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.
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