Forms

Nonionizing Forms

ARRA-4NIR - Application for Registration and Licensing of Sources of Radiation
ARRA-1004 - Nonionizing Radiation License Application
ARRA-1005 - Tanning Data Form
ARRA-1030 - RF Data Form
ARRA-1070 - Laser Data Form
ARRA-1090 - Imaging Data Form

Medical Director Attestation Form Medical Director Attestation Form (Medical Doctors, Doctors of Osteopathy, Naturopathic Medical Doctors, and Nurse Practitioners
Health Professional Attestation Form Health Professional Attestation Form ( Registered Nurses and Physician's Assistants)
Medical Director Acknowledgment Form (Medical Facilities) Medical Director Acknowledgement form for Medical Facilities (Hospitals, Medical Offices, Veterinary Offices, Podiatric, and Dental Offices)
Medical Director Acknowledgment Form (Chiropractic Facilities) Medical Director Acknowledgement form for Chiropractic Offices
Medical Director Acknowledgment Form (Cosmetic Facilities) Medical Director Acknowledgement form for IPL / Laser Hair Removal and Cosmetic Facilities
LSO Acknowledgment Form Acknowledgment form for Laser Safety Officers
RF Acknowledgment Form Acknowledgment form for individuals in charge of RadioFrequency Safety

Laser Training Schools & Cosmetic Laser Technician Forms
Supervising Laser Technician
Supervising Health Professional
Laser Technician Certification App. Application for Certifying Laser Technicians for Hair Removal and other Cosmetic Procedures
Laser Technician Certification Renewal App. Renewal Application for previously Certified Laser Technicians for Hair Removal and other Cosmetic Procedures
Training School Application Application for Didactic and Hands-on Training Schools

MRTBE Forms

BoardApp - Application to serve as MRTBE Board Member
Application - MRTBE Application for certification
PTR Acknowlegement - PTR Acknowlegement form
MRTBE Renewal - MRTBE Blank Renewal Form (Type in form, print, mail)
Student Mammo - Student Mammographer Information Form
Rad Assistant - Radiologist Assistant Application
Letter Regarding Scope of Practice for Radiology

X-Ray Forms

ARRA-4 - Application for Registration and Licensing of Sources of Radiation
Application and Annual Fees for X-Ray Tubes
ARRA-4I - Any industrial or medical specimen X-Ray
XRay Registration - XRay Registration Form Guidelines
ARRA-4X - Medical/Dental/Veterinary diagnostic source of radiation Form
ARRA-4X Instructions - Instructions for ARRA-4X Form
ARRA-4X (EX) - An example of how to complete the ARRA-4X Form
ARRA-13 - Application for Mammography Facility
ARRA-SRA - Service Registration Application
ARRA-PSPA - Physics Support Personnel Application

RAM Forms

ARRA-4 - Application for Registration and Licensing of Sources of Radiation
ARRA-4PA - Particle Accelerator
ARRA-4PAT - Therapy Particle Accelerator
ARRA-23 - Registration for the use of Depleted Uranium
ARRA-PG Application for the use of Portable Gauges
ARRA-G General Radioactive Materials Application
ARRA-Lab - Industrial Laboratory License Application
Form333 - Small Entity form

* All forms are in Adobe PDF format. Click icon to get Adobe Acrobat Reader.