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

Each Licensee should complete forms in accordance with instructions provided on the form.

Contacts

Division of Radiation Control (DRC)

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

The Details

What you need

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

How to submit

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

Open PDF file, 16.56 KB,  Cumulative Occupational Exposure History (English, PDF 16.56 KB)
Open RTF file, 138.09 KB,  Cumulative Occupational Exposure History (English, RTF 138.09 KB)
Open PDF file, 19.19 KB,  Occupational Exposure for a Monitoring Period (English, PDF 19.19 KB)
Open RTF file, 45.66 KB,  Occupational Exposure for a Monitoring Period (English, RTF 45.66 KB)

Contact

Address
250 Washington St., 7th Floor, Boston, MA 02108
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

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