Forms
RSS-101 Forms- RSS-101 Application for Authorization to use Radioactive Material
- RSS-101A Statement of Training and Experience
- RSS-101 Section 9 Form
The University of Michigan application process for the approval to use radioactive material in human research subjects has changed to the eResearch electronic process. Paper applications are no longer valid. Please refer to the eResearch home page to begin the electronic application process: http://eresearch.umich.edu/
RSS-105 Form Dosimeter Forms Pregnancy Forms- RSS105a - Declaration of Pregnancy
- RSS105b - Pregnancy Declaration Revocation
- RSS105c - Pregnancy Declaration Expiration
UMHHC Dosimetry Forms
- New Series Request Form
- New Series Dosimetry Assessment Form
- Spare Dosimeter Form
- Dosimeter Request Form
- Dosimeter Modification/Deletion Form
- Declaration of Pregnancy Form (RSS-105A)
- Pregnancy Declaration Revocation Form (RSS-105B)
- Pregnancy Declaration Expiration Form (RSS-105C)
UMHHC Radiation-Generating Devices Forms
- Mammography Machine Registration Form
- Mammography Machine Modification/Deletion Form
- Radiation Producing Device Registration Form
- Radiation Producing Device Modification/Deletion Form
Request for Room Additions and/or Deletions Form
Annual Refresher Training Acknowledgment Form
