RMS - Licenses of Broad Scope Guidance


Licenses of Broad Scope

This information is being provided for licensees who are applying for renewal or a new license for a license of broad scope (medical, academic or research & development).

Documents are usually available in both Word97 () and PDF () formats. The available format is listed in the right-most columns of the table below. The Word files are locked and only certain regions of certain forms are editable. Save the form to your network or local drive and edit as necessary. Make sure that the "Show/Hide" (¶ on the tool bar) setting is set to "Show" in order to use the forms in Word.

NOTE: The application and/or amendment forms MUST be signed as indicated in the licensing guide. DRP has no ability to accept electronic signatures at this time. Should this policy change, the website will be updated for this provision.

To find the status of a licensing action, contact Nick Driver at (919) 571-4141

Description of Guide(s)/Form(s)

Licensing Guide for Broad Academic Licenses
Licensing Guide for Broad Medical Licenses
Licensing Guide for Broad Research & Development Licenses
Licensing Guide for High Dose Rate Afterloaders
Licensing Guide for Brachytherapy
Memorandum to All Licensees
Application for Radioactive Materials License
Amendment Form
Guidance on Adding Board Certified Physician Authorized Users
Preceptor Statement (Supplement A) for Medical Licenses
NRC Regulatory Guide 8.39 "Release of Patients Administered Radioactive Materials"
Medical Event Reporting Form (EFFECTIVE March 01, 2008)
Dose to an Embryo/Fetus or Nursing Child Reporting Form (EFFECTIVE March 01, 2008)