Departmental Forms
Please read the Health & Safety Privacy Policy and the Health & Safety Records Retention Policy if you have questions or concerns about how we collect, retain, secure and store information about you.
Information Forms
- Request for Hazardous Materials Information (pdf file)
- Report of Accidental Release of Hazardous Material (pdf file)
- Report of a Hazard and Investigation (pdf file)
- Laboratory Safety Inspection Report (pdf file)
Disposal Forms
- Request for Biomedical Waste Disposal (pdf file)
- Request for Hazardous Waste Disposal (pdf file)
- Request for Radioactive Waste Disposal (pdf file)
- Request for Unusual Disposal (pdf file)
Biosafety Forms
- Request for Biomedical Waste Disposal (pdf file)
- Autoclave Report (pdf file)
- Autoclave Report Instructions (pdf file)
- Patriot Act Restricted Person Affidavit (pdf file)
- Patriot Act – Authorization for Release of Information (pdf file)
Chemical Safety Forms
- Request for Disposal of Hazardous Chemicals (pdf file)
- Application to use Carcinogens
- Request for Unusual Disposal (pdf file)
- Notification of Exchange of Chemicals (pdf file)
- Loss of Hazardous Materials (pdf file)
Radiation Safety Forms
- Request for Radioactive Waste Disposal (pdf file)
- Application for Radioisotope Use in a Location (pdf file)
- Declaration of Pregnancy optional (pdf file)
- Radiation Film Badge Service Request (pdf file)
- Radioactive Materials Purchase Application (pdf file)
- Request for Disposal of Radioactive Materials (pdf file)
- Test of Radioactive Materials Obtained By Procurement (pdf file)
- Instrument Calibration Report (pdf file)
- Bio-Scan Report for 125I / 131I (pdf file)
- Sewage Sludge Analysis Report (pdf file)
- Annual Radioisotope Inventory (pdf file)
- Authorization for Release of Information (pdf file)
- Authorization to Release Radiation Exposure Information (pdf file)
Shipping / Transportation Forms
- Hazardous Materials Transportation and Information Form
- IATA Iodine-125 Shipment Excepted Package Checklist (pdf file)
- IATA Consignment of Diagnostic Specimens (pdf file)
- IATA Non Radioactive Materials Checklist 2004 (pdf file)
- IATA Acceptance Checklist For Dry Ice (pdf file)
- USDA Only – Dry Ice Information – NOT for University Personnel (pdf file)