Radiation User Information Form
Submit this form to request to be entered into the Radiation Safety Information System (RSIS).

To be added to a specific Radiation Use Authorization (RUA), have your PI or Lab Contact complete and submit a Radiation Use Authorization (RUA) Change Form available to them on RSIS.

If you have any questions, please email radsafety@berkeley.edu.
Email *
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Phone Number (no punctuation) *
Department
Physical Location on Campus
What is your UC Berkeley Affiliation? *
Do you have any relevant education, experience, or training with ionizing radiation? *
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