Please fill out the following information:
(NOTE: Presently, "Online RUA Application" WILL NOT WORK with IE version 4.5 or higher. We are working on this problem. Thank you for your patience.)

RUA #:
First Name:
Last Name:
Phone:
Email Address:

(Any RUA changes, make sure to include the RUA # and name of the person making the changes. Thank you)

If you have any changes/updates to your Radiation User Authorization form, or just questions, and comments, please make your remarks here: