Chemical Management Plan Forms

Many forms on this page are in Word format to enable researchers to download and complete the forms electronically. Other forms are available in PDF. Click here for more information regarding PDF documents.

• EHS Audit Checklist
• Characteristics of Hazardous Wastes: Corrosives, Ignitability, Reactivity, and Toxicity and the Hazardous Chemical Lists
• Chemical Management and Treatment Protocols
• Exempted Product Categories List
• Hazardous Chemical Waste Tag
• Hazardous Materials Inventory Summary Form
• Hazardous Chemical Incompatibility List
• Standard Recommendations for Correcting Common Discrepancies
• Chemical Pickup Form and Instructions
• Surplus or Disposal of Equipment Form

Certificate of Environmental Compliance Form

To apply for authorization of a Certificate of Environmental Compliance please complete the following Safety Questionnaire form. Fax or mail a signed copy to the Director of the Department of Environmental Health and Safety.

            Mail to: 4747 Troost, Room 3, Kansas City, Missouri 64110

            Fax to: (816)-235-6559

Upon receipt and review authorization will be extended through the Office of Research Services.

Radiological Operations Forms

Many forms on this page are in Word format to enable researchers to download and complete the forms electronically. Other forms are available in PDF. Click here for more information regarding PDF documents.

• Credit Card Approval For Radioactive Materials (RS1d)
• Amendment To Authorization For Possession And Use Of Radiation Sources (RS2)
• Statement Of Training And Experience For Use Of Radiation Sources: Radiation Worker (RS3)
• Exposure History Release Form (RS3a)
• Radioactive Materials Request For Internal Transfer (RS5)
• Radioactive Waste Pick Up Form (RS6)
• Radioactive Waste Pick Up Form Instructions (RS6a)
• Declaration Of Pregnancy (RS7)
• Pregnancy Declaration Policy (RS7a)
• Quarterly Inventory Form (RS11)
• Instructions for Completing Quarterly Inventory (RS11a)
• Radiation Worker Observation Checklist (RS22)