Forms and requests for authorized user status
clinical use of radiation
Application for Clinical Authorized User Status
Required to become an Clinical Authorized User of Radioactive Material OR an Authorized Medical Physicist of Radioactive Material.
Application for External Beam Radiation Therapy Authorized User Status
Required to become an Authorized User of External Beam Radiation Therapy (EBRT).
Quarterly Radioactive Material Physical Inventory
Required submission form for all clinically used sealed sources.
Emergency Contact Numbers to be posted in all areas where radioactive material is used or stored.
research laboratory use of radiation
Application for Authorized User Status (Research Use)
Required to become a Research Authorized User of Radioactive Material in a laboratory.
Radioisotope Use Amendment Request
Required form for the amendment of your Certificate of Use. This form can be used to remove radioisotopes used, request the use of additional radioisotopes, or change maximum order & possession limits.
Can be used with the Application for Authorized User Status (Research Use) or with the Radioisotope Use Amendment Request to describe the process for new or revised research projects.
Quarterly Radioactive Material Physical Inventory
Required submission form for the inventory of all research laboratory radioactive material.
Sink Disposal of Radioactive Waste
Required log for all radioactive waste disposal into the University of Toledo sanitary sewer system.
Radioactive Waste Container Log
Required document to record the quantity and activity of all radioactive waste materials.
Radioisotope Use and Disposition Log
Required document to track the use of all use and disposition of all radioactive material within a research laboratory.
Required form for monthly area surveys in research labs using P-32 or S-35 to monitor for contamination, record readings, and determine if any trigger levels have been exceeded.
Research Lab Monthly Wipe Test Form
Required form for monthly wipe tests in research labs to monitor for contamination, record readings, and determine if any trigger levels have been exceeded.
Required for to be used if a minor is to work in any research lab that uses radioactive material or radiation generating equipment.
Emergency Contact Numbers to be posted in all areas where radioactive material is used or stored.