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Requests for Dose Records

Individual Monitored at an NRC Licensed Facility

To request a dose history report (NRC Form 4) 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. Elijah Dickson

REIRS Project Manager
Office of Nuclear Regulatory Research
U.S. Nuclear Regulatory Commission
Washington, DC 20555
(301) 415-6704
elijah.dickson@nrc.gov
[Categories of NRC licensees in REIRS]

E-Mail to Elijah Dicksonenvelope

U.S. Department of Energy:

REMS Project Manager

Attn: Ms. Nirmala Rao
EH-52, 270 CC
19901 Germantown Rd
Germantown, MD 20874 
(301) 903-2297
nimi.rao@hq.doe.gov
http://www.eh.doe.gov/rems/

U.S. Air Force

US Air Force Center for Radiation Dosimetry

AFIERA/SDRD
2402 Chambers Parkway
Brooks Air Force Base, Texas 78235-5111
(210) 536-5573
AF_TLD@brooks.af.mil
http://www.brooks.af.mil/afioh/Laboratories/radiation_dosimetry_mission.htm

U.S. Army

US Army Ionizing Radiation Dosimetry

Attn: AMSMI-TMDE-SR-D (Bill Harris)
Bldg 5417
Redstone Arsenal, AL 35898-5400

U.S. Navy (all personnel)

Naval Dosimetry Center

Officer in Charge
Navy Environmental Health Center Detachment
Naval Dosimetry Center (ATTN: NARER Officer)
Building 4/6
Bethesda, MD 20889-5603

DOE Nevada Test Site

U.S. Department of Energy

Attn: Dosimetry Research Project, M/S NLV041
Bechtel Nevada
P.O. Box 98521
Las Vegas, NV 89195-0100

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

Defense Threat Reduction Agency

Defense Threat Reduction Agency

Attn: NSSN / Nuclear Test Personnel Review
6801 Telegraph Road
Alexandria, VA 22310-3398

NTPR Program Helpline: 1-800-462-3683
http://www.dtra.mil/

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'.



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Last revised Tuesday, October 2,2007