Eclipse Forms

------ COMMAND FORMS ------
---[0100] Reassignment - This form permits the transfer of the denoted employee of the NanoTrasen Civilian Branch from the current assignment to the desired assignment. This action may be undertaken on the basis of a personal request from the employee; or under orders from a Command Staff member.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0100
Reassignment[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the transfer of the denoted employee of the NanoTrasen Civilian Branch from the current assignment to the desired assignment. This action may be undertaken on the basis of a personal request from the employee; or under orders from a Command Staff member.

Employee: [field]
Current Assignment: [field]
Desired Assignment: [field]
Reason:[list][field][/list]Losing Head of Staff's Signature: [field]
Gaining Head of Staff's Signature: [field]
Head of Personnel/Captain Stamp[/small]

---[0101] Additional Access - This form permits the granting of additional facility access to the denoted employee of the NanoTrasen Civilian Branch. This action may be undertaken on the basis of a personal request from the employee; or under orders from a Command Staff member.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0101
Additional Access[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the granting of additional facility access to the denoted employee of the NanoTrasen Civilian Branch. This action may be undertaken on the basis of a personal request from the employee; or under orders from a Command Staff member.

Employee: [field]
Current Assignment: [field]
Requested Access: [field]
Reason:[list][field][/list]Supervising Head of Staff’s Signature: [field]
Head of Personnel/Captain Stamp[/small]

---[0102] Access Removal - This form permits the removal of facility access from the denoted employee of the NanoTrasen Civilian Branch. This action may be undertaken on the basis of a personal request from the employee; or under orders from a Command Staff member.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0102
Access Removal[/center][hr]Facility: NLS Southern Cross
Date: [field]
Index: [field]

This form permits the removal of facility access from the denoted employee of the NanoTrasen Civilian Branch. This action may be undertaken on the basis of a personal request from the employee; or under orders from a Command Staff member.

Employee: [field]
Current Assignment: [field]
Removed Access: [field]
Reason:[list][field][/list]Supervising Head of Staff’s Signature: [field]
Head of Personnel/Captain Stamp[/small]

---[0103] Promotion - This form permits the promotion of the denoted employee of the NanoTrasen Civilian Branch. This action may be undertaken under orders from a Command Staff member.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0103
Promotion[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the promotion of the denoted employee of the NanoTrasen Civilian Branch. This action may be undertaken under orders from a Command Staff member.

Employee: [field]
Current Assignment: [field]
Granted Assignment: [field]
Reason:[list][field][/list]Supervising Head of Staff’s Signature: [field]
Head of Personnel/Captain Stamp[/small]
---[0104] Demotion - This form permits the demotion of the denoted employee of the NanoTrasen Civilian Branch. This action may be undertaken under orders from a Command Staff member.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0104
Demotion[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the demotion of the denoted employee of the NanoTrasen Civilian Branch. This action may be undertaken under orders from a Command Staff member.

Employee: [field]
Current Assignment: [field]
Reduced Assignment: [field]
Reason:[list][field][/list]Supervising Head of Staff: [field]
Head of Personnel/Captain Stamp[/small]

---[0105] Suspension - This form permits the temporary suspension of the active employment status of the denoted employee of the NanoTrasen Civilian Branch. This action may be undertaken under orders from a Command Staff member.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0105
Suspension[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the temporary suspension of the active employment status of the denoted employee of the NanoTrasen Civilian Branch. This action may be undertaken under orders from a Command Staff member.

Employee: [field]
Current Assignment: [field]
Reason:[list][field][/list]Supervising Head of Staff: [field]
Head of Personnel/Captain Stamp[/small]

---[0106] Executive Permission - This form permits the grant of executive permission to conduct the denoted action by the denoted employee of the NanoTrasen Civilian Branch of Operation.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0106
Executive Permission[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the grant of executive permission to conduct the denoted action by the denoted employee of the NanoTrasen Civilian Branch of Operation.

Employee: [field]
Action: [field]
Reason:[list][field][/list]Supervising Head of Staff: [field][/small]

---[0107] ID Replacement - This form permits the recreation and replacement of identification required by the Standard Operating Procedure for the denoted employee of the NanoTrasen Civilian Branch of Operation.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0107
Identification Replacement[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the recreation and replacement of identification required by the Standard Operating Procedure for the denoted employee of the NanoTrasen Civilian Branch of Operation.

