Submit a Cumulative Occupational Exposure History Form or Occupational Exposure for a Monitoring Period Form

What you need

Please submit a record of dose exposure or record of cumulative occupational exposure.

How to submit

Online +

Email your completed and signed report to: RadiationControl@mass.gov

You can access the Cumulative Occupational Exposure History and Occupational Exposure for a Monitoring Period forms below.

Downloads

Cumulative Occupational Exposure History, Open PDF file, 16.56 KB (English, PDF 16.56 KB)

Cumulative Occupational Exposure History, Open RTF file, 138.09 KB (English, RTF 138.09 KB)

Occupational Exposure for a Monitoring Period, Open PDF file, 19.19 KB (English, PDF 19.19 KB)

Occupational Exposure for a Monitoring Period, Open RTF file, 45.66 KB (English, RTF 45.66 KB)

Contact

Division of Radiation Control (DRC)

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Address

100 Cambridge St., 19th Floor, Boston, MA 02114-2509

Directions

Phone

Main number Call Division of Radiation Control (DRC), Main number at (617) 624-5757

Monday-Friday 9 a.m.-5 p.m.

DRC emergency number Call Division of Radiation Control (DRC), DRC emergency number at (508) 820-2121

Rings to Massachusetts State Police

Online

Email: Email Division of Radiation Control (DRC) at RadiationControl@mass.gov

Related

• Occupational Exposure resources