Texas rc form 252-1
WebYes No NOTE: Also complete Business Information Form (RC Form 252-1) 3. This application is for: 4. Location where records will be kept: New License Renewal of present license # If new license, have you held a previous license with Texas? If yes, list license number(s)/name(s). 5. Individual users and their titles: 6. WebComplete Rc252-2b.doc. Forms And Forms Information - Dshs State Tx online with US Legal Forms. Easily fill out PDF blank, edit, and sign them. ... RC Form 252-2b (Rev. 09/05) Page one of two Texas Department of State Health Services PRECEPTOR STATEMENT FOR LICENSE APPLICATION PREPARED FOR CONSIDERATION TO RAM LICENSE NUMBER: …
Texas rc form 252-1
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WebMar 31, 2024 · The request for reciprocity shall include the following: (i) completed RC Form 226-1 (Business Information Form); (ii) completed RC Form 252-3 (Notice of Intent to Work in Texas Under Reciprocity); (iii) name and Texas licensing board number of the dentist if the radiation machines are used on humans; (iv) copy of the applicant's current state ... WebFollow the step-by-step instructions below to design your texas 226 1: Select the document you want to sign and click Upload. Choose My Signature. Decide on what kind of signature to create. There are three variants; a typed, drawn or uploaded signature. Create your signature and click Ok. Press Done. After that, your texas rc form is ready.
Weban e-mail address and fax number. Also complete and submit RC Form 252-1, “Business Information Form,” available from the department’s website. Note that financial assurance is not required. A shipper who does business in the State of Texas must be registered with the Texas Secretary of State’s Corporations Section. Web(A) identify the source or device by manufacturer and model number as registered in accordance with subsection (v) of this section or with equivalent regulations of the United States Nuclear Regulatory Commission (NRC) or any agreement state, or for a source or a device containing radium-226 or accelerator-produced radioactive material registered …
Web( Other: *Complete and attach RC Form 252-1 (Business Information Form) with your application. **Check this box and provide the license number if you currently hold a radioactive material license in Texas and want the acknowledgement incorporated in … BUSINESS INFORMATION FORM Texas Department of State Health Services Radiation Safety Licensing Branch MC-2003 PO BOX 149347, Austin, TX 78714-9347 …
WebFill out, securely sign, print or email your RC Form 251-2 APPLICATION FOR A GENERAL LICENSE ACKNOWLEDGEMENT (GLA). Application for General License Acknowledgement …
Web25 Tex. Admin. Code § 289.226 - Registration of Radiation Machine Use and Services State Regulations Compare (a) Purpose. (1) This section provides for the registration of … cpt code incision and drainage scalp abscessWebRC Form 251-2 APPLICATION FOR A GENERAL LICENSE ACKNOWLEDGEMENT (GLA) INSTRUCTIONS: Complete this application in accordance with the instructions below. … cpt code impacted wisdom teethWebAmended by Acts 1999, 76th Leg., ch. 1064, Sec. 38, eff. Sept. 1, 1999. Sec. 252.046. CIRCUMSTANCES IN WHICH CURRENT FUNDS TO BE SET ASIDE. If an expenditure under the contract is payable by warrants on current funds, the governing body of the municipality by order shall set aside an amount of current funds that will discharge the principal and ... distance from okc to stillwater oklahomaWeb(vii) a copy of the completed RC Form 252-1 (Business Information Form); (C) the out-of-state licensee complies with all applicable rules of the agency and with all the terms and conditions of the licensee's licensing document, except any such terms and conditions that may be inconsistent with applicable rules of the agency; distance from okc to waco txWebTexas Administrative Code (3) Once reciprocity is granted, the out-of-state registrant shall file a RC Form 252-3 with the department before each entry into the state. This form shall … distance from okc to port aransas txWeb(1) Each licensee shall maintain records showing the results of surveys and calibrations required by subsections (p) and (ee)(2) of this section and include a unique identification of survey instrument(s). The licensee shall retain these records for three years after the record is made. (2) (No change.) Proposed - 3 (oo) - (ww) (No change.) distance from okc to sallisaw okWebEach applicant must submit the following forms in duplicate: RC Form 252-1 (Business Information Form) Applicants must sign and submit, in duplicate, a completed Business Information Form, including a certification statement of financial qualification to conduct the requested activity, including any decontamination, decommissioning, reclamation … cpt code incision and drainage shoulder