Permit Request • CampusOptics

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Name* Required

Additional Location Details

Sponsoring Department/Contractor

Department:* Required

Department Sponsor/Project Manager:* Required

Phone:* Required

Justification:* Required

UAS Operation

UAS Operator Name:* Required

Phone:* Required

In addition to the pilot, will others be assisting with the operation?* Required

Dates, times and number of UAS will be in use (note: between 30 minutes after dawn until 30 minutes prior to dusk):* Required

Flight Plan/Area of Flight:* Required

Does the flight area include populated areas, parking lots, or streets?:* Required

Takeoff/Landing Location:* Required

Maximum height the UAS will be flown:* Required

Explanation of how sight of the UAS will be maintained:* Required

Explanation of what occurs if there is a malfunction or radio contact with the UAS is lost:* Required

Documentation Checklist

A request to operate a UAS at a UT Tyler event will include, at a minimum, the following:* Required

UAS Remote Pilot Airman Certificate w/ Small UAS Rating (attached)
Certificate of Insurance (attached)
Drone registration documentation and proof of FAA registration number displayed on exterior of UAS (attached)
Flight plan

By entering your name below, I agree with the UT Tyler UAS stipulations and will always follow them.

Applicant:* Required

Today's Date:* Required

The section below is to be filled out by EH&S, Campus Police, and Risk Management. Please skip to the bottom of form to attach documentation and submit button.

Campus Police

Approval:

Comments:

Name:

Date:

Title:

Environmental Health and Safety

Approval:

Comments:

Name:

Title:

Date:

Risk Management

Approval

Comments:

Name:

Title:

Date:

UT Tyler EH&S and/or Police Department may: • Inspect and verify that the UAS and operator listed on the request are the ones being used on the day of the flight. • Order the operator to land the UAS if the officer feels that the conditions or operator poses a risk to the campus community. The UT Tyler EH&S and/or Chief of Police will notify the requester of the denial if any of the above requirements cannot be met or maintained prior to or during the operation of the UAS. If the request is approved, the EH&S and/or Chief of Police will inform the requestor of any additional restrictions that the University or Police Department deem necessary for safe operation on University owned/controlled property

-Please attach any required documentation or photos below-

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files