Breadcrumb Home Dosimeter Request For Service You must have JavaScript enabled to use this form. Important Notice:In order to request a dosimeter for the first time, the required on-line training is available through the EHS website (see links below). If you previously have had a dosimeter at The University of Iowa DO NOT use this form; complete the "Change in Dosimeter Service Form."Uncertain which course to take? Registration Links - ALL Users WITH a University HawkID and Password - Click to EnrollThis enrollment link will take you to the University’s HR Compliance and Qualifications log in. 1. Click on the “My Training” button in the top blue bar. 2. Click on “Enroll in Courses” under blue header. 3. Under “Find a Course”, enter the course number or course title to find the desired training. Click on “Search Courses”. 4. Click on “View Details” for the desired course. 5. Click on “Enroll in Session.” Once enrolled you will be taken into ICON. 6. Click on "Modules" on the left-hand side and choose "Training Module". After reviewing the course, take the quiz. 7. Click on “Grades” within the ICON course to review your score for that particular course. To successfully complete a course you must score at least 80% on the quiz. Paid employees can also register through their Employee Self-Service site. 1. Click on the "My Career" button. 2. Click on "My Training" button. 3. This will take you to the Compliance and Qualifications screen; follow the steps outlined above. If you are a paid employee your grade can be found within the specific ICON Course under Grades and will be uploaded to Employee Self-Service, My Training, within 48-hours. If you are an unpaid user, your grade can only be found within the specific ICON Course under Grades. Users WITHOUT a HawkID and PasswordThis request is for a temporary status at the UI/UIHC ONLY. To request a Guest ID, email EHS at ehs-training@uiowa.edu(link sends e-mail)(link sends e-mail) with the following information. 1. Your first and last name 2. Email address 3. UI department and supervisors name that you will be working with. 4. Course(s) needing to take. 1. User Information First Name Last Name Your email address Birth Date Birth Date: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Birth Date: Day Day12345678910111213141516171819202122232425262728293031 Birth Date: Year Year1955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027 University ID Number Sex Male Female Department Job Title 2. Application Information Principle Investigator Application Number (Example xx-xxx) 3. Departmental Authorization Name Campus Phone Dosimeter Series Code 4. University Billing Information (MFK) Fund (xxx) Org (xx) Dept. (xxxx) Subdept (xxxxx) Grant/Pro (xxxxxxxx) Inst. Acct. (xxxx) Org. Dept. (xxx) Dept. Acct. (xxxxx) Function (xx) CCTR (xxxx) 5. Dosimeter(s) Needed Other, please specify Example: Neutron Use, request of U3/Ring or P5/Wrist when recommended, etc. Date dosimeter(s) needed Type of Dosimeter(s) Requested for Work Area) (Check all that apply to daily work duties) Routinely work with greater than 0.5 mCi of gamma microspheres, 2.0 mCi I-131, 5.0 mCi I-125, 1.0 mCi P-32 and other beta emitters with energies above 1 Mev (P1/Whole body & U3/ring required) Work with radioactive materials in quantities less than 0.5 mCi of gamma microspheres, 2. mCi I-131, 5.0 mCi I-125, 1.0 mCi P-32 and other beta emitters with above 1 Mev. (Dosimeter optional) Routinely work at patient x-ray table during fluoroscopic x-ray procedures. (P1/Whole Body, P8/Collar required) (U3/Ring or P5/Wrist recommended, please state in comment section below which type is needed) Work in x-ray room during x-ray procedures. (P1/Whole body, P8/collar recommended) X-ray diffraction units. (U3-Ring required) 6. Previous Employment Have you worked at any location previous to the Unversity of Iowa requiring you to wear a radiation-measuring device? Yes (YOU MUST COMPLETE THE RADIATION DOSIMETER PREVIOUS HISTORY REQUEST FORM. No Radiation Dosimeter Previous History Request Leave this field blank