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Arkansas Department of Health
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Home > Programs & Services > Health Systems Licensing & Regulation > Radiation Control > Radioactive Materials

Forms 

Forms: Fixed Gauge |  Industrial Radiography  | Medical | Portable Gauge

On the pdf forms below, fill in the information online, print it out, sign where appropriate and mail back to us at the address below with any fees that are due.

Downloads
Radioactive Material License Application
General License Application
Fixed Gauge License Application/Renewal Forms
Industrial Radiography License Application/Renewal Forms 
Medical License Application/Renewal Forms
Portable Gauge License Application/Renewal Forms 
Reciprocity
Vendor Registration Form
Fee Schedule
NORM Facility Notification (GL) Form

OfficeAddressPhoneFax
Radioactive Materials 4815 W. Markham Street, Slot 30
Little Rock, AR 72205
501-661-2173501-661-2849

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Recovery.gov   Recovery.Arkansas.Gov

American Recovery and
Reinvestment Act of 2009

Arkansas Department of Health

4815 West Markham Street

Little Rock, Arkansas 72205

1-501-661-2000 or 1-800-462-0599

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