Follow the steps to fill out the form correctly

1. Click ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Enter the registration number in the designated field. This number identifies your business within the Texas Department of State Health Services.
3. Fill in the business phone number, legal name of the business, and business address in the respective sections. Ensure correctness as this information will be used for communication.
4. Proceed to the Radiation Machine Data section and complete the information for each machine that is no longer in use. Start with the first machine, providing the site number and selecting from the options of 'Stored/Inoperable', 'Transferred/Sold', or 'Disposed'.
5. For each machine listed, specify the site address and date of the action taken. Identify the machine category and who it was transferred to if applicable, including the address of the transfer.
6. Indicate whether the machine replaced another machine in the same category by selecting 'Yes' or 'No' as appropriate.
7. Repeat steps 4 to 6 for as many machines as necessary, up to ten, ensuring all fields are completed as applicable.
8. Once all applicable information is filled out, the applicant or a duly authorized person must sign the form where indicated. Provide their printed name, title, and date of signing.
9. After finalizing all entries, review the information for accuracy, and save any changes made to the form.
10. You can then choose to download, print, or share the completed form as necessary.

Complete your documents online today to ensure compliance and ease in managing radiation machine transfers and disposals.