Get Nrc 241 2017-2025

The NRC 241 form is essential for individuals and organizations planning to conduct activities involving radioactive materials in non-agreement states or offshore waters. This guide provides clear, step-by-step instructions to help users fill out this form accurately and efficiently.

Follow the steps to complete your NRC 241 form seamlessly.

1. Press the ‘Get Form’ button to acquire the electronic version of the NRC 241 form and open it in your preferred digital editor.
2. In section 1, provide the name of the licensee, which may be a person or a firm proposing to conduct the activities detailed in the form.
3. Fill out section 3, offering the mailing address of the licensee. Ensure the address is accurate for any future correspondence.
4. Complete section 4 with the contact person’s name and title. This individual should be authorized to represent the licensee.
5. In section 5, include the office number, work cell number, and facsimile number, ensuring users can reach the licensee easily.
6. Provide the email address in section 7 for future communication regarding the application.
7. Take note of section 8 and indicate the activities to be conducted under the general license (e.g., well logging, radiography). Specify your services as needed.
8. Complete sections 9 to 11 with the client’s name, address, and work location telephone number, ensuring all information is accurate.
9. Enter the actual physical address or GPS coordinates in section 10 if the work location does not have a standard address.
10. In section 12, provide work location telephone numbers, including both office and work cell numbers.
11. For section 13, outline the scheduled dates for work, specifying the duration and if work will occur on weekends.
12. Fill in section 14 with the total number of workdays planned for the proposed activities.
13. Sections 15 and 16 are for adding or deleting work dates as necessary, ensuring accurate tracking of planned activities.
14. Complete section 17 with the NRC-assigned location reference number once your application is processed.
15. In section 18, list all radioactive materials to be used, specifying their model numbers and amounts.
16. Section 19 must include the specific license information, which authorizes the activities being reported.
17. Certify the application in section 20 by signing and dating, attesting that all information provided is accurate and complete.
18. Finally, review all entries for accuracy, and then users can save changes, download, print, or share the completed NRC 241 form.

Ensure you complete your NRC 241 form online today to stay compliant with regulatory requirements.