{"id":380,"date":"2022-11-14T15:18:21","date_gmt":"2022-11-14T15:18:21","guid":{"rendered":"https:\/\/public.ksc.nasa.gov\/kscsma\/?page_id=380"},"modified":"2022-11-14T15:19:12","modified_gmt":"2022-11-14T15:19:12","slug":"forms","status":"publish","type":"page","link":"https:\/\/public.ksc.nasa.gov\/kscsma\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"\n<div class=\"wp-block-cover alignfull\" style=\"min-height:220px;aspect-ratio:unset;\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-ast-global-color-8-background-color has-background-dim-30 has-background-dim\"><\/span><img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"400\" class=\"wp-block-cover__image-background wp-image-55\" alt=\"KSC Safety &amp; Mission Assurance\" src=\"https:\/\/public.ksc.nasa.gov\/kscsma\/wp-content\/uploads\/sites\/12\/2022\/10\/SMAhero1.jpg\" data-object-fit=\"cover\" \/><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<div class=\"wp-block-uagb-advanced-heading uagb-block-ab0919dc advgb-block-ab0919dc\"><h1 class=\"uagb-heading-text\">NASA Payload Safety Program Forms<\/h1><\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<table class=\"wp-block-advgb-table alignwide advgb-table-frontend\"><tbody><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><strong>Payload Safety Forms<\/strong><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=NF1851&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Certificate of Payload Safety Compliance &#8211; NF 1851<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=NF1852&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Certificate of Payload Safety Compliance for Class D Mission Under $150M Using NPR 7120.5 &#8211; NF 1852<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=NF1825&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">NASA Payload Safety Hazard Report &#8211; NF 1825<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=NF1826&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">NASA Payload Safety Post-Tailoring Request &#8211; NF 1826<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=NF1827&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">NASA Payload Safety Waiver Request &#8211; NF 1827<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/tdglobal.ksc.nasa.gov\/servlet\/sm.web.Fetch\/Safety_Action_Tracking_Log.pdf?rhid=1000&amp;did=933598&amp;type=released\" target=\"_blank\" rel=\"noreferrer noopener\">NASA Payload Safety Action Tracking Log<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/tdglobal.ksc.nasa.gov\/servlet\/sm.web.Fetch\/Safety_Verification_Tracking_Log.pdf?rhid=1000&amp;did=933599&amp;type=released\" target=\"_blank\" rel=\"noreferrer noopener\">NASA Payload Safety Verification Tracking Log<\/a><\/td><\/tr><\/tbody><\/table>\n\n\n\n<p><\/p>\n\n\n\n<table class=\"wp-block-advgb-table alignwide advgb-table-frontend\"><tbody><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\" colspan=\"2\"><strong>Kennedy Space Center Payload Safety Forms<\/strong><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-294&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">KSC Form 16-294<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-294&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Radiation Training and Experience Summary (Ionizing Radiation)<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-295&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">KSC Form 16-295<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-295&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Radiation Use Request\/Authorization (Radioactive Materials)<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-353&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">KSC Form 16-353<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-353&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Modification of Radiation Use Authorization Form<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-450&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">KSC Form 16-450<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-450&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Radiation Training &amp; Experience Summary (Nonionizing Radiation)<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-447&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">KSC Form 16-447<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-447&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Laser Device Use Request\/Authorization<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-451&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">KSC Form 16-451<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=16-451&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Radiofrequency\/Microwave System Use Request\/Authorization<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=28-34&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">KSC Form 28-34<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=28-34&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Radiation Use Request Authorization (Ionizing