Form 10-930 at a glance
What it is: NPS Form 10-930 is the Application for Special Use Permit of the National Park Service.
Who signs: The applicant by his or her signature certifies that all the information given is complete and correct, and that no false or misleading information or statements have been given.
A filled-in Form 10-930 example: an individual applies for a special use permit
How to fill out Form 10-930, box by box
Applicant Information
Enter either a Social Security Number OR a tax ID number; the form does not require both.
Under Applicant Information, enter Applicant Name, Social Security Number, Street Address, City, State, Zip Code, Country, Telephone Number, Cell Phone Number, Fax Number and Email Address.
Company/Organization Information
Under Company/Organization Information, enter Company/Organization Name, Tax Identification Number, Street Address, City, State, Zip Code, Country, Telephone Number, Contact Name (the Company Cell box), Fax Number and Email Address.
Activity Details
Under Activity Details, write the Description of Proposed Activity (attach diagram and/or additional pages, if necessary).
Location Details
Under Location Details, enter the Requested Location.
Equipment Details
Under Equipment Details, list all equipment in Support equipment; attach additional pages if necessary.
Timing
Under Timing, enter a Date and Time, with AM or PM, for Set-Up Begins, Activity Begins, Activity Ends and Removal Completed.
Vehicles & Participants
If using any vehicles, attach a parking plan to this form.
Under Vehicles & Participants, enter the Maximum Number for Participants (best estimate), Cars, Vans/Light Trucks, Utility Vans/Trucks and Buses/Oversized Vehicles.
Support Personnel
List support personnel including addresses and telephones; attach additional pages if necessary. Enter the Name, Address and Cell Phone Number.
Individual in Charge
Under Individual in Charge, enter the Name and Cell Phone Number of the individual in charge of activity onsite who is authorized to make decisions related to the permitted activity.
Activity Questions
Have you visited the requested area? Mark Yes or No.
Do you plan to advertise or issue a press release before the event? Mark Yes or No.
Have you obtained a permit from the National Park Service in the past? Mark Yes or No. If yes, provide a list of permit dates and locations on a separate page.
Will you distribute printed material? Mark Yes or No.
Is there any reason to believe there will be attempts to disrupt, protest or prevent your event? Mark Yes or No. If yes, please explain on a separate page.
Do you intend to solicit donations or offer items for sale? Mark Yes or No. These activities may require an additional permit.
Is this permit to carry out a Good Samaritan Search and Recovery Mission? Mark Yes or No.
Signature
Enter the Name, Title, Company Name and Date; sign on the Signature line.
The application must be signed and dated in order for the application to be considered complete.
More rules for Form 10-930
The purposes of this application are (1) to provide a National Park Service (NPS) Park Superintendent with information to approve or deny requests for activities that provide a benefit to an individual, group, or organization, rather than the public at large; and (2) to assist Park staff to manage the activity to ensure that the permitted activity does not interfere with the enjoyment of the Park by visitors and that the natural and cultural resources of the Park are protected.
Fees also may be paid online by credit card or electronic funds transfer at pay.gov.
You must allow sufficient time for the Park to process your request; check with the park for guidelines.
You will be notified of the status of the application and the necessary steps to secure your final permit. Your permit may require the payment of cost recovery charges and proof of liability insurance naming the United States of America an additional insured.
You are encouraged to attach additional pages with information useful in evaluating your permit request including: staging, sound systems, parking plan, security plans, sanitary facilities, crowd control, emergency medical plan, use of any building, site clean-up, etc.
All applicable parts of the form must be completed. Incomplete applications will not be evaluated.
This application does not serve as permission to conduct any special use activity in the Park.
If your request is approved, a permit containing applicable terms and conditions will be sent to you. The permit must be signed by the responsible person and returned to the Park for final approval by the Park Superintendent before the permitted activity may begin.
Deliberately and materially making false or fraudulent statements on this form will be grounds for denying you a Special Use Permit.
Common questions about Form 10-930
Are there fees?
On this form, from Brown v. Board of Education National Historical Park, a non-refundable application fee of $45.00 must accompany this application (checked November 7, 2026).
Is there a penalty?
The U.S. Criminal Code, Title 18 U.S.C. § 1001, provides that knowingly falsifying or concealing a material fact is a felony that may result in fines of up to $10,000 or 5 years in prison, or both (checked November 7, 2026).
Sources
[1] NPS Form 10-930 (Rev. 07/2024), Application for Special Use Permit, National Park Service (the Official source link on this page).