Radiation Safety Forms

All the Radiation Safety Forms that are rountinely used.

Need more information or would you like to see other forms on line? Contact Radiation Safety radsaf@u.washington.edu or call 206.543.0463.



Fill in on-line then fax, e-mail, or mail.


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  • Amendment to use Additional Radionuclide(s) (RSO Form 14) 10/95
  • Missing/Damaged Dosimeter Report (RSO Form 15) 05/04
  • Training and Experience in use of Radiation (RSO Form 20) 10/07
  • Application for Authorization to use Radiation with Human Subjects (RSO Form 30) (pdf)1/04
  • Application for Authorization to use Radiation with Human Subjects (RSO Form 30) (Word 2003) 1/04
  • Short Form Application for Authorization to use Radiation with Human Subjects (RSO Form 31) (pdf)1/04
  • Short Form Application for Authorization to use Radiation with Human Subjects (RSO Form 31) (Word 2003) 1/04
  • Renewal Application for Authorization to use Radiation with Human Subjects (RSO Form 32) (pdf)1/04
  • Renewal Application for Authorization to use Radiation with Human Subjects (RSO Form 32) (Word 2003)1/04
  • Application for Registration/Certification of Laboratory/Room for Use of Radioactive Materials (RSO Form 50) 03/08
  • Radiation-Detection Instrument Registration (RSO Form 51) 11/04
  • Radioactive Material and Usage Record (RSO Form 160) 11/05
  • Radioactive Material Transfer and Usage Record (RSO Form 160t) 11/05
  • Short-Lived Radioactive Waste Certification (RSO Form 176) 9/04
  • Rush Form for Purchases of Radioactive Material (RUSH ORDER) 12/03