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  • Nrc Form 313a (amp) 2020

Get Nrc Form 313a (amp) 2020-2026

PRECEPTOR ATTESTATION 10 CFR 35.51, 35.57(a)(3), and 35.433 Name of Individual Authorized Medical Physicist Ophthalmic Physicist (go to Page 4) Requested Authorization(s) (check all that apply) 35.400 Ophthalmic use of strontium-90 35.600 Teletherapy unit(s) 35.600 Remote afterloader unit(s) 35.600 Gamma stereotactic radiosurgery unit(s) PART I -- TRAINING AND EXPERIENCE (Select one of the three methods below) *Training and Experience, including Board Certification, must have been obta.

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How to fill out the NRC Form 313A (AMP) online

This guide provides a clear and structured approach to completing the NRC Form 313A (AMP) online. Users with varying levels of experience can follow the steps outlined below to ensure accurate and complete submissions.

Follow the steps to fill out the NRC Form 313A (AMP) effectively.

  1. Click ‘Get Form’ button to obtain the NRC Form 313A (AMP) and open it in your preferred online editing tool.
  2. In the first section, provide your name and specify whether you are an authorized medical physicist or an ophthalmic physicist. Check all requested authorizations that apply to you.
  3. Proceed to Part I, where you will document your training and experience. Select one of the three options based on your credentials and provide details, including dates and descriptions of relevant education and training.
  4. In the next section, complete the education table. Include your degree, major field, and the institution from which you graduated.
  5. Document your supervised full-time training and experience. Mention the supervising individual and provide locations, descriptions of the training, and relevant dates.
  6. If applicable, continue to the preceptor attestation section. This must be completed by your preceptor who will attest to your training and experience.
  7. Once all sections are completed, review the form for accuracy. Save any changes, and choose to download, print, or share the form as needed.

Start filling out your NRC Form 313A (AMP) online today to ensure timely and accurate processing.

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