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.
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:Ms. Doris LewisREIRS Project Manager Office of Nuclear Regulatory Research U.S. Nuclear Regulatory Commission Mail Stop: CSB-3A07M Washington, DC 20555-0001 (301) 251-7559 doris.lewis@nrc.gov 
[Categories of NRC licensees in REIRS] |
U.S. Department of Energy:REMS Project ManagerAttn: Ms. Nirmala Rao DOE, HS-24 1000 Independence Ave. SW Washington, DC 20585-1290 (301) 903-2297 nimi.rao@hq.doe.gov
http://www.hss.doe.gov/sesa/analysis/rems/ |
U.S. Air ForceUS Air Force Center for Radiation DosimetryUSAF 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
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U.S. ArmyUS Army Dosimetry CenterAttn: AMSAM-TMD-SD, Bldg. 5417 Contact: Mr. William S. Harris, Jr. Redstone Arsenal, AL 35898-5000 (256) 876-1786 william.harris3@us.army.mil
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U.S. Navy and Marine Corps (all personnel)Naval Dosimetry CenterOfficer 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 SiteU.S. Department of EnergyAttn: Dosimetry Research Project, M/S 401 NSTec P.O. Box 98521 Las Vegas, NV 89193-8521 |
Defense Threat Reduction AgencyDefense Threat Reduction AgencyRD-NTSN/NTPR 8725 John J. Kingman Road, MSC 6201 Fort Belvoir, VA 22060-6201 NTPR Program Helpline: 1-800-462-3683
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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'.
