Forms

Medical Surveillance Questionnaire (preferred, please use online form to receive confirmation, updates, etc.)
   (.pdf version for those submitting outside of CU system) 

Annual Respiratory Protection Clearance

Anschutz Medical Campus Chemical Waste Disposal Request 

Appointment Request Form 

COVID-19 Self-Report Form

CU Denver Campus Chemical Waste Pickup Request

CU Denver Campus Incident Report

CU Denver Campus Tax-Free Ethanol Order Form

DEA Controlled Substances Use Log

DEA Initial/Biennial Inventory

Declaration of Pregnancy

Dosimetry Service Change Request

Dosimetry Service Request

Formaldehyde Medical Disease Questionnaire
     Annual Questionnaire  
     Initial Questionnaire 
     Option: .pdf version 

Green Tag Form

Hepatitis B Vaccine Letter of Declination

Incident Report Form for Biological Hazards

Initial Medical Surveillance Questionnaire (preferred; please use online form to receive confirmation, updates, etc.)
     (.pdf version  for those submitting outside of CU system)

Initial Respirator Clearance Form

Lab Move Checklist

Laboratory Registration Form

Laser Registration Form

Medical Records Request

OccHealth Appointment Form 

On-The-Job General Safety Training

On-The-Job Radiation Safety Training

Portable Instrument Survey Log

RAM Application for Human Use

RAM Application for Non-Human Use

RAM Authorization Update

RAM Mixed Waste Disposal

RAM Purchase Approval Request

RAM Survey Record for Green Tag

RAM Waste Pickup Request

Records Request Form 

Respirator Medical Evaluation Questionnaire 

Respiratory Protection Program Evaluation Form

SA Toxin Application Form-App A

Satellite Accumulation Area Inspection Log

Select Agent Toxin Ongoing Use Log

Tax-Free Ethanol Agreement

Tuberculosis-Risk Assessment Questionnaire