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DWMRC01
01/16Print Formula DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WASTE MANAGEMENT AND RADIATION CONTROL
APPLICATION FOR RADIOACTIVE MATERIAL LICENSEINSTRUCTIONS: Complete all applicable
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01
Start by downloading the dwmrc-01 0116 form from the Utah Department website.
02
Read the instructions provided on the form carefully to understand the requirements.
03
Begin filling out the form by entering your personal information in the designated fields, such as your name, address, and contact details.
04
Provide the necessary information requested regarding your employment history, including your current employer and previous employers.
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Fill in the details related to your work-related injury or illness, such as the date and time it occurred, the nature of the injury, and any medical treatment received.
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If applicable, include information about any wages lost or work restrictions resulting from the injury or illness.
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Attach any supporting documents, such as medical records or witness statements, as instructed.
08
Review the completed form to ensure all the information is accurate and complete.
09
Sign and date the form.
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Submit the filled-out form to the Utah Department as specified in the instructions, either through mail, fax, or online submission.
Who needs dwmrc-01 0116 utah department?
01
Any individual who has experienced a work-related injury or illness in Utah and is seeking compensation or assistance from the Utah Department should fill out the dwmrc-01 0116 form.
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What is dwmrc-01 0116 utah department?
dwmrc-01 0116 is a form used by the Utah Department of Environmental Quality for waste management reporting.
Who is required to file dwmrc-01 0116 utah department?
Facilities that generate, transport, or manage certain types of waste are required to file dwmrc-01 0116.
How to fill out dwmrc-01 0116 utah department?
To fill out dwmrc-01 0116, gather required data, complete all sections accurately, and submit by the deadline.
What is the purpose of dwmrc-01 0116 utah department?
The purpose of dwmrc-01 0116 is to ensure proper reporting and management of hazardous waste in Utah.
What information must be reported on dwmrc-01 0116 utah department?
Information on waste generation, types of waste, quantities, and disposal methods must be reported.
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