NRC Forms
Form | Title of Form |
Notice to Employees | |
Aviso a los Empleados | |
Cumulative Occupational Dose History | |
Occupational Dose Record for a Monitoring Period | |
Application for NRC Export/Import License, Amendment, or Renewal | |
Travel Voucher | |
Security Termination Statement | |
A. Security Acknowledgment B. Special Nuclear Material Access Authorization Acknowledgment | |
DOE Laboratory Project and Cost Proposal for NRC Work | |
Qualifications Investigation (Technical Positions) | |
Qualifications Investigations (Secretarial/Clerical) | |
Request for Access Authorization | |
Report of Proposed Activities in Non-Agreement States, Areas of Exclusive Federal Jurisdiction, or Offshore Waters | |
Registration Certificate – Use of Depleted Uranium under General License | |
Request for Visit | |
Application for Materials License | |
Authorized Medical Physicist Training and Experience And Preceptor Attestation | |
Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation | |
Authorized User Training and Experience And Preceptor Attestation | |
Authorized User Training and Experience And Preceptor Attestation | |
Authorized User Training and Experience And Preceptor Attestation | |
Radiation Safety Officer Training and Experience And Preceptor Attestation | |
Certificate of Disposition of Materials | |
Special Nuclear Material (SNM) and Source Material (SM) Physical Inventory Summary Report | |
Bibliographic Data Sheet | |
Data Report on Spouse | |
Reactor Plant Event Notification Worksheet | |
Fuel Cycle and Materials Event Notification Worksheet | |
Gaseous Diffusion Plant Event Notification Worksheet | |
Licensee Event Report (LER) | |
Licensee Event Report (LER) [Continuation] | |
Licensee Event Report Failure [Continuation] | |
Release to Publish Unclassified NRC Contractor Speeches, Papers, and Journal Articles | |
Certification of Medical Examination by Facility Licensee (with instructions) | |
Certification of Medical Examination by Facility Licensee (without instructions) | |
Personal Qualification Statement – Licensee | |
Authorization to Publish a Manuscript in the NUREG Series | |
Request for Approval of Official Foreign Travel | |
General Assignment | |
Registration Certificate – in vitro Testing with Byproduct Material Under General License | |
Certification of Small Entity Status for the Purposes of Annual Fees Imposed under 10 CFR Part 171 | |
Request for Taxpayer Identification Number | |
Operator Licensing Examination Data | |
Low Level Waste Manifest Shipping Paper | |
Low Level Waste Manifest Shipping Paper (Continuation) | |
Low Level Waste Manifest Container and Waste Description | |
Low Level Waste Manifest Container and Waste Description (Continuation) | |
Low Level Waste Manifest Index and Regional Compact Tabulation | |
Low Level Waste Manifest Index and Regional Compact Tabulation (Continuation) | |
Status Report Review | |
Independent Government Cost Estimate (IGCE) for Interagency Agreements | |
Summary of Negotiations Interagency Agreement | |
Fiscal Year Advance Procurement Plan Interagency Agreement | |
Summary of Proposal Evaluation Interagency Agreement | |
NRC/Interagency Project Closeout | |
Application/Permit for Use of the Two White Flint North (TWFN) Auditorium | |
Authorization for Payment by Credit Card | |
Transfers of Industrial Devices Report | |
Award of Interagency Agreement | |
General Licensee Registration | |
Servicing Agency Project and Cost Proposal for NRC Work | |
Concise Note | |
Nuclear Material Transaction Report | |
Material Status Report | |
Physical Inventory Listing | |
National Source Tracking Transaction Report | |
Classification Record |
IAEA Forms
Form | Title of Form |
IAEA – N71 | IAEA Design Information Questionnaire All Facilities |
IAEA – N72 | IAEA Design Information Questionnaire Research and Power Reactors |
IAEA – N73 | IAEA Design Information Questionnaire Conversion and/or Fuel Fabrication Plants |
IAEA – N74 | IAEA Design Information Questionnaire Reprocessing Plants |
IAEA – N75 | IAEA Design Information Questionnaire Isotopic Enrichment Plants |
IAEA – N91 | IAEA Design Information Questionnaire Information in Respect of Nuclear Material Outside Facilities |
IAEA – N92 | IAEA Design Information Questionnaire Research and Development Facilities (Locations of Nuclear Material in Amounts Greater Than One Effective Kilogram) |
IAEA – N93 | IAEA Design Information Questionnaire Critical (Sub-Critical) Facilities |
IAEA – N94 | IAEA Design Information Questionnaire Separate Storage Installations |
Standard and Optional Forms
Form | Title of Form |
SF312 | Classified Information Nondisclosure Agreement |