Get Rc 42-l 2011-2026

This guide provides comprehensive instructions for filling out the RC 42-L form online. By following these steps, users can successfully complete and submit their Laser Safety Officer information to the Texas Department of State Health Services.

Follow the steps to complete the RC 42-L form online.

1. Click ‘Get Form’ button to access the RC 42-L document and open it in the designated editor.
2. Fill in the file number and application number as required at the top of the form.
3. Provide the name, telephone number, fax number, and address of the facility in the specified sections.
4. Enter the name of the designated Laser Safety Officer (LSO), ensuring to print or type the individual's full name.
5. Include the licensed practitioner's Texas Licensing Board number if applicable. If a physician signs as LSO, no additional qualifications are necessary.
6. Submit documentation related to the LSO's laser experience, education, and training, including certificates or courses completed.
7. Describe the type and class of laser/IPL equipment operated, along with knowledge of laser radiation hazards and emergency situations.
8. Review the certification statement, and have the designated LSO sign and date the form to accept their responsibilities.
9. Once all sections are completed, users can save changes, download, print, or share the form for submission.

Complete the RC 42-L form online to ensure compliance with safety regulations.