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Laser Light Shows / Demonstrations

NEW LASER LIGHT SHOWS OR LASER DEMONSTRATION REGISTRANTS OR FACILITIES WITH CHANGE OF OWNERSHIP

Complete:

  • Non-Ionizing Facility Registration (ARRA-NIR) to register facility
  • Non-Ionizing Machine Information (ARRA-NIMI) - Nonionizing Machine Information
    for EACH laser unit you are going to utilize
  • Provide a signed LSO Acknowledgement Statement that designates the LSO, the LSO’s responsibilities, and the alternate LSO.
  • Provide a list of current certified operators and a copy of training certification*
  • Provide FDA Variance
  • Provide FAA clearance letter, if needed
  • Information on when a show will be performed. (Location, time, date, setup sketches, and effects to be performed)
  • This information must be provided at least 3 days before the setup of show.
  • Send in fee**

*Certified Laser Operators must be trained in the assessment and control of laser hazards.
**Fees will be $408.00 for a Laser Light Show Registration, not per laser.

You will need to provide all the above to complete the process of your application. Do not leave any blank spaces, incomplete forms will be returned. Prior to ANY show please provide the following: FDA Variance, provide FAA clearance letter (if needed), and information on when a show will be performed (Location, time, date, setup sketches, and effects to be performed). This information must be provided at least 3 days before the setup of show. No fee if already paid for annual fee***

CURRENT REGISTRANTS THAT WANT TO RENEW, CHANGE FACILITY NAME, OR CHANGE ADDRESS

Complete:

  • Non-Ionizing Facility Registration (ARRA-NIR) Form to register facility

* Laser Operators must be trained in the assessment and control of laser hazards.
***Annual fee will be billed at the beginning of each calendar year.

You will need to provide all the above to complete the process of your application. Do not leave any blank spaces, incomplete forms will be returned.

CURRENT REGISTRANTS THAT WANT TO MAKE AN AMENDMENT TO THEIR REGISTRATIONS, (ADD/REMOVE UNITS, CHANGE LIST OF OPERATORS, OR CHANGE OF LSO)

Complete:

  • Non-Ionizing Machine Information (ARRA-NIMI) - Nonionizing Machine Information
    for EACH laser unit you are going to utilize

 

Unless already provided, please also submit the following:

 

  • Provide a signed LSO Acknowledgement Statement that designates the LSO, the LSO’s responsibilities, and the alternate LSO.
  • Provide a list of current operators and a copy of training certification*

Nonionizing Facility

  • Contact NIR
  • Facility Registration Instructions
    • Tanning Facilities
    • Medical Laser Facilities
      • Cosmetic Laser
      • Laser Hair Removal
      • Class II Surgical
      • Hospital Lasers
      • Chiropractic Lasers
    • Laser Light Shows / Demonstrations
    • Industrial Lasers
    • Medical Radio Frequency (RF) Facility
    • Industrial Radio Frequency (RF) Facility
  • Nonionizing Fee Schedule
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Contact Arizona Radiation Regulatory Agency
Arizona Radiation Regulatory Agency
4814 S. 40th St.
Phoenix, AZ 85040
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Phone: (602) 255-4845
Fax: (602) 437-0705
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