Radiation Producing Equipment - Certificate of Registration

New and renewal permit applications must be accompanied by proof of coverage for both Workers’ Compensation and Disability Insurance.

The certificate will include the insurer’s name, policy number, issued and expiration date and must list the DOHMH as the certificate holder (not the policy holder).

Certificate Holder:

NYC Department of Health and Mental Hygiene (DOHMH)

125 Worth Street, CN17A

New York, NY 10013

It is important to note that the name and address on the insurance certificates must match that of the applicant or establishment for which an application is being submitted.

If such coverage is not required, submit a signed Certificate of Attestation of Exemption (Form CE-200) registered with the NYS Workers’ Compensation Board showing the applicant’s assigned exemption number and the date it was registered.

To determine if your business qualifies for this exemption and is not required to obtain Workers’ Compensation and Disability Insurance please visit the New York State Workers’ Compensation Board website. NYS STATE WORKERS’ COMPENSATION BOARD - EXEMPTION OVERVIEW

Obtaining a Certificate of NYS Workers' Compensation Insurance (C-105.2)

Obtaining a Certificate of NYS Disability Benefits Insurance (DB-120.1)

Request for Attestation of Exemption (Form CE-200)

Proof of a Certificate of Authority to Collect Sales Tax. The address on the Certificate must match that of the applicant or establishment for which an application is being submitted.

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The registration form must be completed by the applicant and must include a complete and accurate listing of all the machines located at the facility.

If the facility is a private office, the named applicant must be a Senior Partner.

If the applicant is not a private practice office, the applicant is the corporate name of the facility (e.g. the hospital name, nursing home name, etc.). The application must be signed by an authorized representative on behalf of the corporate entity; normally this is the president or chief executive officer.

If the facility has a mammography machine or provides mammography services, the application must be accompanied by a copy of the Food and Drug Administration (FDA) certificate.

Food and Drug Administration information for facilities that operate Mammography Machines

Dental, Podiatric, and Veterinary facilities shall not use X-ray equipment on patients prior to inspection by the Office of Radiological Health or an authorized Certified Radiation Equipment Safety Officer (CRESO). Failure to comply will result in a civil penalty. A list certified CRESOs can be found below.

CRESO List

All facilities (except Dental, Podiatric, and Veterinary facilities, which require a CRESO inspection) must work with a medical physicist to submit a report detailing the results of initial quality control tests conducted on all radiation-producing equipment in the facility. In addition, a radiation protection survey shall be conducted for each room housing a radiographic unit. A medical physicist is an individual that has a license to practice the specialty of diagnostic medical physics in New York State, or a current, non-expired CRESO certification in New York State. The initial quality control tests the medical physicist or CRESO will conduct will include all tests mandated by federal, state and local laws to be conducted for the facility type on a daily, weekly, monthly, semiannual, annual and biennial basis.

Verify that medical physicist, diagnostic radiology is licensed by NYS

A valid e-mail address is required if applying online.

List of Permit Fees.

• Registration fee: $100
• Certified Registration Fee for Radiation Installations with linear accelerator(s): $600 - and is good for five years from the date of issuance

List of accepted payment methods.

• Personal Check (payable to NYC DOHMH - if paying in person)
• Certified Check (payable to NYC DOHMH - if paying in person)
• Government Check (payable to NYC DOHMH - if paying in person)
• Money Order (payable to NYC DOHMH - if paying in person)
• American Express (if paying online or in person)
• Discover (if paying online or in person)
• MasterCard (if paying online or in person)
• Visa (if paying online or in person)

Applying for a DOHMH permit does not satisfy the regulatory requirements of other City, State and Federal Agencies. It is the business owner's responsibility to meet all other requirements. Pursuant to NYC Charter Section 645, no premises may be used or occupied until a Certificate of Occupancy has been issued by the NYC Commissioner of Buildings. Failure to comply with all relevant regulations may result in the suspension of DOHMH permits until proof of compliance is provided. To view the relevant rules for this permit, click the Relevant Health Code Sections link above then click the folder "Title 24: Department of Health and Mental Hygiene", and then the subfolder "Title IV: Environmental Sanitation." Then click the subfolder "Part B: Control of Environment," and the subfolder Article 175,"Radiation Control" Section 175.51, "Registration and Inspection of Installations with Radiation Equipment".