Dd Form 1952 – Fill Out and Use This PDF

Dd Form 1952 PDF Details

The DD Form 1952, titled "Dosimetry Application and Record of Previous Radiation Exposure," is an official Department of Defense document used to track ionizing radiation exposure for military and civilian personnel. It is required under Army Regulation 40-14 for all DoD personnel working in radiation-controlled environments.

Who Needs to Complete DD Form 1952

This form is required for military personnel, DoD civilian employees, and contractors assigned to nuclear or radiological work areas. It must also be submitted when transferring between commands with an existing dosimetry record, or when a previously issued dosimeter is lost or stolen. The Radiation Safety Officer (RSO) at the receiving command reviews each form before issuing a new dosimeter.

What the Form Covers

DD Form 1952 is a two-page document with three main parts. The first part collects personal identifying information including full name, date of birth, Social Security number, and current duty station. The second part records prior occupational exposure history, asking whether the individual received a dosimeter from a previous command and the approximate dates of that service. The third part is a compliance statement that the individual must sign. By signing, they agree to follow all NRC and Army requirements for dosimeter use, storage, and loss reporting.

Health Physics and Compliance

Health physics officers use the data from this form to establish a cumulative dose baseline and to determine whether bioassay procedures are needed. Accurate exposure records help ensure that no service member or DoD employee exceeds the occupational dose limits set by the Nuclear Regulatory Commission. The form is authorized under the Privacy Act of 1974. Personal radiation records may not be shared without written consent from the individual.

Related military health forms include the DD Form 2807-1 Report of Medical History, the DD Form 2766 Adult Preventive Care Flowsheet, and the DD Form 214 Certificate of Release from Active Duty. These documents are commonly filed together as part of an occupational health record.