If you have questions or are unable to complete this form, please contact EHS at 517-355-0153.
Dosimetry request forms cannot be processed if training is not current. Check your records at https://ora.msu.edu/train. Contact the Training Help Desk (email@example.com or 517-884-4600) for assistance.
If "Other," please explain in Comments box below.
Named badges will be issued by Landauer and could take several weeks, depending on their production schedule. Spare badges can be issued by contacting firstname.lastname@example.org.
the Radiation Safety Officer for information for pregnant
workers at 355-0153 or email@example.com.
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.