Get Registration Of Radiation Machines June 09 - New Mexico ... - Nmenv State Nm

This guide provides clear and supportive instructions for completing the Registration of Radiation Machines form in New Mexico. By following these steps, users can efficiently navigate the online registration process.

Follow the steps to successfully complete your registration form.

1. Press the ‘Get Form’ button to access the registration form and open it in your preferred document editor.
2. In the 'Registrant Information' section, select the type of registration you require by checking the appropriate box (New, Amendment, or Renewal). If renewing, please enter your current registration number.
3. Fill in your name, company name, address, city, state, zip code, telephone number, management contact name, title, mobile number, and fax number.
4. Proceed to the 'Facility & Radiation Safety Officer (RSO) Information' section. Provide the facility name, contact name, facility type, facility address, city, telephone number, county, mobile number for RSO, RSO name, telephone number for RSO, and email address.
5. In the 'Machine Information' section, report details for each machine you are registering. Include machine type number, date manufactured, control model number, tube serial number, maximum rated specifications, model number, date installed, control serial number, and maximum rated specifications in kVp.
6. If you have multiple machines to register, use Attachment 1 form to add additional details as required.
7. After completing all sections, confirm that the registration information is accurate and certifies that it conforms to New Mexico regulations.
8. Print your name and sign where indicated. Also, include the date of signing.
9. Once you have filled out the form completely, save your changes, download a copy for your records, or print the completed form to submit by mail or fax.

Complete your registration form online today to ensure compliance with New Mexico regulations.