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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.
NRC Form 396 Certification of Medical Examination by Facility Licensee
What Is NRC Form 396?
This is a legal form that was released by the U.S. Nuclear Regulatory Commission on December 1, 2019 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is NRC Form 396?
A: NRC Form 396 is a Certification of Medical Examination by Facility Licensee.
Q: Who completes NRC Form 396?
A: The facility licensee completes NRC Form 396.
Q: What does NRC Form 396 certify?
A: NRC Form 396 certifies the medical examination status of individuals working at the facility.
Q: What is the purpose of NRC Form 396?
A: The purpose of NRC Form 396 is to ensure that individuals working at the facility are medically fit for their roles.
Q: Is NRC Form 396 mandatory?
A: Yes, it is mandatory for facility licensees to complete and maintain NRC Form 396 for their employees.
Q: Can individuals access NRC Form 396?
A: No, NRC Form 396 is completed and maintained by facility licensees only.
Q: Are there any fees associated with NRC Form 396?
A: There are no fees associated with NRC Form 396.
Q: What happens if a facility licensee does not complete NRC Form 396?
A: Failure to complete NRC Form 396 can result in non-compliance with NRC regulations.
Form Details:
- Released on December 1, 2019;
- The latest available edition released by the U.S. Nuclear Regulatory Commission;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
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.
Download NRC Form 396 Certification of Medical Examination by Facility Licensee
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