Employee: [field]
Current Assignment: [field]
Reason:[list][field][/list]Head of Personnel: [field]
Head of Personnel/Captain Stamp[/small]

---[0108] Situation Report - This form is forwarded to Central Command or other power organs to update them on the operations conducted aboard the originating NanoTrasen Civilian Branch of Operation station.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0108
Situation Report[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

To: [field]
Subject: [field][list][field][/list]Employee: [field]
Signature: [field][/small]

---[0109] Complaint Form - This form is used to lodge a formal complaint against another employee of the NanoTrasen Civilian Branch of Operation.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0109
Complaint Form[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Affected Person(s): [field]
Offender(s): [field]
Type of Complaint: [field]
Time of Incident: [field]
Narrative:[list][field][/list]Affected Person(s) Signature(s): [field]
Witness’s Signature: [field][/small]

---[0110] Internal Affairs Audit - Useful for when Internal Affairs needs to audit a department and present their findings to the Captain or CCIA.---

[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0110
Internal Affairs Report[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Reporting Agent: [field]
Department Being Audited:[list][field][/list]
Department Overview:[list][field][/list]
Notable Incidents:[list][field][/list]
Notable Employees:[list][field][/list]
Agent Comments:[list][field][/list]
[hr]Signature: [field]
IAA/Head of Staff(s)/Captain's Stamps[/small]

---[0111] Internal Affairs Employee Review - This form summarizes a review of a member of staff by an Internal Affairs Agent.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0111
Internal Affairs Employee Review[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Employee Name: [field]
Job Title: [field]
Review:[list][field][/list]Agent's Notes:[list][field][/list][hr]Agent: [field]
Signature: [field]
IAA/Head(s) of Staff/Captain's Stamp[/small]

---[0112] Record of Implantation - This form declares the type of implant someone has received.---

[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0112
Record of Implantation[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Name of Staff: [field]
Rank: [field]
Type of Implant:
[[field]] Loyalty Implant
[[field]] Tracking Implant
[[field]] Chemical Implant
[[field]] Death Implant
Implanting Staff: [field]
Notes:[list][field][/list][hr]Supervising Head of Staff: [field]
Head of Staff(s)/Captain's Stamp[/small]

---[0113] Incident Report - This form is used to record information for incident reports.---

[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0113
Incident Report Form[/center][hr]Facility: NLS Southern Cross

[b]Reporting Personnel:[/b] [field]
[b]Rank of Reporting Personnel:[/b] [field]
[b]Personnel Involved:[/b] [list][field][/list]
[b]Time of Incident:[/b] [field] [date]
[b]Location of Incident:[/b] [field]
[b]Nature of Incident:[/b][list][[field]]Workplace Hazard
[[field]]Accident/Injury
[[field]]Destruction of Property
[[field]]Neglect of Duty
[[field]]Harassment
[[field]]Assault
[[field]]Misconduct
[[field]]Other: [u][field][/u][/list][b]Overview of the Incident:[/b] [field][hr][b]Did you report it to a Head of Department or IAA? If so, who?:[/b] [field]
[b]Actions taken:[/b][field][hr][b]Additional notes:[/b] [field][/small]

---[0114] Injunction Form - This form permits the enforcement of the following orders by the employees of the Security Department.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0114
Injunction Form[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the enforcement of the following orders by the employees of the Security Department.

Employee(s) Concerned: [field]
Order to be Enforced: [field]
Additional Notes:[list][field][/list]Head of Security’s/Captain’s/IAA's Signature: [field]
Head of Security/Captain/IAA Stamp[/small]

------ SECURITY FORMS ------
---[0200] Confidential Report - This form discloses information relating to a critical incident which has taken place aboard the denoted facility. The information within this form is to be considered confidential, and may only be dispersed at the authorization of the Head of Security, Captain, or Central Command.
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0200
Confidential  Report[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form discloses information relating to a critical incident which has taken place aboard the denoted facility. The information within this form is to be considered confidential, and may only be dispersed at the authorization of the Head of Security, Captain, or Central Command.

Case Number: [field]
Originator: [field]
Reported Incident: [field]
Time of Incident: [field]
Location of Incident: [field]
Individual(s) Involved: [field]
Attached Documents:[list][field][/list][hr]Main Body/Narrative:[list][field][/list][hr]
Report Received By: [field]
Signature: [field]
Head of Security/Captain Stamp[/small]

---[0201] Search Warrant - This form permits the sanctioned search of the denoted employee(s)/workstation(s) of the NanoTrasen Civilian Branch of Operation by the Security Department of the denoted facility. In accordance with Corporate Regulation, the denoted employee(s)/workstation(s) must be presented with a signed and stamped copy of this form before the actions entailed can be conducted legally. The Security Department retains the capability to confiscate any and all items/holdings/belongings which may further the Security Department’s objective of ensuring crew safety.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0201
Search Warrant[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the sanctioned search of the denoted employee(s)/workstation(s) of the NanoTrasen Civilian Branch of Operation by the Security Department of the denoted facility. In accordance with Corporate Regulation, the denoted employee(s)/workstation(s) must be presented with a signed and stamped copy of this form before the actions entailed can be conducted legally. The Security Department retains the capability to confiscate any and all items/holdings/belongings which may further the Security Department’s objective of ensuring crew safety.

