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Requests for Dose Records

Individual Monitored at an NRC Licensed Facility

To request a dose history report (NRC Form 4 or NRC Form 5) for an individual monitored at an NRC licensed facility (10 CFR 20.2206), or for an NRC employee, or for monitoring records for a DOE facility, you may now use the Automated Dose History Request Form.

Request a dose history

Requests for Dose Records from Other Agencies

To request a dose history for an individual monitored for radiation exposure at a U.S. Government agency listed below, contact the following:

NRC Licensees:

Mr. Terry Brock

REIRS Project Manager
Office of Nuclear Regulatory Research
U.S. Nuclear Regulatory Commission
Mail Stop: CSB-3A07M
Washington, DC 20555-0001
(301) 251-7487
terry.brock@nrc.gov envelope
[Categories of NRC licensees in REIRS]

U.S. Department of Energy:

REMS Project Manager

Attn: Ms. Nirmala Rao
DOE, HS-24
1000 Independence Ave. SW
Washington, DC 20585-1290
(301) 903-2297
nimi.rao@hq.doe.gov envelope
http://www.hss.doe.gov/sesa/analysis/rems/

U.S. Air Force

US Air Force Center for Radiation Dosimetry

USAF Radiation Dosimetry Program
United States Environmental Protection Agency (EPA)
Air Force Research Laboratory
2510 Fifth Street, Area B
Building 0840
Wright-Patterson AFB, OH 45433-7913
(937) 938-3588
Gerald.Achenbach@wpafb.af.mil envelope

U.S. Army

US Army Dosimetry Center

Attn: AMSAM-TMD-SD, Bldg. 5417
Contact: Mr. William S. Harris, Jr.
Redstone Arsenal, AL 35898-5000
(256) 876-1786
william.harris3@us.army.mil envelope

U.S. Navy and Marine Corps (all personnel)

Naval Dosimetry Center

Officer in Charge
Naval Dosimetry Center (ATTN: NARER Officer)
Building 4/6
Bethesda, MD 20889-5603
(301) 295-5410
http://www.cnic.navy.mil/Bethesda/About/TenantCommands/NavalDosimetryCenterNDC/index.htm

DOE Nevada Test Site

U.S. Department of Energy

Attn: Dosimetry Research Project, M/S 401
NSTec
P.O. Box 98521
Las Vegas, NV 89193-8521

http://www.nv.doe.gov/main/faqs.aspx#MEDICAL_CLAIMS

Defense Threat Reduction Agency

Defense Threat Reduction Agency

RD-NTSN/NTPR
8725 John J. Kingman Road, MSC 6201
Fort Belvoir, VA 22060-6201

NTPR Program Helpline: 1-800-462-3683
ntpr@dtra.mil envelope
http://www.dtra.mil/SpecialFocus/NTPR/NTPRHome.aspx

Release Waiver for Privacy Information

Requests must be accompanied by a release waiver (organizational, individual) signed by the monitored individual. Records can be retrieved by name, but it is recommended that the request include the individual's social security number in order to ensure the accuracy of the retrieval. Requests that include the individual's social security number need to be protected in accordance with the Privacy Act of 1974 and should be marked as 'Privacy Act'.

Page Last Reviewed/Updated Monday, January 27, 2014