Get Radiotherapy Licence Application Form

The Radiotherapy Licence Application Form is essential for obtaining or renewing a license related to radiotherapy operations. Completing this form accurately is crucial for compliance and operational approval.

Follow the steps to fill out the Radiotherapy Licence Application Form online:

1. Click ‘Get Form’ button to access the Radiotherapy Licence Application Form and open it in your selected editor.
2. Begin with Section A, 'Applicant', and provide the required details including the type of request such as 'Construction', 'Renewal', or 'Operating to commission'.
3. Fill out your current licence number and specify the language of the licence you prefer.
4. In the applicant information subsection, input your name, corporate number (if any), Canadian head office address, and mailing address if different.
5. Indicate if any part of the application is subject to an exemption request from the CNSC policy.
6. Designate a contact person for billing and provide their name, title, phone number, and email.
7. In the proof of legal status section, select your business type and attach all necessary documentation.
8. Move on to Section B to specify the licensed use type, activities, and locations. Here you will indicate the specific equipment use type and associated activities.
9. In Section C, provide details for each Class II prescribed equipment you plan to use, including manufacturer information and equipment specifications.
10. Complete the 'Radiation Safety Program' in Section D by listing the radiation safety officer and relevant acknowledgements.
11. Proceed to fill out Section E with your organization's policies and procedures related to radiation safety.
12. Continue with Sections F through K as applicable, supplying all necessary appendices according to the guidance provided.
13. Finally, in Section L, confirm the signing authority, ensuring dates and signatures are included as required.
14. Once the form is completed, save your changes and explore options to download, print, or share the document.

Complete your Radiotherapy Licence Application Form online today!