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Radioactive Material User

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-102 Forms

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 Paper applications are no longer valid.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

• RSS-105 (Radioactive Contamination Survey Record)

Dosimeter Forms

• Dosimeter Request
• Dosimeter Change/Deletion
• New Series Request Form

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

If you have a general question or comment about the department, or are unsure who in OSEH to contact, click here and your question will be directed appropriately.