NRC Form 664 - General Licensee Registration

Form Number: NRC Form 664
Form Title: General Licensee Registration
Current Edition: 11-2020
Authority Directive or Regulation: 10 CFR 31.5
Form Status: Approved by OMB: 3150-0198, Expires: 09/30/2022
Special Instructions:

Instructions are included on pages 2 and 3 and also throughout the form.

For questions please contact:

Don Lowman, Health Physicist, NMSS/MSST/MSLB
Telephone:  (301) 415-5452 or
E-mail:  Donald.Lowman@nrc.gov

Page Last Reviewed/Updated Tuesday, December 01, 2020