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 [1]
Sample 742s and 742Cs
742
Example 1 [2]
Example 1A [3]
Example 2 [4]
Example 3 [5]
Example 3A [6]
Example 4 [7]
DOE/NRC Form 742 [8]
742C
Example 1 [9]
Example 2 [10]
Example 3A [11]
Example 4 [12]
DOE/NRC Form 742C [13]
Sample 741s
Example 1-A [14]
Example 1-B [15]
Example 1-C [16]
Example 1-D [17]
Example 2-M [18]
Example 2-M-A [19]
Example 3-A [20]
Example 3-B [21]
Example 4-A [22]
Example 4-B [23]
Example 5-A [24]
DOE/NRC 741 [25]
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
