Get The University Of Chicago Application For Non-human ...

This guide provides comprehensive instructions for completing the University of Chicago Application for Non-Human Use of Radioactive Material online. It serves as a reliable resource for users to navigate each section of the application with ease and accuracy.

Follow the steps to complete your application effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide the applicant information, including name, title, department, and contact details such as campus address and email. Ensure all fields are appropriately filled.
3. Check whether you have been previously approved by the University of Chicago Radiation Safety Committee for the use of radioactive material. Select 'Yes' or 'No'.
4. Indicate the type of application by checking one box: 'New', 'Renewal', or 'Amendment'. Each option has specific implications, so choose carefully.
5. Complete the radionuclide table by providing details for each nuclide, including physical form, chemical form(s), and maximum monthly order.
6. State the purpose of use by checking all applicable boxes that correspond to your research needs.
7. Outline procedures to be used. Check all common procedures listed and provide detailed descriptions where necessary, including any additional procedures.
8. List room numbers for all areas where radioactive material will be used or stored. Indicate the type of use by checking the appropriate columns.
9. List all authorized users who will work with the radioactive material, providing full names and including any necessary regulatory compliance numbers.
10. Detail any additional precautions (ALARA/Safety Precautions) that will be implemented to minimize exposures to personnel.
11. List survey instruments for monitoring contamination and/or radiation levels. Include all required details such as the model and calibration date.
12. Specify the types of radioactive waste expected to be generated and the storage locations, and address drain disposal policies if applicable.
13. Complete the section regarding administering radioactive material to living animals if applicable, and follow outlined procedures for any necessary forms.
14. Finally, certify the application by signing and dating the form to confirm that all provided information is accurate. Include the signature of the Radiation Safety Officer and the date.

Complete your application online today to ensure compliance and secure the necessary approvals.