Nuclear Substances and Radiation Devices Service Providers - Form

Service-providing organizations who wish to make their services available to licensees can submit their contact information to the CNSC by filling out the form below. Provision of the information available below is voluntary. Information will be published on the CNSC Web site once received. The CNSC will not endorse or recommend any of the organizations listed, but provides them to licensees for information purposes only.

Services Provider Details
(Please enter your first name followed by your last name in the following format: firstname lastname)
(Please enter your business address in the following format: Street Number, Street Name)
(Please enter your post code in the following format: A1A 1A1)
(Please enter your area code first, followed by your number, in the following format: xxx-xxx-xxxx)
(Please enter your area code first, followed by your number, in the following format: xxx-xxx-xxxx)
(Please enter the area code first, followed by the number, in the following format: xxx-xxx-xxxx)
(Please enter your email address in the following format: name@domain.xxx)
(http://www.url.com)
Services Provided (check all that apply):
Provinces and/or Territories where the service is provided (check all that apply):
Language in which the service is offered