Case Number: [field]
Employee(s) Concerned: [field]
Workstation(s) Concerned: [field]

Authorizing Signature: [field]
Head of Security/Warden/Captain Stamp[/small]

---[0202] Arrest Warrant - This form permits the sanctioned arrest of the denoted employee of the NanoTrasen Civilian Branch of Operation by the Security Department of the denoted facility. In accordance with Corporate Regulation, the denoted employee must be presented with a signed and stamped copy of this form before actions entailed can be conducted legally.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0202
Arrest Warrant[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the sanctioned arrest of the denoted employee of the NanoTrasen Civilian Branch of Operation by the Security Department of the denoted facility. In accordance with Corporate Regulations, the denoted employee must be presented with a signed and stamped copy of this form before actions entailed can be conducted legally.

Case Number: [field]
Employee Concerned: [field]

Authorizing Signature: [field]
Head of Security/Warden/Captain Stamp[/small]

---[0203] Equipment Release - This form permits the release of the denoted equipment by the denoted employee of the NanoTrasen Civilian Branch of Operation’s Security Department for the denoted purpose to the denoted employee of NanoTrasen Civilian Branch of Operation. All equipment is to be returned upon the completion of the denoted purpose.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0203
Equipment Release[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the release of the denoted equipment by the denoted employee of the NanoTrasen Civilian Branch of Operation’s Security Department for the denoted purpose to the denoted employee of NanoTrasen Civilian Branch of Operation. All equipment is to be returned upon the completion of the denoted purpose.

Released Equipment: [field]
Releasing Employee: [field]
Releasing Employee’s Signature: [field]

Purpose of Request: [field]
Requesting Employee: [field]
Requesting Employee’s Signature: [field][hr]Confirmation of Return
Releasing Employee: [field]
Releasing Employee’s Signature: [field][/small]

---[0204] Criminal Confession - A form used to solidify the criminal confession of an employee.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 024
Criminal Confession[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

I, [field], hereby declare myself guilty of the following crimes: [field]; and accept the judgement of due process, as entailed by Corporate Regulation.

Confessor's Signature: [field]
Witness’s Signature: [field]
Head of Security’s/Captain’s Signature: [field]
Head of Security/Captain Stamp[/small]

---[0205] Case Report - A form submitted to a higher authority to detail and describe a criminal investigation conducted by the Internal Security department of the NanoTrasen Civilian Branch of Operation. It should be filed with the case evidence.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0205
Case Report[/center][hr]Case Number: C[field]-[field]
[i]Example: C01-J. Doe (Primary Suspect/Victim or Key Indicator)[/i]
Time of Incident: [field]
Attached Documents:[list][field][/list][hr]
Main Body/Narrative:[list][field][/list][hr]
Conclusion From Evidence:[list][field][/list][hr]
Notes:[field][hr]
Signature: [field]
Be sure to include key witnesses and other involved person's in the main body/narrative.
Head of Security/Captain Stamp[/small]

---[0206] Evidence Report - This form declares the details on a gathered piece of evidence.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0206
Evidence Report[/center][hr]Pertaining Case Number: 6772-[field]-C[field]

Time of Report Filing: [field] [date]
Initial location of evidence: [field]
Picture labels (if applicable): [field]
Results: [field]
Observations: [field]
Conclusion: [field]
Final Notes:[list][field][/list][hr]
Reporting Investigator: [field]
Signature: [field]
Head of Security/Captain Stamp[/small]

---[0207] Interview Form - This form denotes an interview taken with a witness, suspect, or expert on a case.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0207
Interview Form[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Case Number: [field]
Interviewer: [field]
Signature of Interviewer: [field]
Interviewee: [field]
Connection to Investigation/Case: [field]

I give the following statement with the full knowledge that it may be used by facility security to prosecute ongoing investigation into criminal activity. My words taken down in this report are legally binding and are given of my own free will. I understand that by giving this statement I make myself available to security for further questioning, and, if any information provided is found to be falsified deliberately, I may be subject to the fullest extent of Forgery, up to and including demotion.

Transcript Attached [Y/N] [[field]]
Narrative (If no transcript):[list][field][/list][hr]
Signature of Interviewee: [field]

Head of Security’s/Captain’s Signature: [field]
Head of Security/Captain Stamp[/small]

---[0208] Internal Security Credit Fine - This form declares the amount and reason for a fine.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0208
Internal Security Credit Fine[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form permits the undersigned Internal Security Member to impose a fine of up to 500 credits on the listed staff member. This may be imposed on any staff member caught breaking a minor Corporate Regulation, and may be accompanied by brig time. Fine will be received into the Station or Security Account.

Recipient: [field]
Current Assignment: [field]
Amount Due: [field]
Regulation Broken: [field]
[hr]Issuing Internal Security Member's Signature: [field][/small]

---[0209] Weapons Permit - A permit that authorises a specific individual to carry a weapon under the below conditions.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0209
Weapons Permit[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

[[field]] Concealed
[[field]] Open Stored
[[field]] Open

This permit signifies that [field] is permitted to possess this weapon in the denoted areas. Failure to adhere to this permit will result in confiscation of the weapon and possibly arrest.

