Unmanned Aerial Vehicle (UAV) Registration Form

Unmanned Aerial Vehicle (UAV) Registration Form

Agency Information

Agency Name*

Agency Address*

Point-of-Contact for Your Agency

Below are a few questions regarding the Point-of-contact in reference to the UAV resource(s). Later in the form there is a section specific for UAV Operators information.

Point-of-Contact (POC) Name First and Last*

POC Title

POC Email Address*

POC Telephone Number*

Phone

Certificate of Authorization*

Please answer "Yes" if your agency has a FAA COA issued Please answer "No" if your agency does not have a COA from the FAA.

Select

How many UAVs are you registering?*

Select

Unmanned Aerial Vehicle (UAV) Information

UAV use and capabilities description examples: Structure Fire: Deployment to assess buildings for structural integrity and fire involvement. Hazardous Materials Incident: Identify contaminated areas, amount of product and chemicals spilled. Natural Disaster: Damage assessment and situational awareness. Search and Rescue: Deployment to locate lost or injured persons and assess safest most effective means of access.

Agency description of UAV uses and capabilities:

This section is designated to describe how your agency utilizes UAV resources.

UAV Identification Information

UAV 1: FAA Registration Number*

UAV 1: Aircraft Manufacturer

UAV 1: Aircraft Model

UAV 1: Aircraft Serial Number*

UAV 1: Year Manufactured

UAV 1: Color

UAV 1: Wingspan

UAV 1: General Description

This section is designated for physical description of the aircraft, its uses, and capabilities that are unique to this resource.

UAV 2: FAA Registration Number*

UAV 2: Aircraft Manufacturer

UAV 2: Aircraft Model

UAV 2: Aircraft Serial Number*

UAV 2: Year Manufactured

UAV 2: Color

UAV 2: Wingspan

UAV 2: Description

This section is designated for physical description of the aircraft, its uses, and capabilities that are unique to this resource.

UAV 3: FAA Registration Number*

UAV 3: Aircraft Manufacturer

UAV 3: Aircraft Model

UAV 3: Aircraft Serial Number*

UAV 3: Year Manufactured

UAV 3: Color

UAV 3: Wingspan

UAV 3: General Description

This section is designated for physical description of the aircraft, its uses, and capabilities that are unique to this resource.

UAV 4: FAA Reg #*

UAV 4: Aircraft Manufacturer

UAV 4: Aircraft Model

UAV 4: Aircraft Serial Number

UAV 4: Year Manufactured

UAV 4:Color

UAV 4: Wingspan

UAV 4: Description

This section is designated for physical description of the aircraft, its uses, and capabilities that are unique to this resource.

UAV 5: FAA Registration Number*

UAV 5: Aircraft Manufacturer

UAV 5: Aircraft Model

UAV 5: Aircraft Serial Number

UAV 5: Year Manufactured

UAV 5: Color

UAV 5: Wingspan

UAV 5: General Description

This section is designated for physical description of the aircraft, its uses, and capabilities that are unique to this resource.

Additional UAV Identification Information

If your agency has more than 10 UAVs please reach out to the portal administrator for further instructions.

How many UAVs total are you registering today?*

Please answer this question again if you have more than 5 UAVs you are registering. If you are not registering more than 5 UAVs please check your answer in the corresponding question above.

Select

UAV 6: FAA Registration Number*

UAV 6: Aircraft Manufacturer

UAV 6: Aircraft Model

UAV 6: Aircraft Serial Number*

UAV 6: Year Manufactured

UAV 6: Color

UAV 6: Wingspan

UAV 6: General Description

This section is designated for physical description of the aircraft, its uses, and capabilities that are unique to this resource.

UAV 7: FAA Registration Number*

UAV 7: Aircraft Manufacturer

UAV 7: Aircraft Model

UAV 7: Aircraft Serial Number*

UAV 7: Year Manufactured

UAV 7: Color

UAV 7: Wingspan

UAV 7: General Description

This section is designated for physical description of the aircraft, its uses, and capabilities that are unique to this resource.

UAV 8: FAA Registration Number*

UAV 8: Aircraft Manufacturer

UAV 8: Aircraft Model

UAV 8: Aircraft Serial Number*

UAV 8: Year Manufactured

UAV 8: Color

UAV 8: Wingspan

UAV 8: General Description

This section is designated for physical description of the aircraft, its uses, and capabilities that are unique to this resource.

UAV 9: FAA Registration Number*

UAV 9: Aircraft Manufacturer

UAV 9: Aircraft Model

UAV 9: Aircraft Serial Number*

UAV 9: Year Manufactured

UAV 9: Color

UAV 9: Wingspan

UAV 9: General Description

This section is designated for physical description of the aircraft, its uses, and capabilities that are unique to this resource.

UAV 10: FAA Registration Number

UAV 10: Aircraft Manufacturer

UAV 10: Aircraft Model

UAV 10: Aircraft Serial Number*

UAV 10: Year Manufactured

UAV 10: Color

UAV 10: Wingspan

UAV 10: General Description

This section is designated for physical description of the aircraft, its uses, and capabilities that are unique to this resource.

Photo of Aircraft(s) Required*

This form will only accept one upload. Please, if you have more than one UAV that you are registering, add all photos to one file and upload. Please ensure that each image is labeled with identifying information pertaining to the aircraft it represents.

Drag and drop files here or

UAV Operator information for your Agency

Each Operator should be identified. Please do not combine Operator information. If your agency has more than 10 operators, please reach out to the portal administrator for further instructions.

How many can operate the UAVs at your agency*

Select

Operator 1: Name First and Last*

Operator 1: Title

Operator 1: Email Address*

Operator 1: Telephone number*

Phone

Operator 1: Street Address

Operator 2: Name First and Last*

Operator 2: Title

Operator 2: Email Address*

Operator 2: Telephone number*

Phone

Operator 2: Street Address

Operator 3: Name First and Last*

Operator 3: Title

Operator 3:Email Address*

Operator 3: Telephone Number*

Phone

Operator 3: Street Address

Operator 4: First and Last*

Operator 4: Title

Operator 4: Email Address*

Operator 4: Telephone number*

Phone

Operator 4: Street Address

Operator 5: Name First and Last*

Operator 5: Title

Operator 5: Telephone Number*

Phone

Operator 5: Email Address*

Operator 5: Street Address

Operator 6: Name First and Last*

Operator 6:Title

Operator 6: Email Address*

Operator 6: Telephone Number*

Phone

Operator 6: Street Address

Operator 7: Name First and Last*

Operator 7: Title

Operator 7: Email Address*

Operator 7: Telephone Number*

Phone

Operator 7: Street Address

Operator 8: Name First and Last*

Operator 8: Title

Operator 8: Email Address*

Operator 8: Telephone Number*

Phone

Operator 8: Street Address

Operator 9: Name First and Last*

Operator 9: Title

Operator 9: Email Address*

Operator 9: Telephone Number*

Operator 9: Street Address

Operator 10: Name First and Last*

Operator 10: Title

Operator 10: Email Address*

Operator 10: Telephone Number*

Phone

Operator 10: Street Address

Today's Date*

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