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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 June 1, 2022 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 uses NRC Form 396?
A: Facility licensees use NRC Form 396.
Q: What does NRC Form 396 certify?
A: NRC Form 396 certifies the medical examination of individuals by facility licensees.
Q: Why is NRC Form 396 important?
A: NRC Form 396 is important for ensuring the health and safety of individuals working in facilities licensed by the Nuclear Regulatory Commission.
Form Details:
- Released on June 1, 2022;
- 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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