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AVIATION SAFETY REPORTING SYSTEM

Reporting Forms are available in the Adobe Acrobat Reader (PDF) format.
If you don't have Adobe Acrobat Reader, you may click on the image or the link to take you to adobe.com.

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ASRS Reporting Forms
  Forms    
         
  Download the forms:      
 
General
Pilots, Dispatchers, & Airport Personnel
ATC
Air Traffic Controllers
Maintenance
Mechanics
Cabin Crew
Cabin Crew

 
About the forms:

The NASA/ASRS Reporting Forms (General, ATC Controller, Maintenance, and Cabin Crew) are normally printed by NASA on double-sided, legal-size (8 1/2 x 14) paper, but many users cannot easily print two-sided, legal-size pages. NASA/ASRS electronic forms are provided here as Adobe Acrobat single-sided, letter-size (8 1/2 x 11) forms, thus you will have to print two pages for the form. An extra page has been added to permit additional narrative, if desired.

Click on the link for the appropriate form your browser should start the free Adobe Acrobat Reader. (If not, download the form and start Acrobat Reader manually.) You have two choices for submitting an incident report.

  1. Fill out the form on your computer, print the completed form, attach all pages together, enclose in an envelope, seal, affix sufficient postage, and mail to ASRS at the address below, or

  2. Print the uncompleted form, fill it out by hand, attach all pages together, enclose in an envelope, seal, affix sufficient postage, and mail to ASRS.

Electronic report submission is not yet available.

Mail your completed form to:

NASA AVIATION SAFETY REPORTING SYSTEM
POST OFFICE BOX 189
MOFFETT FIELD, CALIFORNIA 94035-0189
 

   

Please do not e-mail or fax an incident report
or any incident information to ASRS!

Electronic mail communication is not secure, thus ASRS cannot accept incident reports by e-mail. To report an incident or situation to ASRS, download the appropriate Reporting Form from this page, print, fill out and mail the completed form.

ASRS is working on developing secure electronic submission of aviation safety incident reports in future.