Weaponry: [field]
Permitted Areas: [field]
Name: [field]
Species: [field]
Gender: [field]
Fingerprint ID: [field]
DNA: [field]
Notes:[list][field][/list][hr]Head of Security’s/Captain’s Signature: [field]
Head of Security/Captain Stamp[/small]

---[0210] Confirmation of Incarceration - A form for denoting those who have been sentenced to Holding until Judgement.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0210
Confirmation of Incarceration[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Name of Incarcerated: [field]
Charge: [field]
Time Held From: [field]
Arresting Officer(s): [field]
[hr]Warden's Signature: [field]

Head of Security’s/Captain’s Signature: [field]
Head of Security/Captain Stamp[/small]

------MEDICAL FORMS------
---[0300] Surgical Release - This form entails the personal release of the undersigned employee of the NanoTrasen Civilian Branch of Operation for the denoted surgical proceedings. The undersigned employee, through the act of signing this form, accepts to bear responsibility for any and all effects that the denoted surgical proceedings may entail.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0300
Personal Release (Surgery)[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form entails the personal release of the undersigned employee of the NanoTrasen Civilian Branch of Operation for the denoted surgical proceedings. The undersigned employee, through the act of signing this form, accepts to bear responsibility for any and all effects that the denoted surgical proceedings may entail.

Employee: [field]
Current Assignment: [field]
Signature: [field]
Supervising Head of Staff’s Signature: [field]

Intended Surgical Proceeding: [field]
Reason:[list][field][/list]Assigned Surgeon: [field]

Chief Medical Officer’s Signature: [field]
Chief Medical Officer’s Stamp[/small]

---[0301] Medical Release - This form entails the personal release of the undersigned employee of the NanoTrasen Civilian Branch of Operation for the denoted surgical proceedings. The undersigned employee, through the act of signing this form, accepts to bear responsibility for any and all effects that the denoted surgical proceedings may entail.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0301
Personal Release (General Medical)[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form entails the personal release of the undersigned employee of the NanoTrasen Civilian Branch of Operation for the denoted medical proceedings. The undersigned employee, through the act of signing this form, accepts to bear responsibility for any and all effects that the denoted proceedings may entail.

Employee: [field]
Current Assignment: [field]
Signature: [field]
Supervising Head of Staff’s Signature: [field]

Intended Medical Proceeding: [field]
Reason:[list][field][/list]Assigned Personnel: [field]

Chief Medical Officer’s Signature: [field]
Chief Medical Officer’s Stamp[/small]

---[0302] Prescription - This form entails the regular administration of the denoted pharmaceutical to the denoted employee of the NanoTrasen Civilian Branch of Operation on a regular basis for the denoted reasons. The report is based on the evidence and conditions denoted below.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0302
Prescription[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form entails the regular administration of the denoted pharmaceutical to the denoted employee of the NanoTrasen Civilian Branch of Operation on a regular basis for the denoted reasons. The report is based on the evidence and conditions denoted below.

Employee Concerned: [field]
Pharmaceutical Concerned: [field]
Reason of Prescription: [field]
Dosage of Prescription: [field]
Notes:[list][field][/list]Prescribing Doctor: [field]
Signature: [field]

Chief Medical Officer’s Signature: [field]
Chief Medical Officer Stamp[/small]

---[0303] Psychiatric Evaluation - This form contains the official assessment and notes from a psychiatric evaluation conducted on the denoted employee of the NanoTrasen Civilian Branch of Operation by the denoted medical professional.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0303
Psychiatric Evaluation[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form contains the official assessment and notes from a psychiatric evaluation conducted on the denoted employee of the NanoTrasen Civilian Branch of Operation by the denoted medical professional.

Employee: [field]
Current Assignment: [field]
Official Assessment: [field]
Notes:[list][field][/list]Medical Professional: [field]
Signature: [field]

Chief Medical Officer Stamp[/small]

---[0304] Physical Evaluation - This form contains the official assessment and notes from a physical evaluation conducted on the denoted employee of the NanoTrasen Civilian Branch of Operation by the denoted medical professional.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0304
Physical Evaluation[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form contains the official assessment and notes from a physical evaluation conducted on the denoted employee of the NanoTrasen Civilian Branch of Operation by the denoted medical professional.

Employee: [field]
Current Assignment: [field]
Official Assessment: [field]
Notes:[list][field][/list]Medical Professional: [field]
Signature: [field]

Chief Medical Officer Stamp[/small]

---[0305] Unrecoverable Personnel - This form notes the denoted personnel unrecoverable through available medical means, such as genetic reconstruction. The denoted personnel will be stowed in the morgue, pending further medical action, as necessary.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0305
Unrecoverable Personnel[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form notes the denoted personnel unrecoverable through available medical means, such as genetic reconstruction. The denoted personnel will be stowed in the morgue, pending further medical action, as necessary.

