000 (checked November 8, 2026).
A filled-in Form RD 3560-12 example: a borrower asks to withdraw reserve funds for a roof
How to fill out Form RD 3560-12, box by box
Borrower, project and amount requested
In Part I, enter the Borrower Name and the Project Name.
Enter the Borrower ID and the Project Number.
Enter the Amount Requested and the Date Requested.
Enter the Current Reserve Balance and the date it is as of.
Budget, purpose and rental units
Mark YES or NO to: Was this item identified in the current approved fiscal year budget?
Write the Purpose and Description.
Enter the Number of Rental Units at Property.
Mark Capital Replacement/Improvement or Operating & Maintenance Expense.
Approved capital needs assessment and identity of interest
Mark YES or NO to: Is this request part of an approved capital needs assessment?
Mark YES or NO to: Will a company with an identity of interest perform any of the work?
If Yes, please identify the company.
Withdrawal slip
Mark CHECK or WITHDRAWAL SLIP on the line IS ENCLOSED WITH THIS REQUEST, or on the line WILL BE SENT UPON COMPLETION.
Signed: Name and Title
Signed: sign here and enter your Name and Title.
Part II: Amount Approved, Disapproved and Approval Official
In Part II, the Amount Approved or Disapproved is marked; for a denial, see the attachment for appeal rights and reasons for denial.
Inspection required: Advise Rural Development when work is complete.
Part II has the Approval Official, the Name and Title, and the date.
Sources
[1] Form RD 3560-12 (01-25), Request for Authorization to Withdraw Reserve Funds, USDA Rural Development (the Official source link on this page).