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RSO Forms (PDF)
    Animal Certificate
    Badge Request
    Badge Termination
    Decay Storage
    Decay Survey
    Diagnostic Use App
    Double Badge
    Human Use App
    Incident Report
    Inventory
    Liquid Disposal
    Non-Human Use App
    Swipe Log
    Therapeutic Use App
    Training Certificate
    Transfer

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Radiation Safety Office Forms

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.

Click the links in the right-hand columns of the table below to select a form.

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: