Radioactive Material License Forms
Forms available by downloading (PDF format):
Preceptor Forms (use these forms for new license or when adding new user or new authorization to existing user)
Required submittal for licensees undergoing license termination
A licensee who is required to pay an annual fee may qualify as a small entity. If a licensee qualifies as a small entity (Part 18.104.22.168) and provides the Department with the proper certification with the annual fee payment, the licensee may pay reduced annual fees.
Persons who possess certain generally licensed devices must register with the Bureau using the forms below:
General License Registration Form (pdf)
General License Registration Form Supplemental Sheet(pdf)
Licensee Ownership Transfer Form 2018 cms 10-11-18
)General License Application Small Uranium Thorium Water Filtration System(pdf
For information regarding this page, contact Carl Sullivan of the Bureau at email@example.com.