HP Authorization Form 

Please note that this form is to be used when a PI would like to grant a lab manager or other personnel access to HP Assist to order radioactive materials, submit waste requests, etc. This form grants the person the same exact access to HP Assist as the PI has.

*Note: To have access to HP Assist you must be a trained radiation worker, meaning you have completed Radiation Safety 101 (part I and part II).

Information for Person Requiring Access

Last Name:*
First Name:*

PI Information

PI Name:*
PI Email:*

Information of Person Making Request

Requester Name:*