To order Qal-Tek’s Dosimetry Badge Service, please fill out the form below and submit to info@qaltek.com.

We require the following information for each badge:

  • Badge wearer name
  • Date of birth
  • Last 4 numbers of their Social Security Number
  • Whether you are adding or deleting a badge

If you’re deleting badges and have the QDS account number, please provide that as well.  Once we’ve received your form and processed the order we will confirm the order to you.