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NRC FORM 567U. S. NUCLEAR REGULATORY COMMISSION(92012)REQUEST FOR A SEALED SOURCE OR DEVICE EVALUATION INSTRUCTIONS: Send this request AND a copy of all related letters/applications and drawings to
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NRC Form 567 is used to report incidents and events involving the use of nuclear materials and radiation, including safety-related data.
Licensees who possess and use radioactive materials and those involved in activities regulated by the NRC are required to file NRC Form 567.
To fill out NRC Form 567, you need to provide specific information regarding the incident, including details about the materials involved, the circumstances of the event, and any corrective actions taken.
The purpose of NRC Form 567 is to ensure regulatory compliance and to facilitate the collection of data on incidents to improve safety measures within the nuclear industry.
Information that must be reported includes the type and quantity of radioactive material, the nature of the incident, the date and time of occurrence, and any corrective measures taken.
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