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Radiation forms

Please note that not all forms are available online. If the form you are looking for is not here, contact the Environment Protection Authority (EPA) Hazardous Materials, Chemicals and Radiation Section on (02) 9995 5000 or 131 555 for a printed copy.

Please print out the form(s) you need, fill in by hand, sign, and mail to:

Hazardous Materials, Chemical and Radiation Section
NSW Environment Protection Authority
PO Box A290
Sydney South NSW 1231

Consulting Radiation Experts

• Application for accreditation - Consulting Radiation Expert (CREappln.pdf, 104KB)

Books of certificates of compliance are avauilable for use by consulting radiation experts (CREs) accredited under the Radiation Control Act 1990 to assess radiation apparatus for the purpose of certifying compliance with the requirements for registration. CREs must only use certificates of compliance approved by the EPA for reporting compliance. Approved certificates are available for purchase from the EPA but only by appropriately accredited CREs. To order a booklet of certificates, CREs should print and complete the appropriate order form below.

• Request for books of certificate of compliance for diagnostic imaging apparatus (certofcompDIA.pdf, 78KB)
• Request for books of certificate of compliance for fixed radiation gauges (certofcompFRG.pdf, 78KB)

Licensing

• Application for licence to use ionising radiation apparatus and/or radioactive substances (licencetouseappln.pdf, 140KB)
• Application for licence to sell and/or possess ionising radiation apparatus and/or radioactive substances (licencesellpossessappln.pdf, 119KB)
• Application to vary a licence to use or to sell and/or possess radiation apparatus and/or radioactive substances (licencetousesellvaryappln.pdf, 118KB)
• Renewal of licence and change of licensee details (licencetouserenewal.pdf, 119KB)
• Application for course providers seeking approval of radiation safety courses for the purposes of licensing (courseappln.pdf, 113KB)

Mutual recognition

• Statutory declaration for mutual recognition (mutualrecogstatdec.pdf, 96KB) - refer to mutual recognition guideline prior to completing statutory declaration.

Registration

• Registration application: Ionising radiation apparatus used in diagnostic imaging (regapplnDIA.pdf, 113KB)
• Registration application: Ionising radiation apparatus used for radiotherapy or radiotherapy planning purposes (regtherapyappln.pdf, 33KB)
• Registration application: Sealed source devices (regSSDappln.pdf, 132KB)
• Application for registration for premises on which a radioactive substance (not contained in a sealed source device) is kept or used (regpremisesappln.pdf, 149KB)
• Renewal and notification of change of registration details: Ionising radiation apparatus used in diagnostic imaging, radiotherapy and planning of radiotherapy (regchanges.pdf, 130KB)
• Notification of change of source(s) (changeofsource.pdf, 181KB)

Solaria

• Notification of solaria (solarianotification.pdf, 80KB) 
• Skin type assessment form - Solaria (SkinTypeAssessmentForm.pdf, 16KB)
• Consent form - Solaria (ConsentFormSolaria.pdf, 8.87KB)

Transfer, sale and give away, and disposal

• Application for transfer of registration and notification of sale or give away: Ionising radiation apparatus used in diagnostic imaging, radiotherapy and planning of radiotherapy (regDIAtransfer.pdf, 131KB)
• Application for transfer of registration and notification of sale or give away of sealed source devices (regtransferSSD.pdf, 138KB)
• Application for transfer of registration for premises on which a radioactive substance not contained in a sealed source devise is kept or used (regpremisestransfer.pdf, 112KB)
• Notification of sale or give away: Ionising radiation apparatus (notifysaleorgiveawayapparatus.pdf, 150KB)
• Notification of disposal: Ionising radiation apparatus used in diagnostic imaging, radiotherapy and planning of radiotherapy (disposalDIA.pdf, 115KB)