Hyperlinks to Radiation Control Forms & Procedures
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The Radiation Control Division provides this list of frequently used forms and procedures as a one-stop, user-friendly source of information. |
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Items sorted sequentially by DEP Document Number.
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Items sorted sequentially by DEP Document Number.
- 250-3100-001: Final Guidance Document on Radioactivity Monitoring at Solid Waste Processing and Disposal Facilities (PDF)
- 291-4200-001: Medical X-ray Procedures Operator Training Guide (PDF)
- Supplement to 291-4200-001: List of Resources Satisfying Initial and Continuing Education Requirements for Healing-Arts X-ray Operators Involved in High-Risk or Low-Risk Procedures (25 Pa Code 221.11) (PDF)
- 1000-FM-OA0002: Licensing/Permit Questionnaire
- 2900-FM-RP0003: Notice to Employees (PDF)
- 2900-FM-RP0003 (Espanol): Aviso Para Los Empleados (PDF)
- 2900-FM-RP0045: Instructions for Completing the PA DEP/BRP Exempt Material Transportation Approval Form for Household Municipal Waste (PDF)
- 2900-FM-RP0045: PA DEP/BRP Exempt Material Transportation Approval Form for Household Municipal Waste
- PA DEP/BRP Exempt Material Transportation Approval Form for Household Municipal Waste (PDF)
- PA DEP/BRP Exempt Material Transportation Approval Form for Household Municipal Waste (Word)
- 2900-FM-RP0112: Application for Medical Electronic Brachytherapy License (EBX) (Complete package, application and instructions) (PDF)
- 2900-FM-RP0112b: Application for Medical Electronic Brachytherapy (EBX) License Part I—Electronic Brachytherapy Facility Information (Word)
- 2900-FM-RP0112d: Application for Medical Electronic Brachytherapy (EBX) License Part II—Electronic Brachytherapy Facility Unit(s) Information (Word)
- 2900-FM-RP0241: Report of Proposed Activities in Commonwealth of Pennsylvania Except for Areas Under Exclusive Federal Jurisdiction (Reciprocity) Instructions (PDF)
- 2900-FM-RP0241: Report of Proposed Activities in Commonwealth of Pennsylvania Except for Areas Under Exclusive Federal Jurisdiction (Reciprocity)
- Report of Proposed Activities in Commonwealth of Pennsylvania Except for Areas Under Exclusive Federal Jurisdiction (Reciprocity) (PDF)
- Report of Proposed Activities in Commonwealth of Pennsylvania Except for Areas Under Exclusive Federal Jurisdiction (Reciprocity) (Word)
- 2900-FM-RP0483: Registration Certificate—in vitro Testing with Byproduct Material Under General License
- Registration Certificate—in vitro Testing with Byproduct Material Under General License (PDF)
- Registration Certificate—in vitro Testing with Byproduct Material Under General License (Word)
- 2900-FM-RP0526: Certification of Small Entity Status for the Purposes of Reduced Annual Fees Imposed Under 25 PA Code 218.11
- Certification of Small Entity Status for the Purposes of Reduced Annual Fees Imposed Under 25 PA Code 218.11 (PDF)
- Certification of Small Entity Status for the Purposes of Reduced Annual Fees Imposed Under 25 PA Code 218.11 (Word)
- 2900-FS-DEP2218: Darkroom Fog — Fact Sheet (PDF)
- 2900-FS-DEP2635: Monitoring Radioactive Material in Solid Waste (PDF)
- 2900-FS-DEP2809: Model Quality Assurance Program Guidelines for Dental, Diagnostic Radiology and Mammography (PDF)
- 2900-FS-DEP3198: Disposal of Radioactive Sources (PDF)
- 2900-FS-DEP4374: Shipment of Technologically Enhanced Naturally Occuring Radioactive Material Under the U.S. DOT Hazardous Material Transportation Regulations (PDF)
- 2900-PM-RP0001: Radioactive Material License Application
- 2900-PM-RP0016: Application and Fee Schedule for Registration of Radiation Producing Machines: Cover and Instructions (PDF)
- 2900-PM-RP0016: Registration of Radiation-Producing Machines
- Registration of Radiation-Producing Machines (PDF)
- Registration of Radiation-Producing Machines (Word)
- 2900-PM-RP0016a: Terminating Registration of Radiation Producing Machines
- Registration of Radiation Producing Machines (PDF)
- Registration of Radiation Producing Machines (Word)
- 2900-PM-RP0041: Application and Fee Schedule for Non-Medical Accelerator Licenses (PDF)
- 2900-PM-RP0041a: Application Instructions for a Non-Medical Accelerator License — Part I (PDF)
- 2900-PM-RP0041b: Application for a Non-Medical Accelerator License — Part I
