This form allows you to register your radiation detection instrument with EH&S's Radiation Safety Office at the UW. The information is used to maintain calibration records for all radiation detection instruments that are in use under the UW's Radioactive Materials License.

All radiation detection instruments must be registered with EH&S's Radiation Safety Office, even though they may be calibrated at any qualified facility.

These ( * ) fields are required.

Contact Information

Please enter a valid ten-digit phone number with optional extension (e.g (206) 543-7262). Phone numbers should only contain numbers and + and - and ( and ) and spaces.

Owner Information

Instrument Information

Additional Information