Skip to main content
Arizona Radiation Regulatory Agency Logo
Arizona Radiation Regulatory Agency

Main menu

  • Home
    • Contact Arizona Radiation Regulatory Agency
    • ARRA Links
    • Agency Forms
    • News
    • Rules
      • ARRA Policies
      • Large and Small Business Regulatory Bill of Rights (Notice of Audit)
    • Calendar
    • Staff
    • FY 2019 Agency Budget Plan
  • Radioactive Material
    • Contact RAM
    • License Fee Schedule
    • License Reciprocity
    • Radioactive Materials Links
      • Information Notices
  • XRay Facility
    • Contact X-Ray
    • XRay Forms
    • X-Ray Machine Registration Guidelines
    • X-Ray Fee Schedule
    • X-Ray FAQ
    • INSPECTIONS – What to Expect
    • X-Ray Disciplines
    • X-Ray Links
  • 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
    • Nonionizing Radiation Topics
      • Cellular Phones
      • Laser Pointers
      • Lasers
      • Ultraviolet Radiation
    • Nonionizing Frequently Asked Questions
    • Nonionizing Radiation Links
    • IRS Indoor Tanning TAX
    • Forms
  • Radiation Lab
    • Contact RML
    • RML Links
  • Emergency Response
    • Contact Emergency Response
    • Palo Verde Nuclear Generating Station
    • Unidentified Radioactive Material
    • Emergency Response Links
  • MRTBE
    • Contact MRTBE
    • Important License Information
    • Application for Certification
    • Renew Certifications Online
    • License Verification
    • Address Change
    • MRTBE Forms
    • MRTBE Statutes (A.R.S.§32-2801)
  • Laser Tech / Laser Schools
    • Contact CLT
    • Laser Technician Information
      • Laser Technician Fees
    • Training School Information
      • Laser School Fees
  • Radon
    • Contact Radon
    • Request a Testing Kit
    • About Radon
      • What is Radon
        • More Information ~ What is Radon
      • Health Risks
        • More Information ~ Health Risks
      • Radon in Arizona
      • Why should a home be tested?
      • Testing Methods
        • Closed House Conditions
        • Device Location
        • EPA Testing Checklist
      • New Construction
      • Mitigation
        • Crawl Spaces, Piping and Fans
        • Slab on Grade Homes
        • Drainage System
        • Under-Slab Ductwork
        • Air Filtration Systems
        • Mitigation Checklist
      • Radon in Water
      • Disclosure
      • Key Points for Handling Radon Issues
      • Radon FAQs
      • Resources
        • Surveys
      • Become Certified Radon Professional
    • What to do?
      • Radon Testing
        • Less than 48 Hours
        • Short-Term Test
        • Long-Term Test
        • Test Results
          • Mitigate Test Results
    • Radon Links
  • Home
  • Nonionizing Facility
  • Nonionizing Forms

Nonionizing Forms

NOTE: Forms are electronically fillable using Adobe Acrobat Reader 8 or higher. To use features such as saving changes to the form and the ability to digitally sign, users should right click to save and open them using Reader and not open them through their web browser (Chrome, Firefox, Edge, etc...). Agency employees are unable to provide technical support on these features.  

Facility Registration Forms
Non-Ionizing Facility Registration (ARRA-NIR) - For Registering New Facilities | Update Exisiting Facility Information | Renew Exisiting Registration
Non-Ionizing Machine Information (ARRA-NIMI) - For Registering Nonionizing Devices (Each Device Being Registered Requires a Seperate Form)
Nonionizing Annual and Registration Fee Schedule
Acknowledgement Forms
LSO Acknowledgement Statement - Form for Laser Safety Officers
RF Acknowledgement Statement
Cosmetic Facility Medical Director Acknowledgement - Form for IPL/Laser Hair Removal and/or Laser Cosmetic Facilities
Medical Director Acknowledgement (Non-Cosmetic) - Form for Medical Facilities (Dental Offices, Hospitals, Medical Offices, Veterinary Offices, Podiatric)
Medical Director Acknowledgement (Chiro) - Form for Chiropractic Offices
Individual/Professional Attestation Forms
Medical Director/Prescribing Official Application/Attestation - Application Form for Medical Director Training and Experience Attestation (MD, DO, NMD, NP)
Health Professional Training Application/Attestation - Application Form for Health Professional Training and Experience Attestation(RN or PA

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
  • Nonionizing Radiation Topics
    • Cellular Phones
    • Laser Pointers
    • Lasers
    • Ultraviolet Radiation
  • Nonionizing Frequently Asked Questions
  • Nonionizing Radiation Links
  • IRS Indoor Tanning TAX
  • Forms
Arizona State Seal
Contact Arizona Radiation Regulatory Agency
Arizona Radiation Regulatory Agency
4814 S. 40th St.
Phoenix, AZ 85040
Find in Google Maps
Phone: (602) 255-4845
Fax: (602) 437-0705
Map Image

Footer Nav

  • Privacy Statement
  • Site Map
  • Statewide Policies