Florida dh materials license template: Fill out & sign online

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Click ‘Get Form’ to open the Florida DH Materials License template in the editor.
Begin by filling out Item 1.a, providing your legal name, mailing address, FEI number, and contact information. Ensure all details are accurate for processing.
In Item 1.b, specify the street address where radioactive materials will be used or stored. If it’s the same as above, simply check the box provided.
Proceed to Item 3 to select the type of application you are submitting: New License, Amendment, or Renewal. Indicate the license fee category and include any applicable fees.
Complete Items 4 and 5 by listing all authorized users and their contact information. This is crucial for compliance with safety regulations.
For Items 6.a and 6.b, detail the radioactive materials you intend to use. Be specific about possession limits and provide additional information as necessary.
Finally, ensure that Item 35 is completed with a signature from an authorized official certifying that all information is true and correct before submission.

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