Employee: [field]
Assignment: [field]
Cause of Death: [field]
Time of Death: [field]
Mental Interface Error [Y/N]: [[field]]
Notes:[list][field][/list]Assigned Doctor: [field]
Signature: [field]

Chief Medical Officer Stamp[/small]

---[0306] Coroner Report - This report entails details pertaining to the medical condition of the denoted deceased NanoTrasen Civilian Branch of Operation employee.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0306
Coroner Report[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Location of Discovery: [field]
Time of Discovery: [field]
Time of Death: [field]

Patient: [field]
Identification Number: [field]

Attached Forms:[list]Patient Medical Record [Y/N]: [[field]]
NCF-0305 Unrecoverable Personnel [Y/N]: [[field]]
Full Body Scan [Y/N]: [[field]]
NCF-0307 Bloodwork [Y/N]: [[field]]
Autopsy [Y/N]: [[field]]
NCF-0308 Foreign Body Removal [Y/N]: [[field]]
NCF-0309 Genetic & Identity Confirmation [Y/N]: [[field]][/list]Cause of Death:[list][field][/list]Coroner's Notes:[list][field][/list]Resurrection & Funerary

Details:[list][field][/list][hr]Medical Professional: [field]
Signature: [field]
Chief Medical Officer Stamp[/small]

---[0307] Bloodwork - This report contains a detailed analysis of the blood of the denoted employee of the NanoTrasen Civilian Branch of Operation.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0307
Bloodwork Report[/center][hr]Attachment: [field]

Blood Type: [field]
Blood level: [field] units ([field]%)
Blood Donor [Y/N]: [[field]]
Trace Chemicals:[list][field][/list]Medical Professional: [field]
Signature: [field]

Chief Medical Officer Stamp[/small]

---[0308] Foreign Body Removal - This report details the removal of a foreign body from the denoted employee of the NanoTrasen Civilian Branch of Operation.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0308
Foreign Body Removal[/center][hr]Attachment: [field]

Location: [field]
Item: [field]
[field]
Medical Professional: [field]
Signature: [field]

Chief Medical Officer Stamp[/small]

---[0309] Identification Confirmation - This form is used to validate a claim to the identity of the denoted employee of the NanoTrasen Civlian Branch of Operation.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0309
Genetic & Identity Confirmation Report[/center][hr]Attachment: [field]

Matching Fingerprint String: [field]
Matching DNA String: [field]

Facial Reconstruction [Y/N]: [[field]]

Medical Professional: [field]
Signature: [field]

Chief Medical Officer Stamp[/small]
---[0310] Medical Treatment Waiver - This form denotes the refusal by the undersigned to undergo medical treatment after being informed of present dangers of the injury or condition. The undersigned employee, through the act of signing this form, accepts understanding of the information they have been given and to bear responsibility for any and all effects up to and including death that lack of treatment may entail. Additional injuries caused by the refusal of medical treatment will not be covered by the undersigned's NanoTrasen medical insurance.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0310
Waiver of Informed Medical Treatment[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form denotes the refusal by the undersigned to undergo medical treatment after being informed of present dangers of the injury or condition. The undersigned employee, through the act of signing this form, accepts understanding of the information they have been given and to bear responsibility for any and all effects up to and including death that lack of treatment may entail. Additional injuries caused by the refusal of medical treatment will not be covered by the undersigned's NanoTrasen medical insurance.

Reason:[list][field][/list]Employee: [field]
Current Assignment: [field]
Signature: [field]
Supervising Head of Staff’s Signature: [field]

Chief Medical Officer’s Signature: [field]
Chief Medical Officer’s Stamp[/small]
---[0311] DNC Confirmation Form - This form denotes the refusal by the undersigned to undergo cloning procedure in the event of death or cessation of brain activity. The undersigned employee, through the act of signing this form, accepts understanding that upon the advent of death, NanoTrasen medical personnel will NOT attempt to carry out any cloning procedures that would ensure the continuation of the employee’s life cycle. Attached to this form is a psychiatric evaluation carried out by a trained psychiatrist stating that said employee is mentally fit and fully conscious of the consequences of his or her decision.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0311
Do Not Clone Confirmation Form[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form denotes the refusal by the undersigned to undergo cloning procedure in the event of death or cessation of brain activity. The undersigned employee, through the act of signing this form, accepts understanding that upon the advent of death, NanoTrasen medical personnel will NOT attempt to carry out any cloning procedures that would ensure the continuation of the employee’s life cycle. Attached to this form is a psychiatric evaluation carried out by a trained psychiatrist stating that said employee is mentally fit and fully conscious of the consequences of his or her decision.

