This version of the form is not currently in use and is provided for reference only. Download this version of NRC Form 396 for the current year.
This is a legal form that was released by the U.S. Nuclear Regulatory Commission on January 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is NRC Form 396?
A: NRC Form 396 is the Certification of Medical Examination by Facility Licensee.
Q: Who is responsible for completing NRC Form 396?
A: The facility licensee is responsible for completing NRC Form 396.
Q: What is the purpose of NRC Form 396?
A: The purpose of NRC Form 396 is to certify the results of a medical examination conducted by the facility licensee.
Q: What does the NRC Form 396 include?
A: NRC Form 396 includes information about the licensee, the examined individual, the date of the examination, and the signature of the examining physician.
Q: Is NRC Form 396 required by law?
A: Yes, NRC Form 396 is required by law for certain individuals who require medical examinations as part of their nuclear facility licensing requirements.
Q: Can NRC Form 396 be completed electronically?
A: Yes, NRC Form 396 can be completed electronically if allowed by the NRC.
Q: Are there any fees associated with submitting NRC Form 396?
A: There may be fees associated with submitting NRC Form 396, depending on the specific licensing requirements and regulations.
Q: What should I do if I have questions about completing NRC Form 396?
A: If you have questions about completing NRC Form 396, you should contact the Nuclear Regulatory Commission (NRC) for guidance.
Form Details:
Download a fillable version of NRC Form 396 by clicking the link below or browse more documents and templates provided by the U.S. Nuclear Regulatory Commission.