CAPS Website

Radiation Safety Committee

Application Forms

The following forms are used for applying for a Radioactive Material Use Permit, amending a Use Permit or obtaining approval for conducting research involving live animals or human subjects with radioactive materials, radiation devices or machines that produce radiation.

	Word Forms (preferred)		PDF Forms
	Use Permit Application Instructions		Use Permit Application Instructions
	Use Permit Application		Use Permit Application
	Training & Experience Form		Training & Experience Form
	Human Use with Radioactive Materials		Training & Experience Form - Medical
	Human Use with Radiation Devices		Human Use with Radioactive Materials
	Animal Use with Radioactive Materials		Human Use with Radiation Devices
	Animal Use with Radiation Devices		Animal Use with Radioactive Materials
	Lab Registration Form		Animal Use with Radiation Devices
	Radionuclide Use Form		Lab Registration Form
	Instrument Registration Form		Radionuclide Use Form
			Instrument Registration Form

Laboratory Safety 1540 Alcazar Street Center for Health Professions CHP-148, MC 9005 Los Angeles, California 90033-9005 Mail Code 1058
323-442-2200 FAX: 323-442-2201

Contact Department