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DD Form 1952 — DD Form 1952, Dosimetry Application and Record of Previous Radiation Exposure, September 2011

Dosimeter Application and Record of Occupational Radiation Exposure

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Treat DD Form 1952 as Department-level, which changes how you look for it. Title: DD Form 1952, Dosimetry Application and Record of Previous Radiation Exposure, September 2011. Function: Dosimeter Application and Record of Occupational Radiation Exposure. Because the number carries DD rather than a service prefix, the same edition covers all military departments and the defense agencies at once. Nobody issues a Navy copy or an Air Force copy.

Requirement traces to not stated; the form belongs to not stated. Everything about schedule sits below that in local instruction, which is where to ask if a date matters.

Current edition is not stated, carried as not stated. Check that against any copy you already hold before doing anything else — Department-level revisions land everywhere simultaneously, so a stale file is stale across the whole Department.

The set is PDF. Size: 2 pages, about 57 fields. Everything below refines that choice.

Default to fillable pdf, print only when you must. The fillable file stores what you type; the printable file is a blank picture. A Department form often travels further than a service form — scanned, emailed, forwarded to an agency that never saw the original — and typed text is what survives that.

Xfdl is a legacy Department format, IBM Lotus Forms, requiring the matching viewer. Its survival in DD distribution reflects how widely it was fielded across the Department, not any advantage over pdf today.

Free download, every format. Do not fill the form in a browser tab — browser pdf viewers handle interactive fields inconsistently and discard entries on close.

What the form asks for

  • 1. Full name (last, first, middle).
  • 2. Date of birth (2 digit day, 2 digit month, 4 digit year).
  • 3. Social security number.
  • 4. Duty section (department, unit, etc., or company if contractor).
  • 5. Job title.
  • 6. Duty phone number.
  • 7. Email address.
  • 8. Have you worn a dosimeter issued by this command in the past? Press space bar to mark X in first box if yes, second box if no.
  • 9. Duty status. X first box if permanent, second box if temporary (6 weeks or less).
  • 10. If temporary, mailing address (street, city, state, and zip code).
  • Occupational Exposure History. 11. Name of employer, line 1. If you have not previously been issued a dosimeter, enter "None" and go to Remarks section.
  • 12. Employer address (street, city, state, zip code).
  • 13. From (month).
  • 13. From (year).
  • 14. To (month).
  • 14. To (year).
  • 11. Name of employer, line 2.
  • 12. Employer address.
  • 13. From (month).
  • 13. From (year).
  • 14. To (month).
  • 14. To (year).
  • 11. Name of employer, line 3. Attach a list if more entries are needed.
  • 12. Employer address.

Verify the edition before the first keystroke. The date on the form face should read not stated. If it does not, discard the file. Field numbering shifts between editions, and on a DD form the new layout reaches every receiving office in every service at once — there is no lag during which the old version is still normal somewhere.

Unclear entries — read the form face, then not stated; the directive prevails.

Submit to the office named in not stated or in local instruction; retain a duplicate before it leaves. Joint routing often sends a DD form across organizational boundaries, and tracing one afterward is not a same-day matter.

Look up cross-referenced forms by series and number. DD numbering is unified across the Department, which removes the usual step of identifying which service issued the thing.

Do not read across from a service number. DA numbering is Army-specific under an Army proponent; DD numbering is Department-wide under not stated or an equivalent Department office. The sequences are unrelated, so identical digits in each identify two different documents. Read the prefix, not the digits.

Revision follows directive changes, changed data requirements and amended notice language, unannounced. Verify not stated each time rather than trusting a saved copy — the cost of the check is seconds.

This page publishes a Defense document and explains its contents. It does not advise, does not rule on applicability, and determines nothing about how a completed form will be treated. Direct such questions to not stated, to the servicing personnel office, or to the office designated in not stated.

Questions and answers

What is DD Form 1952?
DD Form 1952, Dosimetry Application and Record of Previous Radiation Exposure, September 2011
Which edition is current?
Not stated by the publisher
Who is responsible for this form?
Not stated
In which formats can it be downloaded?
PDF

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