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To apply for a new license, please submit all of the following:

  • License Application:  [pdf, 300K]**

  • Protocol Summary Form (one for each isotope and prodcedure):  [html form]  |  [pdf]**  |  [sample pdf]

  • Lab diagram indicating areas of use, storage areas, waste storage area, "hot" sink, fume hoods.

Additional resources to assist with completing your application:


To amend an existing license, use the forms listed below:

If the lab is inactivating or leaving the university please refer to, Inactivation Guidelines.  For amendments involving lab moves or a room removal, please refer to Lab Move Guidelines. In addition, please refer to Procedures for Moving or Terminating Laboratory Operations for instructions regarding other types of hazardous materials

**Please Note:  These pdf have enterable fields -- this will allow you to electronically fill in, save to your local machine, and print the form.  You will need the latest Acrobat Reader to fill in the form.  Please email completed form to EHRS-LICENSES@LISTS.UPENN.EDU.

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