Radioactive Materials Forms
Please submit all applications to:
E-mail: [email protected] (preferred – please include License Number in Subject).
Certain licensing actions require a ‘wet ink’ signature on record, if that is the case, the specialist assigned to your facility will contact you.
Georgia Department of Natural Resources
Radioactive Materials Program
4244 International Parkway, Suite 120
Atlanta, GA 30354
For General Licensing, submit forms to [email protected]
For Reciprocity Applications, submit forms to [email protected].
-
Application
for Radioactive Materials License [Revised June 2021]
-
Part
37 Commitment Form
- Procedures for Submitting Confidential Information
- Fee Table for Radioactive Materials Licenses [Revised June 2019] (Note: The fee schedule for radioactive materials licenses can be found in section 391-3-17-.10 - Administration. Amended)
-
Fee
Table for Radioactive Materials Licenses [Effective April 21, 2024]
- Georgia Emergency Radiological Assistance Telephone Numbers [Revised March 2018]
- Georgia Emergency Radiological Assistance Telephone Numbers [Spanish]
-
Notice
to Employees: Standards for Protection Against Radiation (English/Español) [Revised Sep 2018]
- Request to Terminate Radioactive Material License [Revised Mar 2014]
-
Reciprocity
FAQ
- Reciprocity for Out-of-State Users of Radioactive Materials
- Reciprocity Notification [Revised Dec 2018]
-
Generally
Licensed (GL) Device Registration Form [Revised February 2023]
- Registration Certificate--in vitro Testing with Radioactive Material
- Small Entity/Lower Tier Attestation Form
-
Transfer
of Ownership Form