Attached Forms:[list]Patient Medical Record [Y/N]: [[field]]
F-0303 Psychiatric Evaluation [Y/N]: [[field]][/list]Signature: [field]
Psychiatrist’s Signature: [field]
Chief Medical Officer’s Signature: [field]
Chief Medical Officer’s Stamp[/small]

---[0312] Chemical Requisition - This form denotes the amount and type of chemical requisitioned by an employee of the NanoTrasen Civilian Branch of Operation, and the release of said chemicals.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0312
Chemical Requisition[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Requisitioner: [field]
Chemical(s) Concerned: [field]
Volume: [field]
Notes:[list][field][/list]Requisitioner’s Signature: [field]
Chief Medical Officer’s Signature: [field]
Chief Medical Officer’s Stamp[/small]
---[0313] Pharmacy Request Form - This form provides an easy, convenient way for the Pharmacy to keep track of requests. Keeping it on the pharmacy counter allows crew members to write their information down for the Pharmacy to reference.---
[small][center][b]NanoTrasen Inc.
Medical Branch of Operation[/b]

Form 0313
Prescription Request[/center]
[hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]
[hr]
Please leave your name, requested prescription, and pill dosage. Medical records will still be checked before giving out potent medication or chemicals. A prescription filling fee of 10 credits is required if you do not have a prescription. We reserve the right to refuse requests.
EXAMPLE:
-John Doe Tramadol 10u
Fill out here:
-[field]
-[field]
-[field]
-[field]
-[field]
-[field]
-[field]
-[field]
-[field]
-[field][/small]
------ ENGINEERING FORMS ------
---[0400] Station Repair - This form contains details on repair operations carried on aboard the aforementioned facility by the denoted engineer(s) of the NanoTrasen Civilian Branch of Operation, to include the damage perceived and repaired, notes.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0400
Station Repair Report[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form contains details on repair operations carried on aboard the aforementioned facility by the denoted engineer(s) of the NanoTrasen Civilian Branch of Operation, to include the damage perceived and repaired, notes.

Damages
Affected Area(s): [field]
Structural: [field]
Electrical: [field]
Atmospherical: [field]

Repairs Conducted: [field]
Notes:[list][field][/list]Supervising Engineer: [field]
Signature: [field]
Assisting Engineer(s): [field]

Chief Engineer Stamp[/small]
---[0401] Station Modification - This form entails the denoted modification to be conducted to the aforementioned facility by the denoted engineer(s) of the NanoTrasen Civilian Branch of Operation.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0401
Station Modification Report[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form entails the denoted modification to be conducted to the aforementioned facility by the denoted engineer(s) of the NanoTrasen Civilian Branch of Operation.

Modifications
Affected Area(s): [field]
Structural: [field]
Electrical: [field]
Atmospherical: [field]

Supervising Engineer: [field]
Signature: [field]
Assisting Engineer(s): [field]

Chief Engineer’s Signature: [field]
Chief Engineer/Captain Stamp[/small]

---[0402] General Assessment - This form contains a general engineering assessment of a denoted area aboard the aforementioned facility, to include structural integrity, electrical integrity, atmospherical integrity and notes.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0402
General Assessment Report[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form contains a general engineering assessment of a denoted area aboard the aforementioned facility, to include structural integrity, electrical integrity, atmospherical integrity and notes.

Area(s) Concerned: [field]
Structural Integrity: [field]
Electrical Integrity: [field]
Atmospherical Integrity: [field]
Notes:[list][field][/list]Maintenance Required: [field]
Improvements Possible:[list][field][/list]Conducting Engineer: [field]
Signature: [field]
Assisting Engineer(s): [field]
Chief Engineer Stamp[/small]

------ RESEARCH FORMS ------
---[0500] Cyborgification Release - This form entails the personal release of the undersigned employee of the NanoTrasen Civilian Branch of Operation for the process of placing the employee’s brain into a man-machine interface for the purpose of lawed service. The undersigned employee, through the act of signing this form, accepts to bear responsibility for any and all effects that the denoted surgical proceedings may entail.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0500
Personal Release (Cyborgification)[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form entails the personal release of the undersigned employee of the NanoTrasen Civilian Branch of Operation for the process of repurposing the employee’s brain as a biological processor. The undersigned employee, through the act of signing this form, accepts to bear responsibility for any and all effects that the denoted surgical proceedings may entail.

Employee: [field]
Current Assignment: [field]
Signature: [field]
Supervising Head of Staff’s Signature: [field]

Assigned Personnel: [field]

Research Director’s Signature: [field]
Research Director/Captain's Stamp[/small]

---[0501] Personal Release - This form entails the personal release of the undersigned employee of the NanoTrasen Civilian Branch of Operation for the denoted scientific proceedings. The undersigned employee, through the act of signing this form, accepts to bear responsibility for any and all effects that the denoted proceedings may entail.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0501
Personal Release (General Science)[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form entails the personal release of the undersigned employee of the NanoTrasen Civilian Branch of Operation for the denoted scientific proceedings. The undersigned employee, through the act of signing this form, accepts to bear responsibility for any and all effects that the denoted proceedings may entail.

