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Applications and Forms

Table of Contents


X-Ray Machines

Document Number Title
 RC 17-R  Termination Form 
 RC 42-I

 Industrial Radiation Safety Officer (RSO) Form

*RSO changes* can be completed online using the Regulatory Services Online Licensing System. For additional information visit the Online Application Instructions page.

 RC 42-IR

 Industrial Radiography Radiation Safety Officer (RSO) Form

*RSO changes* can be completed online using the Regulatory Services Online Licensing System. For additional information visit the Online Application Instructions page.

 RC 42-R

 Radiation Safety Officer (RSO) Form

*RSO changes* can be completed online using the Regulatory Services Online Licensing System. For additional information visit the Online Application Instructions page.

 RC 204  Radiation Machine Source Unit Fee Schedule
 RC 226-1  Business Information Form - Registration
 RC 226-2  Radiation Machine Application
 RC 226-3

 Industrial Radiation Machine Application

*Equipment, name, address, and RSO changes* can be completed online using the Regulatory Services Online Licensing System. For additional information visit the Online Application Instructions page.

 RC 226-4

 Industrial Services Application

 RC 226-08  Mobile Services
 RC 226-09  Coronary Calcium Screening
 RC 226-10  Osteoporosis Screening
 RC 226-11  CT Lung Screening
 RC 229-01  Additional Information for Accelerator Registration
 RC 229-02  Electronic Brachytherapy Registration
 RC 229-03  Superficial Radiation Therapy (SRT) Registration

Equipment Performance Evaluation

Please contact Trae Windham via email or telephone at (737) 218-7084, about any other inspection forms.

Document Number Title
EPEDent-1 Equipment Performance Evaluation, Dental Radiographic Unit (PDF, 776KB)
EPERad-1 Equipment Performance Evaluation, Radiographic Unit (PDF, 92KB)
EPEVet-1 Veterinary Equipment Performance Evaluation (PDF, 72KB)


Notice to Employees

Document Number Title
RC 203-1 Notice to Employees 
RC 232-1 Notice to Employees (Dentists Only) 
RC 233-2 Notice to Employees (Vets Only) 

Licensing Reciprocity

Document Number Title
None Notice of Intent to Work in Texas Under Reciprocity - Non Industrial-Radiography (PDF, 132KB)
None Notice of Intent to Work in Texas Under Reciprocity - X-Ray Services (PDF, 204KB)