Get 10-11 Admissions Application.indd

Filling out the 10-11 Admissions Application.indd online is a straightforward process that helps users apply for a radioactive material license for medical use. This guide aims to provide clear, step-by-step instructions to ensure that you complete the application accurately and efficiently.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editor.
2. Begin by checking the appropriate box under the section labeled 'This is an application for.' Indicate if it is a new license, a renewal, or an amendment of an existing license by marking the corresponding option.
3. Provide your name and mailing address in the designated field. Ensure that all details are accurate to prevent delays in processing.
4. List the addresses where the radioactive materials will be used or stored. Include contact numbers to facilitate communication if required.
5. Specify the name and contact number of the person responsible for inquiries about this application. Include an email address if it differs from the mailing address.
6. In section 5, outline the radioactive material you intend to use and the purpose. Provide details for each material, including the radioisotope, its form or manufacturer/model number, and the maximum quantity you will use.
7. Complete section 7 by providing information about individuals responsible for the radiation safety program. This includes their training and experience as well as contact details.
8. For sections 8 to 10, fill in details about safety instructions, facilities, equipment, and the radiation protection program as specified. Supplementary sheets may be required if additional space is needed.
9. In section 11, navigate to the waste management section. Outline the disposal procedures for any licensed material in accordance with state regulations.
10. Conclude by signing and dating the certification section. Ensure your title and printed name are clear to validate the application.
11. After completing all sections, save your changes. You may download, print, or share the completed form as required.

Start filling out your 10-11 Admissions Application.indd online today to ensure a smooth application process.