Employee: [field]
Current Assignment: [field]
Signature: [field]
Supervising Head of Staff’s Signature: [field]

Intended Scientific Proceeding: [field]
Reason: [field]

Assigned Personnel: [field]

Research Director’s Signature: [field]
Research Director/Captain's Stamp[/small]

---[0502] Robotics Construction - This form entails the construction of the denoted mechatronic constructs, such as mechs, exoskeletons, robots, by the science department of the aforementioned facility for the denoted purpose on the request of the denoted personnel.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0502
Mech/Robot Construction[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form entails the construction of the denoted mechatronic constructs, such as mechs, exoskeletons, robots, by the science department of the aforementioned facility for the denoted purpose on the request of the denoted personnel.

Chassis/Type: [field]
Purpose: [field]
Receiving Employee: [field]
Signature on Receipt: [field]

Commissioned by: [field]
Signature of Commissioner: [field]

Assigned Personnel: [field]

Research Director Signature: [field]
Research Director/Captain's Stamp[/small]

---[0503] Genetics Test Waiver - A personal release form that entails the release of the denoted employee of the NanoTrasen Civilian Branch of Operation for personal testing, and the waving of medical responsibility with regards to that.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0503
Genetics Testing Waiver of Rights[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

I, [field], hereby grant consent to genetic manipulation testing. I understand that this may lead to personal injury or even death, that NanoTrasen is not responsible for any harm or liability, and that this testing exists outside of standard NanoTrasen Medical Coverage. Superintending officers may, [u]at any time, and even with no reason given:[/u] [list][*]Put genetic research on hold. [*]Issue a search on your workplace, yourself, or personal belongings. [*]Demand you to be subject to ryetalyn gene restructuring therapy and any other medical treatment deemed necessary.[/list] Failure to comply may result in, fines, termination of employment, arrest, sedation, or any other means command staff deem necessary.

Subject: [field]
Subject Signature: [field]
Subject's NCF-0303 Attached [Y/N]: [[field]]

Purpose: [field]
Receiving Employee: [field]
Signature on Receipt: [field]

Performing Geneticist: [field]
Performing Geneticist Signature: [field]

Research Director’s Signature: [field]
Research Director/Captain's Stamp[/small]

---[0504] Genome Mapping - This form is used to store research into the test subject's genome.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0504
Genome Mapping Report[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Enter the concerned value, observed effect.

Block 01 - [field]
Block 02 - [field]
Block 03 - [field]
Block 04 - [field]
Block 05 - [field]
Block 06 - [field]
Block 07 - [field]
Block 08 - [field]
Block 09 - [field]
Block 10 - [field]
Block 11 - [field]
Block 12 - [field]
Block 13 - [field]
Block 14 - [field]
Block 15 - [field]
Block 16 - [field]
Block 17 - [field]
Block 18 - [field]
Block 19 - [field]
Block 20 - [field]
Block 21 - [field]
Block 22 - [field]
Block 23 - [field]
Block 24 - [field]
Block 25 - [field]
Block 26 - [field]
Block 27 - [field]

Originator: [field]

Research Director’s Signature: [field]
Research Director/Captain's Stamp[/small]

---[0505] Site Information - This form contains metallurgical and anomalous information about the denoted digsite.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0505
Site Information[/center][hr]
Date & Time: [[field]|[date]]
Site: [field]
Coordinate: [[field]|[field]|[field]]
Anomaly Materials[list][*][[field]] Crystalline Structures
[*][[field]] Long Exposure Particles
[*][[field]] Metallic Composite
[*][[field]] Metallic Derivative
[*][[field]] Trace Organic Cells
[*][[field]] Other[/list]Radiometric Dating: [field]
Spectrometric Analysis: [field]
>[field]
Anomalous Data:
[field]
Notes:[list][field][/list]Signature: [field]

Research Director’s Signature: [field]
Research Director/Captain's Stamp[/small]

---[0506] Find Information - This form contains metallurgical and anomalous information about the denoted archeological find.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0506
Find Information[/center][hr]
Site: [field]
Find Reference Label: [field]
Anomaly Depth: [field]
Anomaly Material: [field]
Dissonance spread: [field]
Description:[list][field][/list]
Analyser Report:[list][field][/list]
Notes:[list][field][/list]
Signature: [field]

Research Director’s Signature: [field]
Research Director/Captain's Stamp[/small]

---[0507] Anomalous Materials Storage - Artifact storage notes.---
 [small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0507
Anomalous Materials Storage[/center][hr]

Item ID Number #:[field]
Required Handling Equipment: [list][field][/list]
Special Containment Procedures:[field]
Description and Anomalous properties:[field]

Experiment Log:[list][field][/list]
Additional Notes:[list][field][/list][hr]Research Director’s Signature: [field]
Research Director/Captain's Stamp[/small]

---[0508] Biopsy Report (Xenobiology) - This form declares the findings of a biopsy of xenobiological life.
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0508
Biopsy Report (Xenobiology)[/center][hr]
Facility: NLS Southern Cross
Date: [date]
Index: [field]

This form entails the complete examination of a xenobiological lifeform conducted by by the denoted employee/s.

