Forms

• Authorization Forms
  • Radioisotope Authorization Application (Word or pdf)
  • Supplement to Application (Word or pdf)
  • Statement of Training & Experience (Word or pdf)
  • Animal Protocol Supplement (Word or pdf)
  • Application for Authorization Amendment (Word or pdf)
  • Application to Inactivate an Authorization (Word or pdf)
  • Application to Cancel an Authorization (Word or pdf)
• Declaration of Pregnancy
• Radiation Monitoring Forms
  • Radiation Monitoring Badge Service Request (pdf)
• Radiation Survey Log (Word or pdf)
• Self-Audit Checklist
  • Checklist for Radioisotope Users (Word or pdf)
  • Checklist for X-Ray users (Word or pdf)
  • Checklist for Ultraviolet Safety(Word or pdf)
• Shipping Hazardous Materials
• Waste Disposal
  • Sink Disposal Log (Word or pdf)
  • Monthly Sewer & Air Release Report (pdf)
  • Mixed Waste Generation Form