Last Revised: June 19, 2018

Licensees who wish to amend radionuclides, activity limits, rooms, or complete a license inactivation must complete this form. A Protocol Summary Form is also required if the license change is due to addition of an isotope or an increase in activity being used. Please see the User's Guide for additional information. If you would like to automatically submit the form, a Webform is also available for the RAM License Amendment Form.