You must have JavaScript enabled to use this form. You must read the University of Arizona Drone Procedure prior to completing this form. By submitting a Drone Approval Request you agree to all of the terms and conditions as defined by Risk Management Services. Requester Information UArizona Department Name (if applicable) Requester Type Requester Type - Select -Individual(s)CorporationPartnershipStudent OrganizationOther… Specify other… Primary Contact First Name Last Name Phone Number Email Address Activity Information Start of Operation Start of Operation: Date Start of Operation: Time End of Operation End of Operation: Date End of Operation: Time Operator Use Operator Use - Select -CommercialEducationalResearchOther… Please specify… Purpose of Activity Purpose of Activity - Select -Aerial PhotographyLaw EnforcementTelevision/MovieConstructionAgricultureSurveillanceBuilding InspectionTrainingR & DMilitaryOther… Please specify… Description of Activity Location(s) of Operation Flight Path Is there a formal operational safety program or procedure in place? Yes No Describe formal operational safety program or procedure. Drone Information List all drones associated with this request, one per row, up to 3 drones. Click the plus sign "+" to add another row. Drone Details Drone Details FAA Certificate Number Serial Number Brand and Model Associated Equipment Airframe Value Pilot Information List all pilots associated with this request, one per row, up to 3 pilots. Click the plus sign "+" to add another row. Pilot Details Pilot Details Name FAA License and Rating Describe UAV Training UArizona Employee Yes No Certificate of Insurance Please attach a copy of the certificate of insurance.One file only.10 MB limit.Allowed types: jpg jpeg png pdf doc docx. Upload Additional Documents Include any other relevant documents for this request.Maximum 5 files.10 MB limit.Allowed types: jpg jpeg png pdf doc docx. Upload Submit Leave this field blank
