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Over the next few days, Connecticut will experience a blast of arctic temperatures. Governor Lamont has activated the Severe Cold Weather Protocol. A list of shelters is available at 211ct.org or by calling 2-1-1. [Read more about the Severe Cold Weather Protocol]

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Connecticut Department of Energy & Environmental Protection

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Forms

Form 3 RAM Notice to Employees

Form 3 RAM Notice to Employees 

Form 4 Cumulative Occupational Dose History

Form 4 Cumulative Occupational Dose History

Form 5 Occupational Dose Record

Form 5 Occupational Dose Record

Form 241 Report of Proposed Activities in the State of CT

Form 241 Report of Proposed Activities in the State of CT

Form 313 Application for Radioactive Materials License

Form 313 Application for Radioactive Materials License

Form 313A AMP Authorized Medical Physicist Training

Form 313A AMP Authorized Medical Physicist Training

Form 313A AUS Authorized User Training

Form 313A AUS Authorized User Training

Form 313A AUD Authorized User Training

Form 313A AUD Authorized User Training

Form 313A AUT Authorized User Training

Form 313A AUT Authorized User Training

Form 313A ANP Authorized Nuclear Pharmacist Training

Form 313A ANP Authorized Nuclear Pharmacist Training

Form 313A RSO Radiation Safety Officer Training

Form 313A RSO Radiation Safety Officer Training

Form 314 Disposition of Materials

Form 314 Disposition of Materials

Form 526 Certification of Small Entity Status for the Purposes of Annual Fees

Form 526 Certification of Small Entity Status for the Purposes of Annual Fees

Form 664 General Licensee Registration Subject to 10 CFR 315

Form 664 General Licensee Registration Subject to 10 CFR 315

 

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