2017 Wisconsin Act 278, beginning August 1, 2018, prior to submitting an application for a credential, an individual may apply to the Department for a determination of whether the individual would be disqualified from obtaining the credential due to his or her conviction record. To apply for a predetermination, please fill out
Form #3085 and submit all required documentation specified on the form. Pursuant to
Wis. Stat. §
111.335(4)(e), the offenses or kinds of offenses that may result in a refusal, bar, or termination of licensure are published under Additional Resources on the left side of this page.
Pursuant to 2017 Wisconsin Act 319, beginning August 1, 2018, an applicant for an initial credential may apply for a reduction of the initial credential fee that is equal to 10% of the initial fee. Qualification is based on the federal adjusted gross income being at or below 180% of the federal poverty guideline prescribed for the applicant's family household size by the United States Department of Health and Human Services. To determine eligibility please visit the United States Department of Health and Human Services website at https://aspe.hhs.gov/poverty-guidelines, prior to submitting Form 3217.
Wisconsin State Statutes 440.08 (2), the required renewal date for the Limited X-Ray Machine Operator Permit is 08/31/even years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
Wisconsin Statutes § 462, requires that any person who performs radiography or operates an X-Ray Machine or X-Ray Equipment, and is not exempt from the law, shall obtain a license or permit to perform radiography or limited scope radiographic procedures.
Pre-Credential Education Information
Wis. Stat. § 462.03 (1)(b),Hold a high school diploma or its equivalent, as determined by the Board.
- The educational requirements for a permit under this chapter shall be board−approved course of study provided through a Joint Review Committee on Education in Radiologic Technology accredited program. An approved course of study shall include at minimum the American Society of Radiologic Technologists limited scope of practice curriculum.
Application for Licensure
2903||Application For Limited X-Ray Machine Operator (LXMO) Permit|
|3217||Application for Fee Reduction (This form must accompany the application for the credential)|
|2990||Limited X-Ray Machine Operator (LXMO) Program Curriculum (This form must come directly from your school)|
2938||Limited X-Ray Machine Operator (This application is a request to take additional exam(s) or rewrite a failed exam(s). For initial licensure, please use Form #2903)|
2907||Verification of Radiographer or LXMO Credential|
2829||Malpractice Suits or Claims Form (if applicable)|
3085||Application for Predetermination|
||Convictions and Pending Charges|
3071||Fax Payment Form|