Radiation Control and Radiological Services Forms


These forms may be printed out, filled in and mailed to the appropriate Radiation Control Office.
Forms are document protected and formatting cannot be changed.

 

Documentation of Training

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HURRC Human Use Protocol 
Renewal Questionnaire
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Proposal Summary Sheet   pdfsml.gif (153 bytes)Acrobat word.gif (1079 bytes)Word
Radiation Contamination Survey (SWIPE)   pdfsml.gif (153 bytes)Acrobat word.gif (1079 bytes)Word
Renewal of Radioactive Material Use Authorization   pdfsml.gif (153 bytes)Acrobat word.gif (1079 bytes)Word
Radioactive Material Transfer On-Campus   pdfsml.gif (153 bytes)Acrobat word.gif (1079 bytes)Word
Radioactive Material Transfer Off-Campus   pdfsml.gif (153 bytes)Acrobat N/A
Radioactive Waste Pick-Up Request   Multi-part Form
Statement of Training and Experience   pdfsml.gif (153 bytes)Acrobat word.gif (1079 bytes)Word
Personnel Monitoring Device Application (Film Badge)      word.gif (1079 bytes)Word

Quarterly Laboratory Personnel Listing

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Quarterly Inventory   pdfsml.gif (153 bytes)Acrobat word.gif (1079 bytes)Word
Radionuclide Utilization Form   pdfsml.gif (153 bytes)Acrobat word.gif (1079 bytes)Word
Statement of Training and Experience
Radiation Producing Device Operator (X-Ray Machines)
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