Use these templates to request your records from the DOE and NARA. Be sure to fill in all bracketed [ ] information before printing.
Use for: Contractor dosimetry reports, radiation exposure logs, and employment verification.
To: U.S. Department of Energy, Office of Legacy Management
Subject: Privacy Act/FOIA Request for Employment & Dosimetry Records – [YOUR FULL NAME]
I am requesting a search for all records pertaining to my employment and radiation exposure history at the Amchitka Island Test Site.
Personal Information:
Full Name: [Name, including maiden names]
Date of Birth: [DOB]
SSN: [XXX-XX-XXXX]
Dates of Employment: [Approx. Dates]
Contracting Firm: [e.g., Holmes & Narver / Fenix & Scisson]
Records Requested: Please provide all Individual Dose Records, dosimetry reports, and personnel files associated with my work at the Amchitka site.
Use for: Official Personnel Files (OPF) and military service records.
Subject: Request for Official Personnel File (OPF) – [YOUR FULL NAME]
I am requesting my Official Personnel File to verify service dates for a federal compensation claim.
Search Details:
Full Name: [Name]
SSN: [XXX-XX-XXXX]
Dates of Service: [Dates]
Location: [e.g., Adak Naval Station / Amchitka Test Site]
Please provide a complete copy of my personnel file. If additional identity verification is required, please contact me at [Phone/Email].