Unmanned aircraft systems
request form

Prior to flying or operating an unmanned aircraft system on or above Arizona State University property, an unmanned aircraft systems request form must be completed.

Whether the request is approved or denied, a member of ASU's Risk and Emergency Management will be in touch.

For more information and valuable resources please visit

Unmanned Aircraft Systems.

Scope of Request

Are you an ASU student, faculty, or staff?

Yes

Requestor Information

Applicant Name

Department

You can search for your department in the dropdown menu.

IF YOU DO NOT SEE YOUR DEPARTMENT IN THE DROPDOWN, TYPE IN YOUR DEPARTMENT'S FULL OFFICIAL NAME AND PRESS "ENTER"

Position or title

Applicant Email

Phone Number

Phone

Purpose/Activity

Flight Information

Start Date

mm/dd/yyyy

Start time

End Date

mm/dd/yyyy

End Time

Location (s) of activity

Flight Path

Provide a brief description of the flight path here. A diagram of the flight path will be required under the supporting documents section.

Will you be operating a UAS on or above university property?

Yes

Does the flight path go over any Non-ASU property?

Yes

Does the flight path take place at or go over any Sun Devil Athletic Facilities?

Yes

Emergency Contact Info

Emergency Contact Name

Emergency Contact Address

Emergency Contact Phone Number

Phone

Emergency Contact Relationship

Drone Information

DRONE #1 INFORMATION

Drone (1) FAA certificate number

Drone (1) Serial Number

D1 Manufacturer and Model

Drone (1) List of equipment

Drone (1) Weight and payload

Is Drone (1) owned by ASU?

Drone (1) Owner contact info

Will there be a second drone?

Yes

Pilot Information

PILOT #1 INFORMATION

Pilot (1) Name

Pilot (1) License and rating

Pilot (1) Describe UAV training

Is the Pilot (1) an ASU employee?

Yes

Has ASU completed an agreement with Pilot (1) for these services?

Yes

Will there be more than one pilot?

Yes

FAA Compliance

I warrant that the above use of UAV's complies with all FAA regulations.

Including without limitation to the regulations noted below

I warrant that the above use of UAV's complies with all FAA regulations.

All Pilots are authorized to operate the UAV's under:

Section 333 exemption

Section 336 exemption

Part 107 exemption

Other

Will any of the pilots receive compensation either directly or incidentally as a result of that person't operation of the UAVs?

Yes

Has a Certificate of Authorization been obtained for the specific UAV activity?

Yes

Is the flight path described in Class G Airspace?

Yes

Is the flight path within five miles of an airport?

Yes

Will the UAVs be continuously operated by the pilots and be within the sight of the pilots at all times?

Yes

Will the UAV operate in any of the following conditions:

Please select all that apply

Filming

When filming with a UAS on or of university property, please visit ASU's Enterprise Brand and Marketing Guide for proper photography and videography guidelines.

Will the UAVs have a camera attached to it during any use?

Yes

Risk Management Documentation

Supporting Documents

Upload all required documentation here.

Pilot certificate - Both the front and back of your UAS pilot license
Flight Path diagram
All applicable property permission letters
Certificate of Insurance (Non-ASU Affiliates Only)
Release, Indemnity and Assumption of Risk Agreement (Non-ASU Affiliates Only)

Release, Indemnity and Assumption of Risk Agreement

Drop your files here

Acknowledgement and Agreement

I acknowledge I have read the ASU unmanned aircraft systems policy.

Any violations of FAA or university policies will be dealt with in accordance with applicable university policies and procedures.

Legal prohibitions regarding physical presence on campus or trespassing and other legal action may also be pursued against third parties that operate UAS in violation of this policy.

Fines of damages incurred by individuals or units that do not comply with this policy will not be paid by ASU and will be the responsibility of those persons involved.

Unmanned Aircraft Systems

I acknowledge I have read the ASU unmanned aircraft systems policy.

I understand and affirm that all the facts outlined in this form are true and complete.

I understand that if my request is accepted, any false statements, omissions, or other misrepresentations made by me on this request form may result in my immediate dismissal.