RC Form 251-2 GLA 2026

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The document is an application form (RC Form 251-2 GLA) from the Texas Department of State Health Services for obtaining a General License Acknowledgement (GLA) for devices containing radioactive material. It outlines the necessary steps to complete the application, including providing personal and business information, device data, and submitting appropriate fees. The form also includes instructions for amendments to existing licenses and emphasizes compliance with regulatory requirements.

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Click ‘Get Form’ to open the RC Form 251-2 GLA in the editor.
Begin by filling in the Legal Business Name and Business Mailing Address of the applicant in Item 1. Ensure that this information is accurate as it represents your official application.
In Item 2, designate a Responsible Person (RP) who will maintain records and ensure compliance. Provide their contact details in Item 3.
If the mailing address is not a physical location, complete Item 4 with the appropriate information.
Specify the address where radioactive material will be used or stored in Item 5. If there are multiple sites, list each one clearly.
Indicate whether you are applying for a New GLA or an amendment in Item 6 by checking the appropriate box and providing any necessary details.
Complete the DEVICE DATA section (Item 7) by listing all required device information accurately, including manufacturer, model, and serial numbers.
Finally, sign and date the application in Item 8 to certify that all provided information is true and correct before submitting it through our platform.

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