Rcb form 016 2026

1. Click ‘Get Form’ to open rcb form 016 in the editor.
2. Begin by selecting the appropriate application type at the top of the form: New License, Amendment, or Renewal. Ensure you check the correct box.
3. Fill in your name and mailing address in section 2. Include your PRC or Tax & Rev. number and fax number if applicable.
4. In section 3, provide the address where licensed material will be used or possessed.
5. Complete section 4 with the name of the contact person regarding this application and their telephone number.
6. For items 5 through 11, prepare separate attachments as instructed. Detail radioactive materials requested, their purpose, responsible individuals for radiation safety, training experiences, facilities and equipment, radiation safety program, and waste management.
7. In section 12, indicate whether you have paid annual fees or are attaching payment with this application.
8. Finally, complete section 13 by certifying that all information is accurate. Print or type your name and title, sign, and date the form.

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