The transfer of any radioactive material between users must be approved by the RSO. Both the donor and recipient must acquire RSO approval. In accordance with this requirement, we submit the following request for approval of transfer of radioactive material(s), as described:

Sublicensee: _________________________________Sublicense #_________ Dept. _________

Location where isotope is used or stored: ____________________________________________

Isotope to be transferred: ____________ form: ____________ Amount (mCi) _________

Reference date ________ RSO #____________

Sublicensee: _______________________________Sublicense #__________ Dept. __________

Location where isotope will be used or stored: ________________________________________

Date of transfer: ________

Donor signature _______________________________________________ Date ____________

Recipient Signature ____________________________________________ Date ____________

The RSO must be consulted prior to any off campus transport of radioactive material or radiation producing machines. The RSO must verify that shipments are packaged, labeled and managed according to all applicable regulations. For the transport and use of radioactive materials off campus, RCAC approval is required through the sublicense amendment process. In accordance, I request approval:

1. To ship radioactive material off campus ____________

Describe the material or machine: _______________________________________________

2. To transport RM off campus (attach sublicense amendment request form)

Isotope __________ Form _______________ Amount _____________________________

Location of lab ______________ Destination of transport___________________________

Signature of Sublicensee _______________________________ Date _________________