Machine\/Device)<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=28-45&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">KSC Form 28-45<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=28-45&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Radioactive Material Transfer Receipt<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=28-626&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">KSC Form 28-626<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/nef.nasa.gov\/search?query=28-626&amp;center=7&amp;center=1\" target=\"_blank\" rel=\"noreferrer noopener\">Optical Device Use Request\/Authorization<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\" colspan=\"2\"><strong>Please Note:\u00a0 If you are having problems with the links above, the direct access to the forms website is: <a href=\"http:\/\/nef.nasa.gov\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/nef.nasa.gov<\/a><a href=\"http:\/\/nef.nasa.gov\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/strong><\/td><\/tr><\/tbody><\/table>\n\n\n\n<p><\/p>\n\n\n\n<table class=\"wp-block-advgb-table alignwide advgb-table-frontend\"><tbody><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\" colspan=\"2\"><strong>Air Force AFSPCMAN 91-710 Forms<\/strong><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/tdglobal.ksc.nasa.gov\/servlet\/sm.web.Fetch\/AF_NonCompliance_200711_01_Form.doc?rhid=1000&amp;did=936759&amp;type=released\" target=\"_blank\" rel=\"noreferrer noopener\">Launch Safety Requirements Relief Request<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/tdglobal.ksc.nasa.gov\/servlet\/sm.web.Fetch\/AF_NonCompliance_200711_02_Instructions.pdf?rhid=1000&amp;did=936756&amp;type=released\" target=\"_blank\" rel=\"noreferrer noopener\">Instruction for Completing the Launch Safety Requirements Relief\u00a0 Form<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/tdglobal.ksc.nasa.gov\/servlet\/sm.web.Fetch\/91710_Change_Request.doc?rhid=1000&amp;did=936758&amp;type=released\" target=\"_blank\" rel=\"noreferrer noopener\">91-700<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/tdglobal.ksc.nasa.gov\/servlet\/sm.web.Fetch\/91710_Change_Request.doc?rhid=1000&amp;did=936758&amp;type=released\" target=\"_blank\" rel=\"noreferrer noopener\">AFSPCMAN 91-710 Change Request<\/a><\/td><\/tr><tr><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/tdglobal.ksc.nasa.gov\/servlet\/sm.web.Fetch\/AFSPCMAN_91710_Tailoring_Request.doc?rhid=1000&amp;did=936757&amp;type=released\" target=\"_blank\" rel=\"noreferrer noopener\">91-710<\/a><\/td><td style=\"border-top-color:#000;border-right-color:#000;border-bottom-color:#000;border-left-color:#000\"><a href=\"https:\/\/tdglobal.ksc.nasa.gov\/servlet\/sm.web.Fetch\/AFSPCMAN_91710_Tailoring_Request.doc?rhid=1000&amp;did=936757&amp;type=released\" target=\"_blank\" rel=\"noreferrer noopener\">AFSPCMAN 91-710 Tailoring Request<\/a><\/td><\/tr><\/tbody><\/table>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":42,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","_lmt_disableupdate":"","_lmt_disable":"","advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-380","page","type-page","status-publish","hentry"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","pp_force_visibility":null,"pp_subpost_visibility":null,"pp_inherited_force_visibility":null,"pp_inherited_subpost_visibility":null,"pp_post_mime_type":"","uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"gform-image-choice-sm":false,"gform-image-choice-md":false,"gform-image-choice-lg":false},"uagb_author_info":{"display_name":"Jenifer Kalis","author_link":"https:\/\/public.ksc.nasa.gov\/kscsma\/author\/jkalis\/"},"uagb_comment_info":0,"uagb_excerpt":null,"coauthors":[],"author_meta":{"author_link":"https:\/\/public.ksc.nasa.gov\/kscsma\/author\/jkalis\/","display_name":"Jenifer Kalis"},"relative_dates":{"created":"Posted 4 years ago","modified":"Updated 4 years ago"},"absolute_dates":{"created":"Posted on November 14, 2022","modified":"Updated on November 14, 2022"},"absolute_dates_time":{"created":"Posted on November 14, 2022 3:18 pm","modified":"Updated on November 14, 2022 3:19 pm"},"featured_img_caption":"","featured_img":false,"series_order":"","_links":{"self":[{"href":"https:\/\/public.ksc.nasa.gov\/kscsma\/wp-json\/wp\/v2\/pages\/380","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/public.ksc.nasa.gov\/kscsma\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/public.ksc.nasa.gov\/kscsma\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/public.ksc.nasa.gov\/kscsma\/wp-json\/wp\/v2\/users\/42"}],"replies":[{"embeddable":true,"href":"https:\/\/public.ksc.nasa.gov\/kscsma\/wp-json\/wp\/v2\/comments?post=380"}],"version-history":[{"count":3,"href":"https:\/\/public.ksc.nasa.gov\/kscsma\/wp-json\/wp\/v2\/pages\/380\/revisions"}],"predecessor-version":[{"id":385,"href":"https:\/\/public.ksc.nasa.gov\/kscsma\/wp-json\/wp\/v2\/pages\/380\/revisions\/385"}],"wp:attachment":[{"href":"https:\/\/public.ksc.nasa.gov\/kscsma\/wp-json\/wp\/v2\/media?parent=380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}