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Forms
Available online x-ray equipment forms

    Forms

    Electronic Application for Registration of Radiation-generating Equipment

    Electronic Amendment of Radiation-generating Equipment

    HEA5508 Notice of Termination of Entire Facility's Registration to Possess Radiation-generating Equipment

    HEA0152 Radiation-generating Equipment Source Address Change Request

    HEA5526 Individual Responsible for Radiation Protection (IRRP) Change Request

    Revised 11/2015

     

    HEA5503 Notice to Employees

    Revised 11/2017

    HEA5139 Application for Self-Referral Screening of Radiation-generating Equipment

    Revised 6/2015

     

    HEA5530 Confidential Employer's Presumptive Overexposure Report

    Revised 2/1998

     

    Lists

    Disposal Companies and Charitable Organizations