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Sample Forms

U.S. Department of Energy / U.S. Nuclear Regulatory Commission
Nuclear Materials Management & Safeguards System    

Sample Forms

The below completed example forms contain “dummy” data for information purposes. For current up to date blank forms please go to the DOE/NRC forms link located on the NMMSS information page.

Sample 740s

    DOE/NRC Form 740M

Sample 742s and 742Cs

        Example 1
        Example 1A
        Example 2
        Example 3
        Example 3A
        Example 4
        DOE/NRC Form 742
        Example 1
        Example 2
        Example 3A
        Example 4
        DOE/NRC Form 742C

Sample 741s

    Example 1-A
    Example 1-B
    Example 1-C
    Example 1-D
    Example 2-M
    Example 2-M-A
    Example 3-A
    Example 3-B
    Example 4-A
    Example 4-B
    Example 5-A
    DOE/NRC 741



NMMSS is sponsored by the National Nuclear Security Administration's (NNSA) Office of Materials Integration within the U.S. Department of Energy and the U.S. Nuclear Regulatory Commission