Get Tn Cn-0724 2020-2026

Completing the TN CN-0724 form online is essential for the registration of x-ray producing equipment in Tennessee. This guide provides clear and supportive instructions to help users navigate the form effectively.

Follow the steps to complete your registration form accurately.

1. Click the ‘Get Form’ button to obtain the registration form and open it in your chosen editor.
2. In the first section, provide the information for the possessor of the x-ray equipment, including their name, phone number, and address. If the billing address is the same as the physical address, indicate this by checking the corresponding box.
3. Next, enter the owner's details. This includes the name of the person or entity that holds the title to the equipment. If the owner is the same as the possessor, check the box to indicate this.
4. Complete the section for the Radiation Safety Officer or the individual responsible for the x-ray equipment. Include their contact information.
5. In the facility type section, select the appropriate option that corresponds to where the equipment will be used.
6. Fill in the details about the x-ray producing equipment. List the manufacturer and serial number of the control panel, select the machine type and class, and indicate the date you came into possession of the machine.
7. Choose the mobility of the machine, indicating whether it is fixed, mobile, portable, or hand-held. If it is fixed, provide the room number.
8. In the Tube Housing Assembly Information section, list the manufacturer and serial number of each tube housing. Complete the date of inserted tube possession and the maximum kilovoltage (kVp) for the equipment. If necessary, add more tube housing assembly entries as attachments.
9. Finally, review the entire form for accuracy, then sign and date it certifying that the information is true and correct. If you have additional pages, initial each one.
10. Once the form is complete, save your changes, and proceed to download or print it. You can then share it by email or by mailing it to the designated address.

Complete your TN CN-0724 form online to ensure your x-ray equipment registration is processed efficiently.