Skip to main content
  • UW Search
  • My UW
  • Map
  • Calendar

  • EH&S

    • Biosafety

    • Chemical

    • Engineering & Tech

    • Fire & Life

    • Lake

    • Occupational Health

    • Radiation

  • Contact CORD

  • Cost Center Number- How to Set Up

  • Ordering Radioactive Materials

  • X-Ray

  • Lasers

  • Irradiators

  • Detection

  • Forms

  • Training Manual

    You are here:EH&S Home > Radiation > Forms

Radiation Forms

Authorizations

  • New PI Kit: Portfolio consisting of the three most common forms for new PIs (Form 99, Protocol, and Handling/Storage forms)
  • New PI Form: Application for Possession and Use of Radionuclides ( Form 99)
  • Animal Use: Application for Use of Radionuclides in Vertebrate Animals (Form 99A)
  • Amendment to Authorization for Human Use of Radionuclides (Form 98S)
  • For Additions, Deletions and Changes to Order and/or Possession Limits and Rooms (Form 99S)
  • Protocol Summary Sheet
  • Temporary Transfer of Authorization (Form 99T)
  • Template for Handling and Storing Radioactive Materials

Dosimeter

  • Campus Dosimeter Application (.pdf)
  • Hospital Dosimeter Application (.pdf)
  • Dose History Request (.pdf)
  • Pregnancy Declaration Form (MS Word)

Other Forms

  • Laser Registration Form

Environment, Health & Safety, 30 East Campus Mall, Madison, WI 53715-1227 | Phone: 608-265-5000 | Fax: 608-262-6767

Division of Facilities Planning & Management

© 2011 Board of Regents of the University of Wisconsin System