Get Dosimeter Assignment Check Sheet Please Type Or Print - Physics Isu

Filling out the dosimeter assignment check sheet is a crucial step for ensuring accurate tracking of dosimeter usage. This guide will walk you through the process of completing the form clearly and correctly, ensuring all necessary information is provided.

Follow the steps to complete the dosimeter assignment check sheet:

1. Click ‘Get Form’ button to obtain the form and access it in your preferred editor.
2. In the ‘Last Name’ field, enter your last name clearly.
3. Proceed to the ‘First Name’ section and fill in your first name.
4. In the section labeled ‘M.I.’, input your middle initial if applicable.
5. For ‘DOB (mm/dd/yy)’, enter your date of birth using the specified format.
6. Fill in the ‘SSN *’ field with your Social Security Number, keeping in mind that this information will be handled confidentially.
7. Enter your Bengal ID in the corresponding field for identification purposes.
8. In the ‘Sex’ section, select either ‘M’ for male or ‘F’ for female.
9. Provide your email address in the ‘E-mail’ field.
10. Fill in your home phone number in the designated area.
11. Complete your permanent mailing address, ensuring to include all relevant details.
12. Indicate whether you will use your dosimeter for a single calendar quarter by selecting ‘YES’ or ‘NO’. If ‘YES’, specify which quarter.
13. The following fields will be filled out by the TSO staff; ensure you leave these blank: Badge Type (choose between Ring or Whole Body), Badge Name, Bar Code No., Date of Issue, Reason for issue, and Dose.
14. Once all sections are completed, you can save the document and choose to download, print, or share the form as needed.

Ensure your dosimeter assignment check sheet is completed accurately by following these instructions online.