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Get the free USNRC License Relinquishment Notice - pbadupws nrc

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This document serves to inform the U.S. Nuclear Regulatory Commission of the relinquishment of a specific nuclear license by Mine Safety Appliances Company due to inactivity outside Pennsylvania.
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How to fill out usnrc license relinquishment notice

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How to fill out USNRC License Relinquishment Notice

01
Obtain the USNRC License Relinquishment Notice form from the NRC website or your local NRC office.
02
Fill in your personal information in the designated fields, including your name, address, and contact information.
03
Provide your NRC license number, which can usually be found on your existing license documents.
04
Clearly state the reason for relinquishing the license in the provided section.
05
Sign and date the form to certify that the information is accurate and complete.
06
Submit the completed form to the USNRC, following any specific submission guidelines provided.

Who needs USNRC License Relinquishment Notice?

01
Any individual or organization that holds a USNRC license and wishes to voluntarily relinquish it.
02
License holders who no longer engage in activities that require a license, such as research, development, or commercial use of nuclear materials.
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The USNRC License Relinquishment Notice is a formal document submitted to the United States Nuclear Regulatory Commission (NRC) to officially declare the relinquishment of an existing nuclear license, indicating that the licensee will no longer operate under that license.
Any entity or individual that holds a nuclear license and intends to cease operations or relinquish their license is required to file a License Relinquishment Notice with the NRC.
To fill out the USNRC License Relinquishment Notice, the licensee must provide specific details including license number, contact information, justification for relinquishment, and any relevant operational history or safety assessments.
The purpose of the USNRC License Relinquishment Notice is to inform the NRC that a licensee is voluntarily surrendering their license, which entails compliance with regulatory requirements and ensuring public safety and environmental protection.
The information that must be reported includes the licensee's name and address, license number, date of planned relinquishment, reasons for relinquishment, and any relevant information regarding the status of the facility and materials covered under the license.
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