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The Radioactive Materials Program inspects and issues licenses to approximately 400 radioactive materials users in the fields of medicine, industry, research and academia. In addition, the program has issued 21 in vitro/in vivo general licenses and 164 other general licenses. The program also assists with oversight of radioactive materials and waste transportation throughout the state.

Forms

  • Annual Low Level Radioactive Waste (LLRW) Report, Rev. March 2011 ( Word) ( PDF)  
  • Kentucky Radioactive Materials License Fee Schedule ( Word) ( PDF)
  • Kentucky Reciprocity Location Report, Rev. June 2013 ( Word) ( PDF)
  • Kentucky Weekly Radiography Schedule, Rev. Feb. 2012 ( Word) ( PDF)
  • Notice to Employees ( Word) ( PDF)
  • RPS-7 - Application for Radioactive Material License, Rev. June 2011 ( Word) ( PDF
  • RPS-8 Forms - Authorized User Training and Experience and Preceptor Attestation:
    • RPS-8 AUS - Therapeutic Sealed Sources ( Word) ( PDF)
    • RPS-8 AUT - Therapy Unsealed ( Word) ( PDF)
    • RPS-8 AMP - Medical Physicist ( Word) ( PDF)
    • RPS-8 ANP - Nuclear Pharmacist ( Word) ( PDF)
    • RPS-8 AUD - Diagnostic Imaging ( Word) ( PDF)
    • RPS-8 RSO - Radiation Safety Officer ( Word) ( PDF)
  • RPS-10 - Disposition of Radioactive Material, Rev. March 2011 ( Word) ( PDF
  • RPS-12 - Transfer of Control, Rev. Jan. 2015 ( Word) ( PDF)
  • RPS-180 - TENORM Manifest ( Word) ( PDF)
  • RPS-526 - Small Business Entity Certification ( Word) ( PDF)

Guides

Policies

Medical Resources