Follow the steps to complete the report effectively.

1. Click ‘Get Form’ button to obtain the report and open it in the editor.
2. Fill out Section 1: Licensee Information. Ensure that the contact person is knowledgeable about the activities at the work location.
3. In Section 2: Personnel/Equipment/Sources Information, list all personnel authorized to work with radioactive materials. If you are a reciprocal licensee, you must include training verification for any person listed.
4. Provide a cellular phone or pager number for at least one equipment operator listed in Section 2.
5. List each isotope on a separate line in Section 2, ensuring to check the appropriate box indicating the activity units.
6. Proceed to Section 3: Location of Work. Describe the work location in detail, including physical addresses if applicable, or detailed geographic descriptions.
7. Identify a contact person for this section from the company for whom the work is being conducted, ensuring they are knowledgeable about the job.
8. Include the beginning and ending dates and times for the work location. Specify if there are multiple days by stating a date range.
9. Indicate if this report is a revision to a previously submitted report.
10. Mention any notification for work near State Ports, Airports or coastal waters, including proper descriptions.
11. In Section 4: Type of Work to be Performed, check the appropriate type of work and specify any ‘Other’ types as necessary.
12. Before you finish, review the entire form carefully to ensure all information is accurate and clearly legible.
13. Save your changes, download the completed report, and then either email it to the specified address or print and mail it to the appropriate office.

Complete the NC Radiographic And Reciprocity Location Report online today to ensure compliance and a smooth approval process.