Radiation Safety Electronic Forms

You must return your completed application (form) to our office for review and approval!


  • Principal Investigator & Qualified User Applications. For the Qualified User, the application must be signed by the applicant’s PI. The application will be reviewed by the Radiation Safety Officer, Alternate RSO and two members of the RSC. If approved during this initial review, the Chairman of the RSC will approve the application.
  • General User Applications must be signed by the applicant’s PI or AU. The application is reviewed by the RSO or Alternate RSO, and if approved, is sent to the Chairman of the RSC for final approval.

Radiation Safety Committee Letter of Approval

Environmental Health & Safety will review all applications for completeness and ensure that the necessary training requirements have been met. The RSO and/or RSC must approve all applications.

Upon approval of your application, you will receive a letter from the Chairman of the RSC authorizing you to work with radioactive material or radiation producing equipment at the University of Virginia. You are encouraged to use Environmental & Safety as a resource. If you have any questions regarding the use of radioactive material or radiation producing equipment, please feel free to contact our office at 434-982-4911.

Special Materials Handling Facility
515 Edgemont Road
P.O. Box 400322
Charlottesville, VA 22904-4322
PHONE 434.982.4911
FAX 434.982.4915
One Morton Drive
Suite 320
P.O. Box 400333
Charlottesville, VA 22904-4333
FAX 434.243.1735
EMAIL vck9u@virginia.edu
© 2019 By The Rector And Visitors Of The University Of Virginia