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How to fill out the Dshs 42 3 Rso Form online
The Dshs 42 3 Rso Form is essential for requesting or changing the Radiation Safety Officer for a facility. This guide provides step-by-step instructions for filling out the form online, ensuring accuracy and compliance with the Texas Department of State Health Services requirements.
Follow the steps to fill out the Dshs 42 3 Rso Form online:
- Click the ‘Get Form’ button to obtain the Dshs 42 3 Rso Form and open it in your preferred editing tool.
- Enter the registration or certification number in the designated field at the top of the form.
- Indicate if it is a new facility by checking the appropriate box and provide the name of the facility, including telephone and fax numbers.
- Complete the address section for the facility, ensuring all information is accurate.
- Fill in the RSO designee's full name in the appropriate section, ensuring correct spelling.
- Document the radiation machine experience for the RSO designee if they are not a licensed practitioner. Include the facility name, dates of employment, and types of radiation equipment operated.
- In the certification section, the designated RSO must sign and provide their licensing board number if applicable.
- Review all entered information for accuracy and completeness.
- Once completed, save your changes. You can also download, print, or share the form as needed.
Start filling the Dshs 42 3 Rso Form online to meet your requirements efficiently.
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