NRC Form 396 2019 free printable template
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PERSONALLY IDENTIFIABLE INFORMATION WITHHOLD UNDER 10 CFR 2.390 U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 396(122019) 10 CFR 55.21, 55.23, 55.25, 55.27, 55.31 55.33, 55.53, 55.57.CERTIFICATION OF
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How to fill out NRC Form 396
How to fill out NRC Form 396
01
Start by downloading NRC Form 396 from the official NRC website.
02
Read the instructions provided on the form carefully.
03
Fill in your personal information in the designated sections, including your name, address, and contact details.
04
Provide details about the property or facility for which you are applying, including location and type.
05
Answer all relevant questions about your qualifications and experience related to the request.
06
Sign and date the form at the bottom to certify that the information is accurate.
07
Review the completed form to ensure all sections are filled out correctly.
08
Submit the form according to the instructions, either by mailing it to the specified address or by submitting it online if available.
Who needs NRC Form 396?
01
NRC Form 396 is needed by individuals or organizations seeking to apply for a license or permit related to nuclear materials, facilities, or activities regulated by the Nuclear Regulatory Commission.
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What is NRC Form 396?
NRC Form 396 is the 'Personal Qualification Statement' used by the U.S. Nuclear Regulatory Commission (NRC) to evaluate an individual's qualifications and eligibility to perform licensed activities related to nuclear material.
Who is required to file NRC Form 396?
Individuals who seek unescorted access to certain facilities that handle radioactive material or require specific licenses from the NRC must file NRC Form 396.
How to fill out NRC Form 396?
To fill out NRC Form 396, applicants should provide personal information, employment history, training and experience, as well as answers to specific questions regarding qualifications and background as required by the form.
What is the purpose of NRC Form 396?
The purpose of NRC Form 396 is to ensure that individuals seeking access to regulated facilities or materials meet the necessary qualifications and are trustworthy and reliable to work safely with nuclear materials.
What information must be reported on NRC Form 396?
NRC Form 396 requires the applicant to report personal identifying information, employment history, educational qualifications, references, and any criminal history or background checks.
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