Alaska Division of Corporations, Business, and Professional Licensing

> Dental Examiners > Equipment Applications

Radiological Equipment Applications

	Radiological Equipment Registration Form, #08-4420, Revised 07/09.
	Inspection of Dental Radiological Equipment Form, #08-4413 Revised 07/09 NOTE: This form is also available from the division on 3-part carbon paper.
	Radiological Equipment Inspector Application Form, #08-4418, Revised 07/09. Application for licensure to inspect dental radiological equipment.

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Applications may be viewed and printed with Adobe Acrobat Reader 6.0 or higher. If you do not have Adobe Acrobat Reader 6.0 or higher, please click on the Adobe logo and download the free software now. If you are unable to view or download an application, please contact us by telephone or e-mail. Providing your complete mailing address will enable us to mail you the application.

Other application forms may be mailed to you or picked up at a division office. Completed applications must be signed and submitted to the division with the appropriate fees.


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