- Application for a Non-Medical Accelerator License — Part I (PDF)
- Application for a Non-Medical Accelerator License — Part I (Word)
- 2900-PM-RP0041c: Application Instructions for a Non-Medical Accelerator License — Part II (PDF)
- 2900-PM-RP0041d: Application for a Non-Medical Accelerator License — Part II
- Application for a Non-Medical Accelerator License — Part II (PDF)
- Application for a Non-Medical Accelerator License — Part II (Word)
- 2900-PM-RP0042: Application and Fee Schedule for Medical Accelerator Licenses (PDF)
- 2900-PM-RP0042b: Application for a Medical Accelerator License — Part I (Word)
- 2900-PM-RP0042d: Application for a Medical Accelerator License — Part II (Word)
- 2900-PM-RP0043: Application for an Amendment or Termination of an Accelerator License
- Application for an Amendment or Termination of an Accelerator License (PDF)
- Application for an Amendment or Termination of an Accelerator License (Word)
- 2900-PM-RP0045: Application, Requirements and Fees for Vendor/Service Providers of Radiation Producing Machines (PDF)
- 2900-PM-RP0045a: Registration Instructions for Vendor/Service Provider (PDF)
- 2900-PM-RP0045b:&nsbp; Vendor/Service Provider Registration Form
- 2900-PM-RP0045c: Pennsylvania Vendor/Service Provider's Report to BRP for Radiation-Producing Machines
- Pennsylvania Vendor/Service Provider's Report to BRP for Radiation-Producing Machines (PDF)
- Pennsylvania Vendor/Service Provider's Report to BRP for Radiation-Producing Machines (Word)
- 2900-PM-RP0048: Renewal Application for Medical and Non-Medical Accelerators
- Renewal Application for Medical and Non-Medical Accelerators (PDF)
- Renewal Application for Medical and Non-Medical Accelerators (Word)
- 2900-PM-RP0314: Certificate of Disposition of Materials
- 2900-PM-RP0481: General License
- Please contact the Radiation Control Division for this form
- Phone (717) 787-3720
- Email: EPRadiationContro@state.pa.us
- 2910-FS-DEP3120: Mammography in Pennsylvania (PDF)
- 2910-FS-DEP3127: Disposal Options for Radiation Producing Machines (PDF)
- 2910-FS-DEP3160: CT Screening (PDF)
- Quality Assurance Resources for Use in Healing Arts Radiography (PDF)
- 2910-FS-DEP4034: Medical Reportable Events and Other Medical Reports for Radiation-Producing Machines (PDF)
- 2910-FS-DEP4059: Facts About Radioactive Tritium (PDF)
- 2910-FS-DEP4061: Tritium Exit Sign Owner Responsibilities (PDF)
- 2910-FS-DEP4180: Bone Densitometry X-ray Equipment Operation in Pennsylvania (PDF)
- 2910-FS-DEP4233: Requirements When Using Handheld Analytical X-Ray Equipment (PDF)
- 2910-FS-DEP4319: Continuing Education Requirements for Operators of X-ray Equipment in Medical Dental Facilities (PDF)
- 2910-FS-DEP4320: Continuing Education Requirements for Operators of X-ray Equipment in Medical Podiatry Facilities (PDF)
- 2910-FS-DEP4321: Continuing Education Requirements for Operators of X-ray Equipment in Chiropractic Facilities (PDF)
- 2910-PO-DEP4043: If You Find a Radioactive Source—BEWARE! (PDF)
- 2910-PO-DEP4043 Espanol: Si encuentra una fuente radiactiva—¡TENGA CUIDADO! (PDF)
- 2930-FS-DEP3198: Disposal of Radioactive Sources (PDF)
- 8000-PM-IT0001: General Information Form — Complete Package (PDF)
- 1300-PM-BIT001: General Information Form — Authorization Application Instructions (PDF)
- 8000-PM-IT0001: Authorization/Application Types Affected by DEP's Land Use Policy (PDF)
- 1300-PM-BIT001: General Information Form — Authorization Application
- General Information Form — Authorization Application (PDF)
- General Information Form — Authorization Application (Word)
- 1300-PM-BIT001: General Information Form — Authorization Application Applicant's Checklist
- General Information Form — Authorization Application Applicant's Checklist (PDF)
- General Information Form — Authorization Application Applicant's Checklist (Word)
- 8000-PM-IT0001: General Information Form — Authorization Application Locational Data Codes (PDF)
- 8000-PM-IT0002: Client Type Codes (PDF)
- 8000-PM-IT0004: General Information Form — Authorization Application NAICS Codes (PDF)
- 8000-PM-IT0005: Site-to-Client Relationship Codes (PDF)
- 8000-PM-IT0006: Contacts & DEP Offices (PDF)
- 8000-PM-IT0007: Definitions & Terminology (PDF)
- 8000-PM-IT0013: DEP Radiation Protection Offices Map (PDF)
- 8000-PM-IT0014: DEP Regional Offices Map (PDF)