Licensee Resources

Information Notices

Licensing Guides:

• U.S. Nuclear Regulatory C​ommission Guidance  for Specific ​​Licenses (NUREG-1556 vol. 9, rev. 3)
• U.S. Nuclear Regulatory Commission Guidance  for Broad Scope Licenses 
• Guidance for Decay in Storage Method of Waste Disposal (PDF) 
• Licensing checklist for Gas Chromatographs (PDF)
• Licensing checklist for X-ray Fluorescence Devices (PDF)
• Licensing guidance for Krypton-85 (PDF)
  

Licensing Forms:

• ​​RH 2050 (PDF) - Radioactive Materials License Application​
• RH 313A (RSO) (PDF) - Interactive Training and Experience Form for Radiation Safety Officer
• RH 313A (AU) (PDF) - Interactive Training and Experience Form for Authorized User
• RH 313A (AMP) (PDF) - Interactive Training and Experience Form for Authorized Medical Physicist
• RH 313A (ANP) (PDF) - Interactive Training and Experience Form for Authorized Nuclear Pharmacist
• RH 2050A (PDF) - Statement of Training and Experience (Non-medical).
• CDPH 5314 Notice (PDF) - Information about terminating a License.
• CDPH 5314 (PDF) - Certificate of Disposition of Materials.
• Ownership Change - Sample (DOCX) - Sample letter for requesting a change of ownership. (Note: If you are having difficulty accessing this document, please contact CDPH at RHBGLLicensingInfo@cdph.ca.gov to request this information in an alternate format.)

Licensing Documents:

Radiation Safety Officer (RSO) - Duties & Responsibilities and Delegation of Authority

• CDPH 8243 MRM (PDF) - For Medical Use
• CDPH 8243 MRMA (PDF) - For Medical and Academic Use
• CDPH 8243 MRA (PDF) - For Academic Use
• CDPH 8243 MRP (PDF) - For Pharmacy Use​​​​​