Special Instructions: |
Instructions
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Submit this form to:
Director, Office of Nuclear Materials Safety and Safeguards ATTN: Materials Safety and Tribal Liaison Branch, MS: T-5 B60 U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001.
Detailed guidance on making electronic submissions can be obtained by visiting the NRC 's Electronic Submittals Application Web site; by e-mail to MSHD Resource; or by writing the Office of the Chief Information Officer, U.S. Nuclear Regulatory Commission, Washington, DC 20555 -0001.
(At NRC, a registration number will be assigned and a validated copy of NRC Form 483 will be returned.)
- In the box above, print or type the name, address (including Zip Code), telephone number, and e-mail address of the registrant physician, clinical laboratory, hospital, or veterinarian in the practice of veterinary medicine for whom or for which this registration form is filed.
For questions please contact:
Esther Bryan, Project Manager, NMSS/MSST/MSLB
Telephone: (301) 415-5011 or
Email: Esther.Bryan@nrc.gov |