Current through Register No. 40, October 3, 2024
(a)
Renewal of a certificate of registration for possession of a radiation or MRI
machine shall be made in writing prior to August 1st
of each year.
(b) The machine
renewal application shall include the following:
(1) Updated or changed information about the
radiation or MRI machine status since issuance of the most recent certificate
of registration, including any of the following:
a. Type of machine;
b. Location of machine;
c. Transfer of ownership
d. Transfer to alternate site;
e. Change in status from in use to
storage;
f. Change in status from
storage to in use; or
g. Addition
of any radiation or MRI machine;
(2) A completed FORM DHHS/RHS A "Application
for Radiation or Magnetic Resonance Imaging Machine Registration" (May, 2015)
as required in He-P 4040.04 if any changes have
been made;
(3) A completed FORM
DHHS/RHS D "Certificate-Disposition or Change of Ownership of Radiation or MRI
Machine" (May, 2015) as required in
He-P
4040.05, if applicable;
(4) A check made payable to "Treasurer- State
of New Hampshire" for the appropriate fee listed in
He-P
4070.06; and
(5) An attestation signed and dated by the
registrant, or a certifying officer signing on behalf of the registrant,
attesting to the following: "I, the registrant or certifying officer signing on
behalf of the registrant, understand and shall follow the relevant requirements
of the New Hampshire Rules for the Control of
Radiation (He-P 4000) and confirm that all of the information
herein is complete and accurate."
(c) Each prospective or renewing registrant
who fails to submit the registration fee within 30 days of the date that the
application and fee are due, shall be assessed an administrative fine of $100
with the fee as described in
He-P
4070.08.
(d) Renewal of registration as service
providers pursuant to
He-P
4040.07 shall be made in writing prior to August
1st of each year.
(e) The service provider application for a
renewal of registration shall include the following:
(1) A signed and dated renewal of a
certificate of registration for servicing and services shall be made on FORM
DHHS/RHS-RSP "Annual Renewal of Radiation or MRI Machine-Related Service
Provider Registration" (May, 2015) provided by DHHS/RHS;
(2) An attestation signed and dated by the
applicant, or management representative stating "I certify that the applicant
(1) understands and shall follow the relevant requirements of the New Hampshire
Rules for the Control of Radiation (He-P 4000) applicable to the types of
services or servicing to be provided under this registration and (2) shall
adhere and require adherence to them and good radiation safety practices.";
and
(3) A check made payable to
"Treasurer- State of New Hampshire" for the appropriate fee listed in
He-P
4070.06.
#6827, eff 8-6-98; ss by #7919, eff 7-18-03; ss by
#9945-A, eff 6-22-11
