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RC Form 252-2 Rev 10/08 TEXAS DEPARTMENT OF STATE HEALTH SERVICES APPLICATION FOR RADIOACTIVE MATERIAL LICENSE Page One of Two ZZ113-120 Instructions -- Complete this application in accordance with the guide provided by the Texas Department of State Health Services.

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How to fill out the Form 252 1bif online

Filling out Form 252 1bif for a radioactive material license can seem daunting. However, with a clear understanding of each component of the form and a methodical approach, you can complete it accurately and efficiently.

Follow the steps to fill out Form 252 1bif online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by providing the legal business name and mailing address of the applicant, ensuring you use an appropriate attention line if necessary.
  3. Indicate the location where radioactive material will be stored or used by providing the relevant street address and specifying whether the sites are permanent or temporary.
  4. Select the type of application: whether it is a new license or a renewal of a present license. If applicable, provide the license number and name of any previous licenses held in Texas.
  5. Designate a radiation safety officer, including their contact information such as office, fax, emergency telephone numbers, and email.
  6. Provide details for each individual user and their respective titles. Include their full names and respective contact details.
  7. Fill in the radioactive material data by detailing the element and mass number, chemical or physical form, maximum activity requested, and intended use.
  8. For items 8 through 14, describe the facilities, operating procedures, radiation safety measures, detection instrumentation, leak testing protocols, training, waste disposal methods, and financial assurance details, as necessary.
  9. Complete the certification section by signing and dating the form, including your typed or printed name and title.
  10. Once all sections are completed, you can save your changes, download the form, print it, or share it as necessary.

Complete your Form 252 1bif online today for a streamlined application process.

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A radiation therapist certification provides radiation therapists with the necessary training and knowledge they need to administer radiation therapy accurately. Radiation therapists need to receive training on how to operate advanced machines and equipment.

You must submit a complete application for license renewal at least 30 days before the expiration date in condition 4 of your license. PAYMENT OF YOUR BIENNIAL FEE DOES NOT RENEW YOUR LICENSE. A complete license renewal application includes: RC Form 252-2 “Application for Radioactive Material License”

Radioactive Materials (RAM) Licensing The Radiologic Health Branch (RHB) licenses users of radioactive material and registers persons possessing generally licensed devices (GLD) containing radioactive materials. ​​Users of radioactive materials include: Universities and laboratories to conduct scientific research.

Agreement States are required to maintain compatibility with NRC's program and are routinely reviewed every four years for adequacy and compatibility by NRC's Management Review Board. Texas became an Agreement State in 1963 and has regulated these radioactive materials since.

The Texas Department of State Health Services, Radiation Control Program, has the important mission to protect and promote the physical and environmental health of the people of Texas.

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