Occupational Safety & Environmental Health
University of Michigan
1239 Kipke Drive
Ann Arbor, MI 48109-1010
Phone: (734) 647-1143
FAX: (734) 763-1185
OFFICE HOURS: 7:30am - 4:30pm
After hours emergency contact through Department of Public Safety at (734) 763-1131 or from a campus phone 911.
If you have a general question or comment about the department, or are unsure who in OSEH to contact, click the button and your question will be directed appropriately.
Special Request Forms
To request "Safety Shoe or Safety Glasses" vouchers, click here, complete the form, and submit.
To request an "Ergonomic Workstation Assessment", click here, complete the form, and submit.
To complete a "Medical Surveillance Questionnaire Form", click here, complete the form, and submit.
RSS-101 Forms
- RSS-101 Application for Authorization to use Radioactive Material
- RSS-101A Statement of Training and Experience
- RSS-101 Section 9 Form
RSS-105 Form
Dosimeter Forms
Pregnancy Forms
- RSS105a - Declaration of Pregnancy
- RSS105b - Pregnancy Declaration Revocation
- RSS105c - Pregnancy Declaration Expiration
Radionuclide Receipt, Utilization and Disposal Record Form
Request for Room Additions and/or Deletions Form