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Pregnancy Declaration Form
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People also ask
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What is the declaration of pregnancy by a pregnant woman?
(28) “Declared pregnant woman” means a woman has voluntarily informed the licensee or registrant, in writing, of her pregnancy and the estimated date of conception. The declaration remains in effect until the declared pregnant woman withdraws the declaration in writing or is no longer pregnant. -
What is a declaration of pregnancy letter?
DECLARATION OF PREGNANCY In ance with the Nuclear Regulatory Commission 10 CFR 20.1208, “Dose to an Embryo\Fetus,” and State regulations, I am declaring that I am pregnant. I believe I became pregnant in _________________________ (only month and year need to be provided). -
What is a declaration about pregnancy?
I am choosing to declare that I am pregnant. I believe I became pregnant on or about _____________________________ (enter month and year only). -
What is a pregnancy declaration form?
With the Declaration of Pregnancy, the worker grants consent to her employer to limit the dose to 0.5 rem (5 mSv) throughout the pregnancy. If no declaration is submitted, then the dose limits for the worker remain unchanged (whole body dose limit = 5rem/yr (50mSv/yr)).
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