Form

ARSAC application forms

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

Documents

New employer application form

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 employer application form guidance

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

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 guidance

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 form

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 and further advice on making an application are available in the application form guidance and in the ARSAC notes for guidance’.

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

Published 17 April 2014
Last updated 30 January 2018 + show all updates
  1. Replaced forms and guidance on completing the forms. Updated detail text.
  2. Updated all forms.
  3. The application forms for full, renewals, additions and research certificates under the MARS Regulations 1978 (as amended) have been revised.
  4. First published.