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 Chemical Waste Pickup Request

CU Denver Incident Report 

CU Denver 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

Radiation Safety Manual

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 Online Questionnaire ( .pdf version for those submitting outside of CU system) 

Vivarium SOP for Animal Biosafety (ABSL) - special download instructions

Vivarium SOP for Hazardous Chemicals or Drugs - special download instructions 

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 

Appointment Request Form 

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

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

Medical Records Request

Respirator Medical Evaluation Questionnaire 

Tuberculosis Risk Assessment Online Questionnaire (.pdf version for those submitting outside of CU system) 

 
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