DD Form 1952 PDF Details

The occupational exposure history section only applies to the individual who has worked with radiation producing devices or radioisotopes.

Employers: list only those employers for whom you worked with radiation.

First dosimeter: if you have not been issued a dosimeter previously, enter NONE in the first block.

Disclosure: if information is not furnished, individual may not become a radiation worker.

Exposure data: data on your exposure to ionizing radiation or radioactive material is available to you upon request.

Pregnancy: pregnant female workers may formally declare their pregnancy to be restricted to a lower dose limit.

QuestionAnswer
Form NameDD Form 1952
Form Length2 pages
Fillable?Yes
Fillable fields85
Avg. time to fill out15 min
EditionAPRIL 2021
Who signsThe individual
Other namesDD Form 1952, DD 1952, DD1952, Form 1952, Dosimetry Application and Record of Previous Radiation Exposure
Official sourceDD Form 1952 (Rev APRIL 2021), Department of Defense