Nevada Department of Health and Human Services Forms

This document is for applying for a license to use a portable nuclear density gauge in Nevada. It is necessary to comply with the Nevada Radiation Control Program regulations.

This form is used to apply for a license to operate a fixed nuclear density gauge in the state of Nevada, as regulated by the Nevada Radiation Control Program.

This document is for notifying the Nevada Radiation Control Program about a change in ownership for a business.

This document is a checklist for obtaining a license for fixed gauge radioactive materials in Nevada.

This document is a checklist for obtaining or renewing a radiopharmacy license in Nevada. It outlines the requirements and steps involved in the process.

This document is a checklist for individuals applying for a new or renewal medical license in Nevada specifically for the Radioactive Materials (RAM) Program.

This document is a checklist for obtaining or renewing an accelerator-cyclotron license for the Radioactive Materials (RAM) Program in Nevada. It provides a list of requirements and steps to follow for the licensing process.

This form is used for making changes to the information of a mammographer in the radiation control program in Nevada.

This form is used for applying for a certificate of authorization as a mammographer in the state of Nevada. It is part of the Radiation Control Program.

This Form is used for requesting termination of a mammographer in the Radiation Control Program in Nevada.

This document is an addendum to the application for a Certificate of Authorization for a mammography machine in the state of Nevada. It is required by the Nevada Radiation Control Program.

This document is used for applying for a Certificate of Authorization for a mammography machine in Nevada through the Nevada Radiation Control Program.

This type of document is used for applying for a Certificate of Authorization to operate a mammography machine in the state of Nevada through the Nevada Radiation Control Program.

This form is used for the annual registration of non-MQSA mammography machines in Nevada as part of the state's Radiation Control Program.

This document is a template for recording the experience of physicians in the state of Nevada. It includes sections for detailing their education, training, and professional background.

This document is an addendum to the application for a certificate of authorization for a mammography machine in Nevada. It is specifically related to the Nevada Radiation Control Program.

This document provides a guide for handling incidents involving radiation in Nevada. It offers information on the state's Radiation Control Program and how to effectively manage and respond to incidents related to radiation.

This document provides guidelines and procedures for responding to incidents involving hazardous materials in Nevada as part of the Transportation Emergency Preparedness Program (TEPP). It covers the necessary steps to ensure the safety of individuals and the environment in such situations.

This document outlines the steps for recovering from a radiological transportation incident in Nevada. It is part of the Transportation Emergency Preparedness Program (TEPP).

This document is used to correct a record in the state of Nevada.

This document is used for providing additional information or sworn statements in Nevada court proceedings.

This document is used to request a certified copy or verification of a death certificate in Nevada.

This Form is used for applying for a certified birth certificate in the state of Nevada as per NRS 440.700 (4a).

This document is for requesting a search of marriage or divorce records in Nevada. It can be used to find information about someone's marital status or history of divorce in the state.

This document is used to apply for a replacement certificate of foreign born in the state of Nevada.

This form is used for obtaining a burial transit permit in the state of Nevada. It is necessary for the transportation and burial of a deceased individual within the state.

This document is used to obtain a delayed certificate of birth for individuals born in Nevada. It is typically needed when the original birth certificate was not registered within the designated timeframe after birth.

This form is used to notify the state of Nevada of changes in personnel.

This document provides a listing of trainings completed by various individuals involved in facility and family/group care in Nevada. It includes trainings for staff, residents, employees, substitutes, alternates, and volunteers.

This type of document is used for obtaining a waiver for a fingerprint background check in Nevada.

This document is a checklist for community-based living arrangement applications in Nevada. It is used by organizations to ensure all necessary information and documents are included in the application.

This document is a notice related to the National Child Protection Act of 1993 as amended by the Volunteers for Children Act in Nevada. It provides information regarding child protection measures and requirements for volunteers working with children.

This form is used for requesting fingerprints for individuals applying for Community Based Living Arrangement (CBLA) services in Nevada.

This form is used for employee or contractor certification in Nevada for safeguarding federal tax information training.

This form is used for the National Medical Support Notice Recall Letter in the Child Support Enforcement Program in Nevada.

This Form is used for the custodian of a minor child in Nevada to declare a change of child support payee. It provides instructions on how to complete and submit the form.

This Form is used for the custodian of a minor child in Nevada to declare a change in child support payee.