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Get Declaration Of Pregnancy - Vcu

Department: Position: By providing this information in writing to my immediate supervisor, I am declaring myself to be pregnant as of the date shown above. I understand that under the provision of 10CFR Part 20.1208, the exposure to my unborn child from occupational exposure to radiation will not be allowed to exceed 5 mSv (500 mrem) during the entire pregnancy. The dose to my unborn child shall be taken as the s.

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