Maryland Radioactive Materials Licensing Forms

RADIOACTIVE MATERIAL LICENSE

Forms and Information

Any submissions to the Department regarding specific radioactive material licenses may be made online to [email protected].

Fees

Radioactive Materials Fees 2025.

RECIPROCITY

Applying for (or renewing) reciprocal recognition of an out-of-State license
Notifying MDE of reciprocity requests
Reciprocity Notification Form. This form is to notify MDE of new jobs in Maryland to be worked by approved reciprocal licensees.

GENERAL LICENSE

General License Registration

Registering a General License Device - Information
Instructions for Completion of General License Device Registration Form
General license Device Registration Form new. After completing this form in accordance with the instructions for completion, save the form and attach it to an e-mail to [email protected].
General License Payment Transmittal Form. Must accompany your payment for your initial registration of a general license device.
Transfer Declaration Form To be completed and mailed to the Department if you no longer possess a general license device.

Note on Return of Devices and Receipt of New Devices

When a general license device is returned to the manufacturer or other specific licensee authorized to receive such device, you are required to report this transfer to MDE by using the Transfer Declaration Form, in accordance with COMAR 26.12.01.01C.22(d)(4)(viii). The transferred device will be removed from the Department's database. If you obtain additional or replacement devices, you are required to report these new devices to the Department within 30 days of receipt by submitting a new General license Device Registration Form. The new devices will be added to the Department's database. These notifications are necessary for MDE to maintain current information on general license devices in Maryland.

Note on Annual Registration Update

An annual update of registration information is required, in accordance with COMAR 26.12.01.01C.22(k)(1). Instructions for this update will be provided with your annual invoice. If you have any questions about this annual update, please e-mail your inquiry to [email protected] or call Mr. Atnatiwos Meshesha at 410-537-3300.

Note on High Dose-Rate Brachytherapy Remote Afterloader - 2021

The use of HDR remote afterloaders for patient treatements using sources above 10 Curies shall be approved by the U.S. Food and Drug Administration and U.S. Nuclear Regulatory Commission. All applicable licensees please check the following Memo below in the link and the note from US NRC. For more information you can contact Mr. Atnatiwos Meshesha at [email protected] or call Mr. Atnawos Meshesha at 410-537-3300.

2021 Memoranda

Contact Info

For information on licensing of radioactive materials. on reciprocity, or on general licensing, please contact Atnatiwos Meshesha at [email protected]. Mr. Meshesha may be reached at 410-537-3300.

Maryland Department of the Environment