Flight Registration Form – Environmental Health and Radiation Safety forms

Contact Information

Name of UAS Operator(Required)

First Last

Phone(Required)

Email(Required)

Temple UAS Registration Number(Required)

UAS (drones) must be previously registered with Temple University. Use the UAS Registration Form to register your UAS. If you've previously registered your UAS and do not know your Temple UAS Registration Number, contact drones@temple.edu.

FAA Pilot's License Number (if applicable)

Affiliation with Temple University(Required)

If you are a student, please list the name of the course you are operating the UAS for.(Required)

Supervisor Name (If Operator is a student)(Required)

Temple University Contact Name (If Operator is a vendor)(Required)

Temple University Contact Name (If Operator is Other)(Required)

Flight Information

Purpose of Flight(Required)

Commercial

Educational

Recreational

Other

If you are a student flying for recreation, you must fly under the supervision of an instructor or other Temple University employee.

A copy of the operator's UAS liability insurance must be provided. Please attach it here. For questions related to insurance, please contact the Office of Risk Management at (215) 204-1674.(Required)

Max. file size: 15 MB.

Any liabilities, expenses, damages, claims, suits, judgments, debts, accounts, causes of action, or demands arising out of recreational use of a UAV are solely the responsibility of the operator. The operator agrees to indemnify, defend, and hold Temple University harmless from any and all liabilities, expenses, damages, claims, suits, judgments, debts, accounts, causes of action, or demands arising out of or related to the recreational flight.

The operator of the recreational flight must obtain UAS (or drone) liability insurance in the amount of $1,000,000 per occurrence and $1,000,000 in the aggregate and must also name ‘Temple University – Of the Commonwealth System of Higher Education’ as an additional insured on a primary and non-contributory basis and shall waive subrogation.

The University does not specifically recommend any insurance carrier, as the operator has the responsibility to vet any carrier and ensure they will afford the appropriate coverage for the flight. Such evidence must be included as part of the registration process.

Proposed Date of Flight(Required)

Proposed Time of Flight(Required)

If being flown before sunrise/after sunset/in the dark, what steps are being taken to ensure the safe UAS operation in limited-visbility conditions?

Estimated Duration of Flight (in minutes)(Required)

Proposed Location of Flight (e.g. campus, building, intersection)(Required)

Estimated Altitude of Flight (in feet)(Required)

Check here if this will be a recurring event

Yes, this will be a recurring event.

Have you taken the required Unmanned Aircraft Systems training?(Required)

Yes

The Unmanned Aircraft Systems training can be found here: https://www.temple.edu/ehrs/onlinetraining

For questions, e-mail drones@temple.edu