Radiation Application Forms & Signs

Badge application and Declaration of Pregnancy forms are available on the Radiation Dosimetry web page.

Radioactive Material Permit Application Forms

• Radioactive Material Principal Investigator Application  - Contact Radiation Safety if you need assistance.
• Food and Beverage Exemption Request Form, Form 7B  doc or pdf
• See the Division of Animal Care web site to download the application for using animals in research.
• Human Research Study Committee (HSRC) & Radioactive Drug Research Committee (RDRC) Application Forms are available from the IRB web site.
• Application for Authorized User - Physician

Miscellaneous Radiation Safety Forms 

• Radioisotope Ordering & Transfer Forms (See also Ordering Procedures.)
  • Radioisotope Transfer Request Form
  • Radioisotope Transfer to VA Medical Center Request Form
  • Requisition to Purchase Radioactive Materials
• Analytical X-Ray Quarterly Interlock Testing Form
• Training and Experience for Authorized Users or Radiation Safety Officers  doc or pdf
• Radioactive Material Shipment Request Form

Signs

• Notice to Pregnant Workers
  Post in locations where ionizing radiation is used.
• Notice to Employees
  Post in locations where ionizing radiation is used.
• Emergencies Involving Radioactive Materials
  Post in locations where radioactive materials are used.