Radiation Management Permits
- Radioactive Materials
- Reciprocity
- Therapeutic X-Ray Machines
- Industrial - Analytical X-ray Machines
Forms
- DEQ FORM #410-313 Application For Material License
- DEQ FORM #100-810 Landowner Affidavit
- DEQ FORM #410-526 Certification of Small Entity Status for the Purposes of Annual Fees
- DEQ FORM #410-314 Certificate of Disposition
- DEQ FORM #410-3 Notice to Employees
- DEQ FORM #410-GLD Generally Licensed Device Site Registration
- DEQ FORM #410-INV In-vitro clinical & laboratory testing
- Information Needed for Transfer of Control
- Delegation of Authority
Guidance
Forms
- DEQ FORM #410-241 Report of Proposed Activities – Radioactive Material
- DEQ FORM #410-241x Report of Proposed Activities – X-ray Machines
Guidance
Guidance on second page of each form.
Forms
- DEQ FORM #410-11-1 Application For Permit for Radiation Producing Equipment Therapeutic X-Ray Systems
- DEQ FORM #410-11-2 Registration of Therapeutic X-Ray Systems
- DEQ FORM #100-810 Landowner Affidavit
Guidance
Contact Radiation Management for more information.
Forms
- DEQ FORM #410-13-1 Application For Permit For Radiation Producing Equipment
- DEQ FORM #410-13-2 Registration of Industrial and Analytical X-ray Machines
- DEQ FORM #100-810 Landowner Affidavit
Guidance
Last Modified on
Nov 14, 2025
