Commonly Requested Radiation Management Forms

General Information
Radiation Exams Fee Changes Annual Announcement letter containing the test dates of Exams in 2013
Industrial and Analytical X-Ray Machines

DEQ Form #410-7 Application for Radiation Producing Equipment

DEQ Form #410-241x is the form to be used for requesting reciprocity

Registration of Industrial and Analytical X-ray Machines

  

Radiation Machines Used for Therapy
DEQ Form #410-8 Application of Therapy Equipment DEQ Form #410-8B Registration of Therapy Equipment

Particle Accelerators for Non-Human Use

Registration of Users of Particle Accelerators

Industrial Radiographer Certification

New Procedures (and Affidavit) for Obtaining Individual Licenses/Certifications

DEQ Form 410-5-1, Application for Industrial Radiography Examination

DEQ Form 410-5-2, Radiographer Qualification Form

DEQ Form 410-5-3, On-the-Job Training Record Form

Disability Accommodation Form

Radioactive Materials Program
DEQ Form #410-3 is the form that is required to be posted in OAC 252:410-10-19  DEQ Form #410-241 is the form to be used for requesting reciprocity recognition
DEQ Form #410-313 is the application form for a radioactive materials license  DEQ Form #410-314 is the form for Certification of Disposition of Materials
DEQ Form #410-483 is the form to be filed for In-vitro clinical and laboratory testing DEQ Form #410-526 is the form to be used to certify small business entity status for purposes of fees
Affidavit Notification to Landowners Information Needed for Transfer of Control
Link to Nuclear Regulatory Commission's Web page containing Reports or brochures on regulatory decisions, results of research, results of incident investigations, and other technical and administrative information . (NUREG Series Publications)

Registration of Generally Licensed Devices

DEQ FORM #410-GLD (06/12) Generally Licensed Devices Registration

 

Other Forms

DEQ Form 410-5 Occupational Exposure Record for a Monitoring Period DEQ Form 410-5 Occupational Exposure Record for a Monitoring Period Instructions