Get Illinois Iema 243 Form

The Illinois IEMA 243 form is used for registering laser systems with the Illinois Emergency Management Agency's Division of Nuclear Safety. This form is essential for compliance with state regulations regarding laser safety and classification. To ensure proper registration, fill out the form by clicking the button below.

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The Illinois IEMA 243 form is an essential document for anyone involved with laser systems in the state of Illinois. This form is specifically designed for the registration of Class 3b and Class 4 laser systems, which require oversight due to their potential hazards. Individuals or organizations must complete this form to register their laser installations with the Illinois Emergency Management Agency (IEMA). The registration process includes providing detailed information about the laser, such as the manufacturer, model number, and control serial number, as well as the status of the unit—whether it is operable, inoperable, or has been sold or junked. Additionally, the form requires the designation of a Laser Safety Officer, who is responsible for ensuring compliance with safety regulations. It is crucial to note that all other laser systems are exempt from this registration requirement. Compliance with the registration process is not only a legal obligation but also a vital step in promoting safety in environments where lasers are used, whether for research, medical, industrial, demonstration, or entertainment purposes. Failing to register can lead to legal repercussions, including a Class B misdemeanor, emphasizing the importance of understanding and adhering to these regulations.

Document Breakdown

Fact Name	Description
Governing Law	The IEMA 243 form is governed by the Laser System Act of 1997, specifically Section 20 (420 ILCS 56/20).
Registration Requirement	This form is required for the registration of Class 3b and Class 4 laser systems. Other classifications are exempt.
Contact Information	For questions regarding laser classification or registration, individuals should contact the Illinois Emergency Management Agency at 217-785-9921.
Consequences of Non-compliance	Failure to comply with the provisions outlined in the Laser System Act can result in a Class B misdemeanor.

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Misconceptions

Understanding the Illinois IEMA 243 form can be challenging, especially with the various misconceptions surrounding it. Below are some common misunderstandings and clarifications regarding this important document.

Misconception 1: All laser systems require registration.

Only Class 3b and Class 4 laser systems require registration. Other classifications are exempt from this requirement.

Misconception 2: The form is optional for registered x-ray installations.

The form must be completed and submitted if the installation involves a registered x-ray system, as it is a regulatory requirement.

Misconception 3: You can submit the form without providing all requested information.

Completing all sections of the form is necessary for proper registration. Incomplete submissions may lead to delays or rejections.

Misconception 4: The IEMA does not need to be contacted for questions about laser classification.

If there is uncertainty regarding the classification of a laser, contacting the IEMA is encouraged for clarification.

Misconception 5: The registration is permanent and does not need to be updated.

Changes in ownership, address, or equipment require an amendment to the registration, ensuring that the information remains current.

Misconception 6: Only the owner can submit the registration form.

The form can be submitted by an authorized representative, such as a laser safety officer, as long as they have the necessary information.

Misconception 7: The registration fee is required for all laser systems.

There is no fee for the registration of laser systems under the IEMA, which may lead to confusion.

Misconception 8: The form can be submitted electronically.

The IEMA requires the form to be submitted in hard copy, which means it must be printed and mailed or delivered in person.

Misconception 9: Failure to comply with the registration is a minor issue.

Non-compliance is considered a Class B misdemeanor, which carries legal consequences and potential penalties.

Misconception 10: The IEMA will automatically update your registration if changes occur.

It is the responsibility of the registrant to inform the IEMA of any changes in status, ownership, or equipment.

Example - Illinois Iema 243 Form

STATE OF ILLINOIS

Illinois Emergency Management Agency - Division of Nuclear Safety

LASER REGISTRATION

ILLINOIS EMERGENCY MANAGEMENT AGENCY -

DIVISION OF NUCLEAR SAFETY

1035 OUTER PARK DR

SPRINGFIELD, IL 62704

217-785-9921

ORIGINAL REGISTRATION		LASER
		REGISTRATION NUMBER
AMEND REGISTRATION		REGISTRATION NUMBER
AMEND REGISTRATION

	change of operator/address

	change of equipment	IEMA will assign if new

Registration is required for Class 3b and Class 4 laser systems. All other laser systems are

exempt. If the classification is unknown, refer to the label on the device. If you have any

questions regarding laser classification or registration, please contact the Agency.

Is this a registered x-ray

installation?

	YES		NO

The following information is provided in accordance with 32 Ill. Adm. Code 315 regarding laser registration.

ADMINISTRATOR / OWNER (NAME AND TITLE):

LASER SAFETY OFFICER:

FACILITY NAME:

STREET ADDRESS:

CITY:

STATE:

ZIP:

COUNTY:

FEIN/TAX FILING #:

TELEPHONE:

E-MAIL:

FAX:

LASER REF. NUMBER:

Check here if new:

MANUFACTURER NAME:

MODEL NAME/NUMBER:

CONTROL SERIAL NUMBER:

ACQUISITION DATE:

LOCATION:

STATUS OF UNIT:

Operable

Inoperable

Stored

Sold to supplier

Junked

Traded

Sold / Private:

LASER CLASSIFICATION:

LASER USE:

Research

Medical

Industrial

Demonstration

Entertainment

This form properly compleed and filed with the Illinois Emergency Management Agency (IEMA), constitutes registration of the laser installations herein named in accordance with Section 20 of the Laser System Act of 1997 420 ILCS 56/20. IEMA is requesting disclosure of information that is necessary to accomplish the statutory purpose as outlined in 420 ILCS 56/10. Disclosure of this information is required. Failure to comply with the provisions of the Act is a Class B misdemeanor.

