Applications and Forms

Table of Contents


X-Ray Machines

Document NumberTitle
 RC 17-RTermination Form 
 RC 42-I

 Industrial Radiation Safety Officer (RSO) Form

*RSO changes* can be completed online using the Regulatory Services Online Licensing System. For additional information visit the Online Application Instructions page.

 RC 42-IR

 Industrial Radiography Radiation Safety Officer (RSO) Form

*RSO changes* can be completed online using the Regulatory Services Online Licensing System. For additional information visit the Online Application Instructions page.

 RC 42-R

 Radiation Safety Officer (RSO) Form

*RSO changes* can be completed online using the Regulatory Services Online Licensing System. For additional information visit the Online Application Instructions page.

 RC 204Radiation Machine Source Unit Fee Schedule
 RC 226-1Business Information Form - Registration
 RC 226-2Radiation Machine Application
 RC 226-3

 Industrial Radiation Machine Application

*Equipment, name, address, and RSO changes* can be completed online using the Regulatory Services Online Licensing System. For additional information visit the Online Application Instructions page.

 RC 226-4 Industrial Services Application
 RC 226-08Mobile Services
 RC 226-09Coronary Calcium Screening
 RC 226-10Osteoporosis Screening
 RC 226-11CT Lung Screening
 RC 229-01Additional Information for Accelerator Registration
 RC 229-02Electronic Brachytherapy Registration
 RC 229-03Superficial Radiation Therapy (SRT) Registration

Equipment Performance Evaluation

Please contact Rick Croy via email or telephone at (512) 968-4330, about any other inspection forms.

Document NumberTitle
EPEDent-1Equipment Performance Evaluation, Dental Radiographic Unit
EPERad-1Equipment Performance Evaluation, Radiographic Unit
EPEVet-1Veterinary Equipment Performance Evaluation


Notice to Employees

Document NumberTitle
RC 203-1Notice to Employees 
RC 232-1Notice to Employees (Dentists Only) 
RC 233-2Notice to Employees (Vets Only) 

Licensing Reciprocity

Title
Notice of Intent to Work in Texas Under Reciprocity - Non Industrial-Radiography 
Notice of Intent to Work in Texas Under Reciprocity - X-Ray Services