Forms Catalog Document - NRC396 :-: NRC :-: Certificate of Medical History

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Certificate of Medical History

Transmits information to the NRC regarding medical condition of applicants for initial or renewal operator license and for maintenance of medical records of all licensed operators.

Form #: NRC 396
Agency: Nuclear Regulatory Commission
Common Name: Certificate of Medical History, Medical History Certificate, Form 396

	TYPE	PAGES	SIZE (KB)	CAPABILITY	WHAT'S NEEDED
	Form Only	1	34	[3] Fillable + Printable	Adobe Reader Download

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