Get Rc Form 302-4 - Texas Department Of State Health Services - Dshs State Tx

The RC Form 302-4 is a key document for individuals and organizations seeking registration for laser hair removal facilities in Texas. This guide provides clear instructions on how to complete the form accurately online, ensuring compliance with state regulations.

Follow the steps to complete the RC Form 302-4 online.

1. Press the ‘Get Form’ button to access the registration application form and open it in your preferred document editor.
2. Begin by filling out the legal name of the facility in section 1a. Ensure that this matches the name registered with your business.
3. Provide the mailing address in section 1b. This is where all correspondence regarding the application will be sent.
4. Indicate the type of action you are applying for in section 3. Check all applicable boxes, such as new registration, renewal, or amendment.
5. Fill in your telephone number and fax number in section 4.
6. Designate the Laser Safety Officer (LSO) in sections 6a and 6b, including their email address.
7. If applicable, enter the LHR Professional's name and email address in sections 7a and 7b.
8. Ensure to accept the responsibilities of the Laser Safety Officer and LHR Professional by signing in the respective signature fields. Include the date for each signature.
9. In section 10, confirm that you have read and understood the rules by signing this section. Provide your printed name and title.
10. Review the completed form for accuracy and completeness, then save your changes. You may choose to download, print, or share the finished document as needed.

Complete your forms online to stay compliant with Texas regulations.