Applications and Forms

Table of Contents

X-Ray Machines

Document Number	Title
RC 17-R	Termination 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 204	Radiation Machine Source Unit Fee Schedule
RC 226-01	Business Information Form - Registration
RC 226-02	Radiation Machine Application - New & Renewal
RC 226-03	Radiation Machine Application - Amendment *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 226-04	Industrial Radiation Machine Application - New, Reciprocity, & Renewal
RC 226-05	Industrial Radiation Machine Application - Amendment *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 226-06	Radiation Machine Services Application - New, Renewal, & Amendment
RC 226-08	Mobile Services
RC 226-09	Coronary Calcium Screening
RC 226-10	Osteoporosis Screening
RC 226-11	CT Lung Screening
RC 229-01	Additional Information for Accelerator Registration
RC 229-02	Electronic Brachytherapy Registration
RC 229-03	Superficial Radiation Therapy (SRT) Registration

Equipment Performance Evaluation

Please contact Trae Windham via email or telephone at (737) 218-7084, about any other inspection forms.

Document Number	Title
EPEDent-1	Equipment Performance Evaluation, Dental Radiographic Unit (PDF, 776KB)
EPERad-1	Equipment Performance Evaluation, Radiographic Unit (PDF, 92KB)
EPEVet-1	Veterinary Equipment Performance Evaluation (PDF, 72KB)

Notice to Employees

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

Licensing Reciprocity

Document Number	Title
None	Notice of Intent to Work in Texas Under Reciprocity - Non Industrial-Radiography (PDF, 132KB)
None	Notice of Intent to Work in Texas Under Reciprocity - X-Ray Services (PDF, 204KB)