Form 14003 Researcher Application

OMB Control No. 3095-0016
Expiration date: 05-31-202X

RESEARCHER APPLICATION

Type of Application

New

Renewal

See the back of this form for the Privacy Act Notice that applies to the information you provide below.
Applicant’s name (First, Middle Initial, Last) Please indicate

Mr.

Mrs.

Miss

Ms.

Permanent address (Street, City, State, Zip Code, Country)

Home telephone number

Local address (Street, City, State, Zip Code)

Mobile number

Email address
Optional – this information is not required for obtaining an identification card – it would aid our staff in assisting your research:
Check all that apply:
Genealogist
Other (specify)
Check all that apply:
Family History
Course paper

Scholar/Academic

Senior Thesis
Book

Journalist/Media

Master Thesis
PhD dissertation

Student

Article
Other (specify)

Government

Film/TV

Lawyer

Legal

Description of proposed research (identify topic specifically, e.g., date span, research area, full name of biographical subject, etc.):
Tentative title:
Name of instructor:
Name and address of employer or institution:

URL of Research Project:
Occupation:

I will comply with all regulations regarding the public use of records at the National Archives and Records
Administration (36 CFR Part 1254), as summarized on the back of this form.
Applicant’s signature
Date

FOR NARA USE ONLY
Identification (example: driver’s license, student ID, passport, company ID, etc.)
Comments

Signature and title of approving official

NATIONAL ARCHIVES AND RECORDS ADMINISTRATION

Date

Card No.
.

NA Form 14003 FRONT (03-24)

RESEARCH ROOM RULES
(for complete Research Room rules, see 36 CFR Part 1254)
What Not to Bring: Researchers may not bring into most research rooms: overcoats, raincoats, hats, or similar apparel; brief cases,
suitcases, daypacks, purses, or similar containers for personal property; notebooks, notepapers, note cards, folders and other containers
for papers not essential to the researcher’s work requirements. These personal items should be stored in lockers or other storage facilities
conveniently located outside research rooms and must be removed each night.
What to Bring: Personal computers, tape recorders, hand-held cameras, other audio-visual equipment, and smart phones may be brought
into the research room only after inspection and only if their use will not disturb other researchers. Scanners must meet NARA
requirements and can only be used where permitted and in designated areas. Drum and automatic feeder scanners are prohibited. Handheld wallets and coin purses for carrying currency, coins, credit cards, keys, drivers’ licenses and other identification cards may be
brought into the research rooms. Notes, references, lists of records to be consulted, and other materials may be admitted if they are
essential to the researcher’s work. All equipment, personal possessions, and documentary materials are subject to inspection when the
researcher enters or leaves the research room. More information is available at http://www.archives.gov/research/start/whatsallowed.html
Researchers must exercise all possible care to prevent damage to the records. Records must not be leaned on, written on, folded anew,
traced, or handled in any way likely to cause damage. Only one box or one folder of loose paper may be opened at any time. Eating,
smoking, drinking, loud talking or other activities likely to disturb other researchers are prohibited in research rooms.
Failure to abide by these rules may result in the revocation of the researcher identification card.
HOW YOUR INFORMATION IS USED
In compliance with the Privacy Act of 1974, the following information is provided:
Solicitation of the information is authorized by 44 U.S.C. 2104. Disclosure of the information is voluntary; however, the effect of not
providing the information is that a researcher identification card will not be issued to the individual. A researcher identification card is
required for research (other than microfilm records).
The information provided will be used to identify and record individuals who use records in the National Archives, field records services
facilities, and Presidential libraries, to determine records that the individual should use, to enable later contact with the individual if
additional information is found or if problems with the records are discovered, and to mail notices of events and programs of interest to
users of the records and invitations to participate in customer satisfaction surveys.
The information may be transferred to appropriate Federal, State, local, or foreign agencies when relevant to civil, criminal, or regulatory
investigations or prosecutions; the information may be disclosed by NARA to an expert, consultant, or a contractor of NARA to the
extent necessary for them to assist NARA in the performance of its duties; the information may be disclosed to the U.S. Department of
Justice or to a court or adjudicative body in cases involving the mutilation or unlawful removal of the records.
PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT
The information requested on this form is being collected and used by NARA in order to screen individuals, to identify which types of
records they should use, and to allow further contact. You are not required to provide the information requested on a form that is subject
to the Paperwork Reduction Act unless the form displays a valid OMB control number. Public burden reporting for this collection of
information is estimated to be 5 minutes per response. Send comments regarding the burden estimate or any other aspect of the collection
of information, including suggestions for reducing this burden, to National Archives and Records Administration (MP), 8601 Adelphi
Road, College Park, MD 20740-6001. DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.

NATIONAL ARCHIVES AND RECORDS ADMINISTRATION

NA Form 14003 BACK (03-24)