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NRC Form 441A – Appendage to the U.S. Nuclear Regulatory Commission Security Agreement

Form Number: NRC Form 441A PDF Icon
Form Title: Appendage to the U.S. Nuclear Regulatory Commission Security Agreement
Current Edition: 11-2015
Authority Directive or Regulation: N/A
Form Status: N/A
Special Instructions:

Completed NRC Form 441, U.S. Nuclear Regulatory Commission Security Agreement shall be submitted in the following manner:

  • By mail addressed to:

    U.S. Nuclear Regulatory Commission
    ATTN: Industrial Security Program
    Mail Stop T3B06
    11545 Rockville Pike
    Rockville, MD  20852 

  • By hand delivery to:

    U.S. Nuclear Regulatory Commission
    Facilities Security Branch
    Mail Stop T3B06
    11545 Rockville Pike
    Rockville, MD 20852

Please note that this document must be an original hand signed document, therefore submission by e-mail is not authorized.

E-mail Questions to:  IndustrialSecurity@nrc.gov

Page Last Reviewed/Updated Tuesday, September 06, 2016