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Department of Defense form 1952. Official designation: DD Form 1952, Dosimetry Application and Record of Previous Radiation Exposure, September 2011. Purpose: Dosimeter Application and Record of Occupational Radiation Exposure. Current edition not stated, status not stated.
Prescribing authority: not stated. Proponent: not stated. Unlike service-specific publications, DD forms carry Department-level authority and apply across the Army, Navy, Air Force, Marine Corps, Space Force and Coast Guard when operating under Defense jurisdiction.
Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.
Submission follows the schedule set by not stated and by local implementing procedures. This page provides the blank form for download and general orientation only.
Available formats: PDF. The form runs 2 pages and contains approximately 57 fillable fields.
Distribution centres on pdf. Two states exist: fillable, where field boxes accept keyboard input and retain it, and printable, a static blank produced for manual completion. Typed data reproduces cleanly across copies; handwritten data depends on the writer.
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.
The document is filled from the top down. Identification precedes substance, substance precedes certification. Fields lower on the page are commonly keyed to entries made above them.
The current edition is not stated. Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field correspondence. Edition date appears in the lower corner of the printed blank.
Signature is manual ink on printed copies and digital where the receiving system accepts it. A typed name in a signature field is a name, not a signature. Common Access Card credentials support digital signature in pdf where the form and the reader permit.
Where personal information is collected, a Privacy Act Statement appears on or with the form. It names the collection authority, the purpose, the routine uses of the data and the consequence of withholding it. Reading it precedes filling the form.
Frequent defects: obsolete edition, unfilled required boxes, handwriting that fails on reproduction, non-conforming date format, and certification without a corresponding date.
Field-level instructions appear on the form itself and in not stated. The directive is the controlling text.
Once executed, routing follows not stated and the submitting organization's own instruction. Keeping a copy is standard.
Related documents are located by series and number. DD forms sit in a single Department-wide sequence, so a form referenced inside DD Form 1952 is normally found by its number alone, without regard to service.
A DD number and a DA number may appear in the same instruction without being related. DA forms belong to the Army alone; DD forms belong to the Department and are administered at Department level. The sequences are independent.
Revision occurs when the prescribing directive is reissued, when the data collected changes, or when statutory notice language is amended. Verification of the edition date at download addresses all three.
This page distributes a published Department of Defense document and describes it. It is not a source of legal advice and makes no representation about acceptance of any completed form. Questions of applicability, eligibility or procedure belong to not stated, the servicing personnel office, or the office named 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?