Dh1107 2026

1. Click ‘Get Form’ to open the dh1107 in the editor.
2. Begin by filling out Section A, indicating whether this is a new facility registration or a change to an existing registration.
3. In Section B, provide the address information for the radiation machine facility. Ensure all fields are completed accurately, including the facility name, responsible party, and contact details.
4. If your billing information differs from the address provided, complete Section C with the necessary billing and mailing details.
5. For new registrants, identify your facility category in Section D. Select one or more categories that apply to your facility.
6. In Section E, enter detailed information about each radiation machine. Include manufacturer name, model, control serial number, installation date, and room location.
7. Use Section F for any additional comments or information relevant to your application.
8. Finally, review Section G carefully before signing. Ensure all acknowledgments are understood and complete the signature field with your title and date.

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