IU Equipment Decontamination and Decommissioning Certification Form

IU Equipment Decontamination and Decommissioning Certification Form

The equipment owner or designated department or laboratory representative must complete and sign this form prior to transfer or disposal of any equipment that may contain or be contaminated with any hazardous chemical, biological, or radioactive materials.
All sections must be completed. Check N/A for all areas that do not apply. When the form is completed, sign at the bottom to certify that all applicable decontamination and decommissioning steps have been completed.