Get Form 016

Filling out Form 016 for a radioactive materials license is an important step in ensuring compliance with safety regulations. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to complete the Form 016 online.

1. Press the ‘Get Form’ button to retrieve the application form and open it in your preferred editor.
2. Begin by selecting the type of application you are submitting. Check the appropriate box for either a new license, an amendment to an existing license, or a renewal of a license.
3. Input the name and mailing address of the applicant, including any relevant tax identification number and fax number.
4. Provide the address where the licensed material will be used or possessed. Include the email address and telephone number of the primary contact person regarding the application.
5. Attach separate sheets to submit the required items 5 through 11 as detailed in the license application guide.
6. Specify the types of radioactive material you are requesting. Include details such as the element and mass number, the chemical or physical form, and the maximum amount you intend to possess at any one time.
7. Identify the individual(s) responsible for the radiation safety program, including their training experience.
8. Outline training for individuals who will work in or frequent restricted areas.
9. Describe the facilities and equipment that will be utilized in connection with the radioactive materials.
10. Detail your radiation safety program, including policies and procedures in place.
11. Explain your waste management strategies and how you plan to handle waste generated from the use of radioactive materials.
12. Indicate whether you have paid annual fees associated with the application. If applicable, attach your payment with the application.
13. Certify that all information provided is true and complete by signing and dating the application. Ensure that the printed name and title of the certifying officer are included.
14. Once you have completed the form, you may save your changes, download a copy for your records, print it, or share it as needed.

Complete your application online today and ensure safety compliance!