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Home»Radioactive Materials (RAM) Program»RAM - Forms

Radioactive Materials (RAM) Program

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RAM - Forms


Applications

  • Application for Radioactive Material LicensePDF
  • Application for Radioactive Material Licesne (fillable .pdf)PDF
  • Generally Licensed Radioactive Materials Registration FormPDF

Training, Experience and Preceptor Attestation Forms

  • Radiation Safety Officer or Associate Radiation Safety Officer [IAC 641-41.2(65) & (75)].PDF
  • Authorized User - unsealed byproduct material for which a written directive IS NOT required [IAC 641-41.2(67), (68), & (75)].PDF
  • Authorized User - unsealed byproduct material for which a written directive IS required [IAC 641-41.2(69), (75), (81), (82), & (89)].PDF
  • Authorized User - sealed sources for which a written directive IS required [IAC 641-41.2(70), (71), (73, & (75)].PDF
  • Authorized Medical Physicist or Ophthalmic Physicist [IAC 641-41.2(74), (75), & (85)].PDF
  • Authorized Nuclear Pharmacist [IAC 641-41.2(78)].PDF
  • Depleted Uranium Registration Form PDF
  • Fact Sheet on Tritium Exit Signs PDF
  • Fee Schedule PDF
  • Notice to Employees (prints on 8 1/2 x 14 inch paper)PDF
  • Record Retention Requirements PDF
  • Transportation of Radioactive Material PDF

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