Pregnant radiation worker 2026

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  1. Click ‘Get Form’ to open the Declaration of Pregnancy form in the editor.
  2. Begin by entering your full name in the designated field at the top of the form.
  3. In the section for estimated date of conception, provide the month and year only.
  4. Review the NRC definitions and regulations provided in the document to ensure you understand your rights and responsibilities as a declared pregnant worker.
  5. Sign and date the form at the bottom, confirming that you have read and understood the information regarding dose limits.
  6. Submit your completed form to Radiation Safety – EHS at the specified address.

Start using our platform today to easily manage your declaration process for free!

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