Individual Monitored at an NRC Licensed Facility

To request a dose history report (NRC Form 4 or NRC Form 5) for an individual monitored at an NRC licensed facility (10 CFR 20.2206), or for an NRC employee, or for monitoring records for a DOE facility, you may now use the Automated Dose History Request Form.

Requests for Dose Records from Other Agencies

To request a dose history for an individual monitored for radiation exposure at a U.S. Government agency listed below, contact the following:

NRC Licensees:

Dr. Terry Brock

REIRS Point of Contact
Office of Nuclear Regulatory Research
U.S. Nuclear Regulatory Commission
Mail Stop: 2WFN-08D39
Washington, DC 20555-0001
301-415-1793
Terry.Brock@nrc.gov
[Categories of NRC licensees in REIRS]

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U.S. Department of Energy:

REMS Program Manager

Attn: Ms. Katharine McLellan
Office of ES&H Reporting and Analysis
DOE REMS Program Manager
U.S. Department of Energy
1000 Independence Avenue, SW
Washington, DC 20585-1290
202-586-0183
Katharine.mclellan@hq.doe.gov
https://energy.gov/ehss/policy-guidance-reports/databases/occupational-radiation-exposure

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U.S. Air Force

US Air Force Center for Radiation Dosimetry

USAF Radiation Dosimetry Laboratory  
2510 5th Street, Area B, Bldg 0840
Wright Patterson AFB, OH 45433-7913
937-938-3346

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U.S. Army

US Army Dosimetry Center

Attn: AMAM-TMS-DC, Bldg. 5417
Contact: Mr. William S. Harris, Jr.
Redstone Arsenal, AL 35898-5000
256-876-1786
william.s.harris74.civ@army.mil

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U.S. NAVY AND MARINE CORPS (ALL PERSONNEL)

Naval Dosimetry Center

Officer in Charge
Naval Dosimetry Center
4975 North Palmer Road, Bldg 84T  
Bethesda, MD 20889-5629
301-295-5410
https://www.med.navy.mil/Navy-and-Marine-Corps-Force-Health-Protection-Command/Field-Activities/Naval-Dosimetry-Center/

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U.S. Department of Energy Nevada Test Site

Nevada RESEP

UNLV Health, Department of Family Medicine
1701 W. Charleston Blvd., Ste. 590
Las Vegas, NV 89102
702-992-6887
https://www.unlv.edu/medicine/nevada-resep

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Defense Threat Reduction Agency

Defense Threat Reduction Agency
Attn: RD-NTS (NTPR)
8725 John J. Kingman Road
Fort Belvoir, VA 22060-6201
1-800-462-3683
dtra-ntpr@mail.mil
https://www.dtra.mil/DTRA-Mission/Reference-Documents/NTPR-Info/

Release Waiver for Privacy Information

Requests must be accompanied by a release waiver (organizational, individual) signed by the monitored individual. Records can be retrieved by name, but it is recommended that the request include the individual's social security number in order to ensure the accuracy of the retrieval. Requests that include the individual's social security number need to be protected in accordance with the Privacy Act of 1974 and should be marked as 'Privacy Act'.