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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 6, 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 is the purpose of NRC Form 396?
A: The purpose of NRC Form 396 is to certify the medical examination of individuals who work with radioactive materials.
Q: What does NRC Form 396 certify?
A: NRC Form 396 certifies that an individual has undergone a medical examination and is physically qualified to work with radioactive materials.
Q: Is NRC Form 396 mandatory?
A: Yes, NRC Form 396 is mandatory for facility licensees to ensure the safety and health of workers handling radioactive materials.
Form Details:
- Released on December 6, 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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