New wearer request

This can be found on the front of any dosemeter or documentation we send.

Wearer Information

Please add name/s of any wearers previously monitored.

Dosemeter Requirements

A £2.00 charge per Dosemeter will be added if required immediately (within 3 working days) subject to availability.
Personal information provided on this form is treated in confidence and in accordance with the Data Protection Act 1998. The information will be used to enable the supply of personal radiation dose meters and prepare individual radiation exposure records. We may share information with selected third parties in fulfilling these obligations. Information will not be utilised or shared for any other form than for the purpose for which it is collected and will be kept securely within the terms of the Act.