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This version of the form is not currently in use and is provided for reference only. Download this version of
NRC Form 5
for the current year.
NRC Form 5 Occupational Dose Record for a Monitoring Period
What Is NRC Form 5?
This is a legal form that was released by the U.S. Nuclear Regulatory Commission on October 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is NRC Form 5?A: NRC Form 5 is the Occupational Dose Record for a Monitoring Period.
Q: What is the purpose of NRC Form 5?A: The purpose of NRC Form 5 is to record occupational doses received by individuals during a monitoring period.
Q: Who uses NRC Form 5?A: NRC Form 5 is used by individuals and employers in facilities licensed by the Nuclear Regulatory Commission (NRC).
Q: What information does NRC Form 5 capture?A: NRC Form 5 captures information about the monitored individual, their radiation exposures, and other relevant details.
Q: How often is NRC Form 5 filled out?A: NRC Form 5 is typically filled out on a quarterly basis.
Q: Is NRC Form 5 required by law?A: Yes, NRC Form 5 is required by law for individuals working in NRC-licensed facilities to monitor their occupational doses.
Form Details:
- Released on October 1, 2017;
- The latest available edition released by the U.S. Nuclear Regulatory Commission;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of NRC Form 5 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the U.S. Nuclear Regulatory Commission.
Download NRC Form 5 Occupational Dose Record for a Monitoring Period
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