Radiation Forms


As of 5/23/16, the PDF forms on this page are fillable.

Radiation Safety User Forms

  • Training Guide for Radiation Workers:
    PDF | Word
  • Training Guide for Ancillary Workers:
    PDF | Word
  • Radiation Worker/Dosimetry Application:
    PDF | Word
  • Dosimetry Application (X-Ray Workers):
    PDF | Word
  • Declaration Of Pregnancy:
    PDF
  • Notification of Radioactive Material Transfer:
    PDF | Word | Web Based Form
  • Request for EHS Radioactive Material Transfer:
    PDF | Word
  • Radwaste Pick Up Request Form:
    PDF
  • Notification of Radioactive Material Order:
    PDF | Word | Web Based Form
  • Documented Radiation Survey:
    PDF | Word
  • Inspection Deficiency Enforcement:
    PDF | Word

Authorization Application Forms

  • Application Initiation Page:
    PDF | Word
  • Authority Page:
    PDF | Word
  • Co-Authorization Authority Page:
    PDF | Word
  • Training And Experience Page:
    PDF | Word
  • Isotope Page:
    PDF |Word
  • Radioactive Material Location Page:
    PDF | Word
  • Radiation Survey Instrumentation Page:
    PDF | Word
  • Anticipated Transactions Page:
    PDF | Word
  • Temporary Transfer of Authorization Page:
    PDF | Word