Get Ohsu Radioactive Materials License Amendment Chemical Form ...

Filling out the Ohsu Radioactive Materials License Amendment Chemical Form online can be a straightforward process. This guide provides clear, step-by-step instructions to ensure users complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your licensee name and license number. This information identifies your license and is crucial for processing your amendment.
3. Next, provide the department associated with the license and the licensee's phone number. This allows for any necessary communication regarding the form.
4. Input the lab phone number and mail code. This ensures that the license can be managed effectively and any correspondence can reach the correct location.
5. In the radionuclide change(s) section, specify the radionuclide that is already licensed. This helps clarify what existing materials are undergoing modification.
6. Indicate the physical form of the radionuclide, such as liquid, sealed, or dry. This detail is important for safety and handling requirements.
7. Provide the chemical form of the radionuclide. This should include specifics like NaI, nucleotides, or RIA kits as applicable.
8. Outline the purpose of the amendment. Clearly stating the reason for modifying the licensed chemical forms helps in the evaluation and approval of the amendment.
9. Add any additional reasons for the chemical form changes, if applicable. Detailing all reasons will support your request.
10. Review the statement indicating your understanding and compliance with the OHSU Radiation Safety Regulations and Procedures. Sign off by entering your name, title, employee number, and date of submission.
11. After completing the form, ensure all information is accurate. You can then save your changes, download, print, or share the completed form as needed.

Complete your OHSU Radioactive Materials License Amendment Chemical Form online today for a smooth submission process.