Follow this link to skip to the main content

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

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