After filling out the Radiation Test Request, you will receive a response to your request containing the planning. × Information message If you would like to perform several separated tests, please submit one form per test campaign. This applies also to multiple, non-consecutive test on the same setup, or tests with the same test system on different samples. Your name First Last Email CERN department or Experiment CERN department or Experiment - Select -BETEENSYEPATLASCMSOther… Enter CERN department or experiment, or external institute if none of the above matches My first availability to perform this test is from: Max allowed dose rate [Gy/h] Target Dose [kGy] Active irradiation, i.e. with powered devices or data acquisition? Yes No Does this test allow for interruptions? - Select -Yes, no time limitYes, limited to 2h (e.g ESCC Basic Specification No. 22900)No interruption possible Short description of equipment to be tested Dimensions of equipment Submit Leave this field blank