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Radioactive Materials Branch
Licensing Guidance

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Medical, Research, or Industrial Accelerators
 

This information is being provided for licensees who are applying for renewal or a new license for accelerator use in the medical, industrial and research environments. 

Documents are usually available in both Word97 () and PDF () formats.  The available format is listed in the right-most columns of the table below.  The Word files are locked and only certain regions of certain forms are editable.  Save the form to your network or local drive and edit as necessary.  Make sure that the "Show/Hide" (� on the tool bar) setting is set to "Show" in order to use the forms in Word.  The PDF files are "editable" in that you may type information in certain areas of the form.   You CANNOT save this information however.  The form itself may be saved, but the fields are cleared each time the form is opened.

NOTE:  The application and/or amendment forms MUST be signed as indicated in the licensing guide.  DRP has no ability to accept electronic signatures at this time.  Should this policy change, the website will be updated for this provision.

To find the status of a licensing action, contact Nick Driver at (919) 571-4141

 

Description of Guide(s)/Form(s)
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Licensing Guide for Medical Accelerators
Licensing Guide for Industrial and/or Research Accelerator
Application for Accelerator License
Amendment Form
Guidance on Adding Board Certified Physician Authorized Users
Memorandum to All Licensees
Preceptor Statement (Supplement A) for Medical Licenses
New !  Medical Event Reporting Form  (EFFECTIVE March 01, 2008)  
New !  Dose to an Embryo/Fetus or Nursing Child Reporting Form (EFFECTIVE March 01, 2008)  
Last Updated:  06 September 2011
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