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ARSAC application forms

Application forms from the Administration of Radioactive Substances Advisory Committee (ARSAC) for employer and practitioner licences under the IR(ME)R.

Updates to this page

From:
Administration of Radioactive Substances Advisory Committee
Published:
17 April 2014
Last updated:
27 March 2025
Show all updates

  1. Updated links to reflect the cloud migration. No change to the content.

  2. Updated forms.

  3. Updated the link to the online portal.

  4. Updated 'Amend or renew practitioner licence: application form'.

  5. Updated all forms.

  6. Updated all forms.

  7. Updated forms and added link to online portal for practitioner licence applications.

  8. Added COVID-19: temporary employer licence application form.

  9. Updated 'Employer application form' and accompanying guidance document.

  10. Replaced forms and guidance on completing the forms. Updated detail text.

  11. Updated all forms.

  12. The application forms for full, renewals, additions and research certificates under the MARS Regulations 1978 (as amended) have been revised.

  13. First published.

Documents

New employer: application form

Ref: GOV-17223

MS Word Document, 98.6 KB

This file may not be suitable for users of assistive technology.

Request an accessible format
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email arsac@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Amend or renew employer licence: application form

Ref: GOV-17223

MS Word Document, 96.5 KB

This file may not be suitable for users of assistive technology.

Request an accessible format
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email arsac@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

New practitioner: application form

Ref: GOV-17223

MS Word Document, 68.7 KB

This file may not be suitable for users of assistive technology.

Request an accessible format
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email arsac@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Amend or renew practitioner licence: application form

Ref: GOV-17223

MS Word Document, 72.1 KB

This file may not be suitable for users of assistive technology.

Request an accessible format
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email arsac@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Particular patient licence: application form

Ref: GOV-17223

MS Word Document, 37.6 KB

This file may not be suitable for users of assistive technology.

Request an accessible format
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email arsac@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

These forms are for practitioners and employers who want to apply for a licence to administer radioactive substances to people in diagnosis, therapy or research. There is a fee for employer applications. Details of the fees are available online.

Further advice on making an application is available for practitioners and employers on the website and in the ARSAC notes for guidance.

All employer and practitioner licence applications must be submitted through the online portal.

Particular patient licence applications should be submitted by email to arsac@ukhsa.gov.uk

If you are a research sponsor, please read our information on how to apply for ARSAC approval for a research study.

Please note that applications submitted on the incorrect form will be returned.

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