Drone Flight Request Form

Please Read This First.

If you are requesting a drone flight on campus, please submit this form at least two business days before you wish to fly. Your flight is not approved until you receive notice from the Office of Compliance and Policy.

Unmanned Aircraft Systems (Drone) Policy

Before proceeding with this form, please read and acknowledge our Unmanned Aircraft Systems (Drone) Policy.

Click here to read Mines Unmanned Aircraft Systems (Drone) Policy.

Requester's Information

Requester's Name(Required)

First Last

Which of the following best describes your status at Mines?(Required)

Phone Number(Required)

Requester's Email(Required)

Name of Company or Organization - For Non-Mines Entities

Please provide the name of your company or organization. If you are an individual, please respond with "not applicable".

Address

Required For Non-Mines Entities Only

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Department or Unit

What department or unit is this flight associated with?

Aircraft, Pilot and Insurance Information

Please use the following fields to provide us with the information needed to process your UAS flight request.

FAA Wing/Tail Registration Number for UAS you will be flying.(Required)

Identify the Pilot in Command(Required)

Please list the pilot's first and last name

Pilot's License(Required)

Please upload a copy of the pilot's license: (Please use a PDF file format)

Drop files here or

Max. file size: 250 MB.

Which of the following does your drone flight fall under?

If the correct option is not listed below, please provide it to us in the "other" answer below.

FAA - Section 333

FAA - Part 107

Other

Certificate of Insurance(Required)

Please upload a copy of your insurance: (Please use a PDF file format). The Certificate of Insurance must name the Board of Trustees of the Colorado School of Mines, for and on behalf of the Colorado School of Mines as an additional insured and must include a waiver of subrogation.

Drop files here or

Max. file size: 250 MB.

Flight Plan Information

Mark all uses that apply to this flight:(Required)

Construction/Contractor

Research

Teaching

Other

If you chose "other" from above, please specify:

What is the purpose of your flight?(Required)

Date(s) and Time(s) of the Flight(s). (Please include the beginning and ending time for your flight. Please note if it is in the morning (a.m.) or in the afternoon/evening (p.m.))(Required)

Note: Generally a request to fly must be submitted for each flight. In some circumstances an overall approval may be given covering a period of time. However, the requester will still need to submit a request to fly and receive approval for each individual date and flight.

Does the proposed Flight include sustained flight over people? If yes, please provide documentation of 14 CFR Part 107.39 Operations Over Human Beings

Does the proposed Flight take place at night? If yes, please provide details regarding the safety measures, lighting requirements, and any additional precautions you plan to take to ensure the flight is conducted safely during nighttime.

Flight Path (Where you want to fly.)(Required)

Tell us about your requested flight path below.
(Please include the general area(s) where you want to fly. Also, include the direction(s) of flight, the perimeters or boundaries of the area(s), obstacles in the area and how you plan to avoid these.)

Please provide the location(s) where your flight will take off and land. These should be on Mines owned property.(Required)

Please state your safety plan below:(Required)

Camera or recording devices on board?(Required)

Yes

If you chose "Yes" above, please specify use of camera, data collection and the protection plan for data collected:

Will this flight take place inside a building?(Required)

Yes

Will this flight take place outside?(Required)

Yes

Additional information you would like to provide?

Important Information for All Requesting Parties

After submission a representative from the Office of Compliance & Policy will follow up with you regarding any outstanding information or documents that may be required.

By submitting this form, you are NOT automatically approved for your drone flight. Please wait until you have received an approval from the Office of Compliance & Policy before proceeding with your flight.