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

Human Research Study Committee (HSRC) & Radioactive Drug Research Committee (RDRC) Application Forms are available from the IRB web site.

• Proposal Application to use Radioactive Material, Form 7 .doc or .pdf
  • Protocol Examples (pdf)
• Amendment To Application For Use Of Radioactive Materials, Form 4 .doc or .pdf
• Request to Generate Hazardous Scintillation Waste, Form 4A .doc or .pdf
• Proposal For A Radioactive Materials Room, Form 7A .doc or .pdf
• Food and Beverage Exemption Request Form, Form 7B .doc or .pdf
• Request to Use Animal Care Facilities for Radioactive Animals* .doc or .pdf
  *See the Division of Animal Care web site to download the application for using animals in research.

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Miscellaneous Radiation Safety Forms 
(All files in pdf format unless otherwise indicated.)

• Analytical X-Ray Quarterly Interlock Testing Form

• Radiation Safety Training Registration Form

• 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
• Training and Experience for Authorized Users or Radiation Safety Officers ( .doc or .pdf file format)

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Signs (pdf format only)

• 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.

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