LASER REF. NUMBER:

Check here if new:

MANUFACTURER NAME:

MODEL NAME/NUMBER:

CONTROL SERIAL NUMBER:

ACQUISITION DATE:

LOCATION:

STATUS OF UNIT:

Operable

Inoperable

Stored

Sold to supplier

Junked

Traded

Sold / Private:

LASER CLASSIFICATION:

LASER USE:

Research

Medical

Industrial

Demonstration

Entertainment

PRINT OR TYPE NAME

	SIGNATURE	DATE
IEMA 243 (Rev. 6/10)	IOCI1025-10	LASER REGISTRATION FORM DEP-L

LASER REGISTRATION

LASER REF. NUMBER:

Check here if new:

MANUFACTURER NAME:

MODEL NAME/NUMBER:

CONTROL SERIAL NUMBER:

ACQUISITION DATE:

LOCATION:

STATUS OF UNIT:

Operable

Inoperable

Stored

Sold to supplier

Junked

Traded

Sold / Private:

LASER CLASSIFICATION:

LASER USE:

Research

Medical

Industrial

Demonstration

Entertainment

LASER REF. NUMBER:

Check here if new:

MANUFACTURER NAME:

MODEL NAME/NUMBER:

CONTROL SERIAL NUMBER:

ACQUISITION DATE:

LOCATION:

STATUS OF UNIT:

Operable

Inoperable

Stored

Sold to supplier

Junked

Traded

Sold / Private:

LASER CLASSIFICATION:

LASER USE:

Research

Medical

Industrial

Demonstration

Entertainment

LASER REF. NUMBER:

Check here if new:

MANUFACTURER NAME:

MODEL NAME/NUMBER:

CONTROL SERIAL NUMBER:

ACQUISITION DATE:

LOCATION:

STATUS OF UNIT:

Operable

Inoperable

Stored

Sold to supplier

Junked

Traded

Sold / Private:

LASER CLASSIFICATION:

LASER USE:

Research

Medical

Industrial

Demonstration

Entertainment

LASER REF. NUMBER:

Check here if new:

MANUFACTURER NAME:

MODEL NAME/NUMBER:

CONTROL SERIAL NUMBER:

ACQUISITION DATE:

LOCATION:

STATUS OF UNIT:

Operable

Inoperable

Stored

Sold to supplier

Junked

Traded

Sold / Private:

LASER CLASSIFICATION:

LASER USE:

Research

Medical

Industrial

Demonstration

Entertainment

COMMENTS:

IEMA 243 (Rev. 6/10)

Dos and Don'ts

When filling out the Illinois IEMA 243 form, it is essential to follow certain guidelines to ensure a smooth registration process. Here are ten important dos and don'ts:

Do fill out the form completely. Every section must be addressed to avoid delays.
Do provide accurate information regarding the laser classification. This is critical for compliance.
Do include your contact information, including phone number and email. This allows for quick communication if needed.
Do check the box if this is a new registration. This helps the agency process your application correctly.
Do sign and date the form before submission. An unsigned form may be considered invalid.

Don't leave any fields blank. Incomplete forms may lead to rejection or requests for additional information.
Don't use abbreviations or shorthand. Clarity is key for understanding your submission.
Don't forget to verify the laser's status. Ensure that you select the correct option (operable, inoperable, etc.).
Don't submit the form without reviewing it for errors. Mistakes can result in processing delays.
Don't ignore the requirement for disclosure of information. Failing to comply can lead to legal repercussions.

Illinois Iema 243: Usage Instruction

Completing the Illinois IEMA 243 form is an important step in ensuring compliance with state regulations regarding laser systems. This process requires accurate information about the laser installation, including its classification and intended use. Follow the steps below to fill out the form correctly.

Begin by entering the administrator or owner's name and title in the designated section.
Provide the name of the laser safety officer if applicable.
Fill in the facility name where the laser is located.
Enter the street address of the facility.
Complete the city, state, and ZIP code fields.
Indicate the county where the facility is situated.
Input the FEIN/tax filing number for the facility.
Provide a telephone number for contact purposes.
Include an email address for further communication.
List a fax number if available.
Fill in the laser reference number and check the box if it is new.
Enter the manufacturer name of the laser.
Provide the model name/number of the laser.
Fill in the control serial number of the device.
Indicate the acquisition date of the laser.
Specify the location where the laser is used.
Choose the status of the unit from the options provided (Operable, Inoperable, etc.).
Select the laser classification (3b or 4).
Indicate the laser use (Research, Medical, Industrial, etc.).
Print or type your name, then sign and date the form.