Report Lost Dosimeter

If a lost dosimeter is found, please return to EHS immediately with a note explaining this is a lost badge, and the approximate date it was misplaced.  EHS is charged for each unreturned dosimeter by the vendor.

If you have questions or are unable to complete this form, please contact EHS at 517-355-0153.

Personal Information

Replacement Information


I certify that the information submitted in this request is true and correct to the best of my knowledge.

I further understand that any intentionally false information may result in sanctions from the Radiation Safety Committee.