Licensing and Forms

Any organization or individual intending to possess or use radioactive materials must obtain a license. The use of very small amounts of radioactive materials -- like the tiny radiation source inside many smoke detectors -- is exempt from licensing or is authorized by a general license, which does not require active control to assure safety. However, for the manufacturing of these and similar items, a specific license involving regulatory control is required.

Minnesota Department of Health (MDH) license specifies the types and quantities of radioactive materials that may be possessed and used, as well as any specific restrictions on their use. Typically, licenses describe the location of use, the training and qualifications of workers, specific procedures for using the materials, and any special safety precautions required. The license holder must follow the specific license requirements as well as the more general MDH rules.

• Fee Schedule (PDF)
• Application for Radioactive Materials License (PDF)
• Delegation of Authority (PDF)
• Form 3 - Notice to Employees (PDF)
• Form 4 - Cumulative Occupational Exposure History (PDF)
• Form 5 - Occupational Exposure Record (PDF)
• Form 11 - Registration of Generally Licensed Devices (PDF)
• Form 313A - RSO Preceptorship (PDF)
• Form 313B - AMP Preceptorship (PDF)
• Form 313C - ANP Preceptorship (PDF)
• Form 313D - AUD Preceptorship (PDF)
• Form 313L - Low Dose Brachytherapy Seeds (PDF)
• Form 313S - AUS Preceptorship (PDF)
• Form 313T - AUT Preceptorship (PDF)
• Form 314 - Disposition of Radioactive Material (PDF)
• Form 483 - In Vitro Testing Under General License (PDF)

Other resources

• Specialty Boards Recognized by the NRC and MDH