Get Aerb Incloser Logo Form

The Aerb Incloser Logo Form is essential for applying for a license to operate a radiography facility. This guide provides professional and clear instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the Aerb Incloser Logo Form online.

1. Press the ‘Get Form’ button to obtain the form and open it in your editor.
2. Fill in Part A: General Particulars. Provide the name and address of the institution, including telephone, fax, email, and the institution number for Personnel Monitoring Services.
3. Add details for the head of the institution. Ensure to include their contact information, similar to the previous section.
4. Complete the applicant's information, including their name, designation, and contact details, confirming that they are a full-time employee.
5. Indicate the purpose of the application: whether this is for the first time, modification, or renewal.
6. Fill in Part B: Particulars of the Facility. Provide details of the Industrial Gamma Radiography Exposure Devices and X-ray Machines, including make, model, serial numbers, shielding material, and maximum radiation levels.
7. List the certified radiography personnel in your institution, their designations, and ensure their certification details are included.
8. Provide particulars of radiation survey meters and pocket dosimeters, including make, model, and recent calibration dates.
9. Detail the radiography operations, specifying the addresses of open field and enclosed radiography sites.
10. Attach all required supporting documents as outlined in Part B.7 and ensure your application is complete.
11. Review your application for accuracy, then complete the declaration in Part C, certifying the correctness of the information provided.
12. Sign the application and ensure the head of the institution also signs before submitting.
13. Once everything is completed, save changes, download the form, print it, or share it as necessary.

Submit your Aerb Incloser Logo Form online today to ensure your application is processed efficiently.