myBama
EHS

Initial Laser Registration

Please complete the initial laser registration below. Items marked with an asterisk(*) are required for submission. You will receive a copy of your information once this form is successfully submitted.

Laser Registration

"*" indicates required fields

General Information

PI Name:*
Email*

Laser Usage

Laser Information:

Source of Laser:*
Laser Class:*
Type:*
HeNe, Nd-YAG, etc.
HeNe, Nd-YAG, etc.

Laser Safety (General)

Laser Setup:

Is a Laser Warning Sign Posted on the Door?
This field is for validation purposes and should be left unchanged.