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Radiation Generating Equipment Forms

All files are in .PDF format. The free Adobe Acrobat Viewer is required to view them. 

Form #

Form Name Revision
Application Electronic Application for Registration of Radiation-Generating Equipment 12/13
Amendment Electronic Amendment of Radiation-Generating Equipment 12/13
Transfer or Disposal Electronic Notice of Tube Reduction Amendment 12/13
HEA5139 Application for Self Referral Screening of Radiation-Generating Equipment 6/11
HEA5530 Confidential Employer's Presumptive Overexposure Report 2/98
HEA8042   Individual Responsible for Radiation Protection (IRRP) Change Request 4/13

Last Updated 1/13/14

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