
Index \| Site Map \| FAQ \| Facility Info \| Reading Rm \| New \| Help \| Glossary \| Contact Us

Search NRC Forms

You may receive an Adobe warning that your viewer may not display correctly. If you have version 5.0 or greater, this does not apply. Select the "Do not show this message again" box in the Adobe notice.

NRC Forms

These forms are in fillable Portable Document Format (PDF), with the exception of NRC form 664. These forms require Adobe Reader. You can view or print the blank form, or you can complete the form and print it. The Reader can be downloaded for free by following the directions on our Plugins and Viewers page.

On this page:

NRC Forms
IAEA Forms
Standard and Optional Forms

NRC Forms

Go to NRC Form	Go to Info Sheet	Title of Form
3		Notice to Employees
3A		Aviso a los Empleados
4		Cumulative Occupational Dose History
5		Occupational Dose Record for a Monitoring Period
7		Application for NRC Export/Import License, Amendment, or Renewal
64		Travel Voucher
136		Security Termination Statement
176		A. Security Acknowledgment B. Special Nuclear Material Access Authorization Acknowledgment
189		DOE Laboratory Project and Cost Proposal for NRC Work
212		Qualifications Investigation (Technical Positions)
212A		Qualifications Investigations (Secretarial/Clerical)
237		Request for Access Authorization
241		Report of Proposed Activities in Non-Agreement States, Areas of Exclusive Federal Jurisdiction, or Offshore Waters
244		Registration Certificate - Use of Depleted Uranium under General License
277		Request for Visit
313		Application for Materials License
313A(amp)		Authorized Medical Physicist Training and Experience And Preceptor Attestation
313A(anp)		Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation
313A(aud)		Authorized User Training and Experience And Preceptor Attestation
313A(aus)		Authorized User Training and Experience And Preceptor Attestation
313A(aut)		Authorized User Training and Experience And Preceptor Attestation
313A(rso)		Radiation Safety Officer Training and Experience And Preceptor Attestation
314		Certificate of Disposition of Materials
327		Special Nuclear Material (SNM) and Source Material (SM) Physical Inventory Summary Report
335		Bibliographic Data Sheet
354		Data Report on Spouse
361		Reactor Plant Event Notification Worksheet
361A		Fuel Cycle and Materials Event Notification Worksheet
361C		Gaseous Diffusion Plant Event Notification Worksheet
366		Licensee Event Report (LER)
366A		Licensee Event Report (LER) [Continuation]
366B		Licensee Event Report Failure [Continuation]
390A		Release to Publish Unclassified NRC Contractor Speeches, Papers, and Journal Articles
396		Certification of Medical Examination by Facility Licensee (with instructions)
396		Certification of Medical Examination by Facility Licensee (without instructions)
398		Personal Qualification Statement - Licensee
426		Authorization to Publish a Manuscript in the NUREG Series
445		Request for Approval of Official Foreign Travel
450		General Assignment
483		Registration Certificate - in vitro Testing with Byproduct Material Under General License
526		Certification of Small Entity Status for the Purposes of Annual Fees Imposed under 10 CFR Part 171
531		Request for Taxpayer Identification Number
536		Operator Licensing Examination Data
540		Low Level Waste Manifest Shipping Paper
540A		Low Level Waste Manifest Shipping Paper (Continuation)
541		Low Level Waste Manifest Container and Waste Description
541A		Low Level Waste Manifest Container and Waste Description (Continuation)
542		Low Level Waste Manifest Index and Regional Compact Tabulation
542A		Low Level Waste Manifest Index and Regional Compact Tabulation (Continuation)
552A		Status Report Review
554B		Independent Government Cost Estimate (IGCE) for Interagency Agreements
555A		Summary of Negotiations Interagency Agreement
556A		Fiscal Year Advance Procurement Plan Interagency Agreement
558A		Summary of Proposal Evaluation Interagency Agreement
559A		NRC/Interagency Project Closeout
590		Application/Permit for Use of the Two White Flint North (TWFN) Auditorium
629		Authorization for Payment by Credit Card
653		Transfers of Industrial Devices Report
662		Award of Interagency Agreement
664		General Licensee Registration
667		Servicing Agency Project and Cost Proposal for NRC Work
740M		Concise Note
741		Nuclear Material Transaction Report
742		Material Status Report
742C		Physical Inventory Listing
748		National Source Tracking Transaction Report
790		Classification Record

IAEA Forms

Go to IAEA Form	Go to Info Sheet	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

Go to SF Form	Title of Form
SF312	Classified Information Nondisclosure Agreement