NRC Form 782 - Complaint Form

Form Number: NRC Form 782
Form Title: Complaint Form
Current Edition: 02-2021
Authority Directive or Regulation:

29 CFR 1614

Form Status: Approved by OMB: 3150-0053, Expires: 02/29/2024

Instructions for completing this form are provided throughout Pages 1-5 of the form.

Completed NRC Form 782s shall be submitted in the following manner:

E-mail Questions to:
Contact Telephone Number:  (301) 415-7380

Page Last Reviewed/Updated Friday, February 26, 2021