NRC Form 782 - Complaint Form

Form Number: NRC Form 782
Form Title: Complaint Form
Current Edition: 12-2017
Authority Directive or Regulation:

29 CFR 1614

Form Status: Approved by OMB: 3150-0053, Expires: 12/31/2020

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 Tuesday, December 19, 2017