Subject: [field]
Biopsy Findings: [list][field][/list][hr]Operating Personnel: [field]
Operating Personnel Signature: [field]
Research Director’s Signature: [field]
Research Director/Captain's Stamp[/small]

---[0509] Flora Genome Report - A report for genome data for Xenobotany.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0509
Flora Genome Report[/center][hr]
Facility: NLS Southern Cross
Date: [date]
Index: [field][hr][list]
[*][b][field][/b] Biochemistry
[*][b][field][/b] Hardiness
[*][b][field][/b] Environment
[*][b][field][/b] Metabolism
[*][b][field][/b] Appearance
[*][b][field][/b] Diet
[*][b][field][/b] Pigment
[*][b][field][/b] Output
[*][b][field][/b] Atmosphere
[*][b][field][/b] Vigour
[*][b][field][/b] Fruit
[*][b][field][/b] Phenomenal[/list][hr]Xenobotanist: [field]
Xenobotanist's Signature: [field]
Research Director’s Signature: [field]
Research Director/Captain's Stamp[/small]

------ SUPPLY FORMS ------
---[0600] Yield Declaration - This form declares the type and amount of resources recovered from the mining facilities of the denoted NanoTrasen facility.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0600
Mining Yield Declaration[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Miner(s): [field]
Ore Yields[list][*][[field]] Metal sheets
[*][[field]] Plasteel sheets
[*][[field]] Glass sheets
[*][[field]] Reinforced glass sheets
[*][[field]] Plastic sheets
[*][[field]] Sandstone blocks
[*][[field]] Phoron Crystals
[*][[field]] Uranium shards
[*][[field]] Silver bars
[*][[field]] Gold bars
[*][[field]] Diamond gems
[*][[field]] Iron bars
[*][[field]] Platinum bars
[*][[field]] Osmium wafers
[*][[field]] Tritium bars
[*][[field]] Hydrogen wafers[/list]
Additional Notes:[list][field][/list]Signature: [field]
Quartermaster's/Head of Personnel's/Captain's Stamp[/small]

---[0601] Lost and Found Release - Lost and Found declaration.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 0601
Lost and Found Release[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Item: [field]
Time of Arrival: [field]
Recipient: [field]
Recipient Signature: [field]
Releasing Personnel: [field]

[hr]Applicable Stamp(s):
------ GENERAL FORMS ------
---[1000] Equipment Requisition - This form permits the release of the denoted equipment by the denoted employee of the NanoTrasen Civilian Branch of Operation for the denoted purpose to the denoted employee of NanoTrasen Civilian Branch of Operation.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 1000
Equipment Requisition[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Department of Supply:[field]
Item(s):[list][field][/list]

Requisitioner: [field]
Reason:[list][field][/list]
Requisitioner's Signature: [field]

Notes:[list][field][/list]

Supplier's Signature: [field]
Applicable Stamp(s)[/small]

---[1001] Expedition Waiver - This form waives the rights to your health and safety in an expedition.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 1001
Expedition Waiver of Rights[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Applicant(s):[field]
Occupation:[field]

I/We [field]. By signing this document you hereby release command staff of responsibility should you suffer an accident while exploring off the station and are unable to be recovered alive. Upon your return the Captain may, [u]even with no reason given[/u], put on hold subsequent research, issue a search on your workplace or personal belongings, commit you to quarantine and any other procedures deemed necessary. Failure to comply may result in voiding of this contract, fines, termination of employment contract, arrest, sedation, or any other means NT commanding staff finds appropriate to enforce their executive decision.

[hr]Applicant(s) Signature:[field]
Captain's signature: [field]
Applicable Stamp(s)[/small]

---[1002] General Fax - This is the general fax format for use primarily by Command Staff and Internal Affairs.---
[small]TO: [field]
FROM: [field]
SUBJECT: [field]
[hr]
BODY: [field]
[hr]
DATE: [date] [field]
SIGN: [field][/small]

---[1003] Late Return Fine - A form for denoting and processing late library book returns.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 1003
Late Return Fine[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Recipient: [field]
Book Title: [field]
Time Issued: [field]
Amount Due: [field]
[hr]Issuing Librarian's Signature: [field][/small]

---[1004] Lost Book Fine - A form for denoting and processing lost library books.---
[small][center][b]NanoTrasen Inc.
Civilian Branch of Operation[/b]

Form 1004
Lost Book Fine[/center][hr]Facility: NLS Southern Cross
Date: [date]
Index: [field]

Recipient: [field]
Book Title: [field]
Amount Due: [field]
[hr]Issuing Librarian's Signature: [field][/small]