The University of Toledo

Forms and Applications

Quarterly Radioactive Material Physical Inventory

Required submission form for the inventory of all laboratory radioactive materials

Sink Disposal of Radioactive Waste

Required log for all radioactive wastes disposed into the university’s waste water system

Radioactive Waste Container Log

Required document to record the quantity and activity of all waste materials contaminated with radioactive materials

Radioisotope Usage and Transfer Log

Required document to track all movements of radioactive materials into and out of a laboratory

Emergency Phone Numbers

Emergency numbers to be filled out and posted in the laboratory

Pregnancy Declaration Form

Allows for pregnant women whose jobs involve the use of radioactive materials to be monitored for radiation dose during their pregnancies

Request for dosimeter service 

This form is required to receive dosimeter service

Application for use for radiation sources

This form is used to apply for approved-user status

Radioisotope Use Amendment Request

This form is to amend your approved-user status

Additional project forms

This form is used to describe the process for each project

CPM to DPM Conversion Worksheet

This form is used to document monthly lab wipe tests and RAM packages for removable contamination