The University of Maryland Baltimore, Environmental Health and Safety, Inter-Departmental Billing
***EFFECTIVE: IMMEDIATELY***
INSTRUCTIONS
Fill out the following:
Charge Department:
- Contact Person
- Department
- Phone #
- Work Address
- Radiation Safety Authorized User – Printed or Typed
- CHARGE Authorized Signature
- Date – When the CHARGE Authorized Signature signed this form
- UM CHARTSTRING (Project ID, Owner Department, Program, Fund, Account, and PCBU)
Description of GOODS / SERVICES provided:
- Quantity for each line that is needed – How many?
- The amount for each line that is needed
- Get this information from the memo Radiation Safety sends you.
- Parts – You can write a description in the space next to it.
- Other – You can write a description in the space next to it.
BRING TO EHS – RADIATION SAFETY DEPARTMENT
Bring with you the following, for your Survey Instrument to be calibrated:
- Survey Instrument
- University of Maryland Baltimore Environmental Health and Safety Inter-Departmental Billing form (single sheet)
- REMINDER – Make a COPY of the UM/EHS INTER-DEPARTMENTAL Billing form BEFORE bringing your Survey Instrument over to be calibrated.