The Radiation Safety Office forms can be accessed by selecting the
links below. The forms are available in Adobe Portable Document Format
(PDF) and Microsoft Word.
| Forms |
Description |
PDF
|
Word
|
| Animal
Certificate |
Radioactive
Animal Certificate Record |
|
|
| Badge
Request |
Request
for Radiation Dosimetry Badge Service |
|
|
| Badge
Termination |
Request
to Terminate a Radiation Dosimetry Badge |
|
|
| Decay
Storage |
Radioactive
Waste Stored for Decay Record |
|
|
| Decay
Survey |
Radioactive
Waste Stored for Decay Survey Record |
|
|
| Diagnostic
Use App |
Diagnostic
Use License Application |
|
|
|
Double
Badge
|
Request
for Participation in Double Badge Program |
|
|
| Human
Use App |
Human
Use License Application |
|
|
| Incident
Report |
Radioactive
Contamination Incident Report |
|
|
| Inventory |
Radioactive
Material Inventory and Disposal Record |
|
|
| Irradiator
Certificate |
Training
Certificate for Irradiator Operators |
 |
|
| Liquid
Disposal |
Radioactive
Liquid Waste Disposal Record |
|
|
| Non-Human
Use App |
Non-Human
Use License Application |
|
|
| Swipe
Log |
Contamination
Swipe Test Record |
|
|
| Therapeutic
Use App |
Therapeutic
Use License Application |
|
|
| Training
Certificate |
Radiation
Safety Training Certificate Record |
|
|
| Transfer |
Transfer
of Radioactive Material Record |
|
|
You must have the Adobe Acrobat Reader installed on your computer to
access the forms in PDF format. If you do not have Acrobat Reader installed
on your computer, a copy can be downloaded free of charge by clicking
the link below: