This version of the form is not currently in use and is provided for reference only. Download this version of State Form 9977 for the current year.
This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 9977?
A: Form 9977 is the Radiation Machine Registration Application in Indiana.
Q: What is the purpose of Form 9977?
A: The purpose of Form 9977 is to register radiation machines in Indiana.
Q: Who needs to fill out Form 9977?
A: Anyone who owns or operates a radiation machine in Indiana needs to fill out Form 9977.
Q: Is there a fee for submitting Form 9977?
A: Yes, there is a fee associated with submitting Form 9977.
Q: Are there any requirements for radiation machine registration in Indiana?
A: Yes, there are specific requirements that need to be met for radiation machine registration in Indiana. These requirements can be found on Form 9977.
Q: What happens after I submit Form 9977?
A: After submitting Form 9977, the Indiana State Department of Health will review the application and issue a registration certificate if approved.
Q: What if I need to make changes to my registration?
A: If you need to make changes to your registration, you must submit an updated Form 9977 to the Indiana State Department of Health.
Q: What is the deadline for submitting Form 9977?
A: The deadline for submitting Form 9977 is typically 30 days prior to operating a radiation machine in Indiana, or upon acquisition or installation of a new radiation machine.
Form Details:
Download a fillable version of State Form 9977 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.