Request to Download
Select the AFRRI product that you wish to request permission to download, then fill in the information cells below and click the Submit Form button.
Sign in to Google to save your progress. Learn more
Would you like to request the BAT software?
Biodosimetry Assessment Tool (BAT) software
Would you like to request the WinFRAT software?
First-responders Radiological Assessment Triage (WinFRAT) software
First Name *
Middle Name
Last Name *
Title (Dr., Mrs., etc.)
Department
Organization
Address Line 1 *
Address line 2
Address line 3
City *
State *
Zip Code *
Citizenship *
Country Code *
(if USA, use 1)
Area Code *
Phone Number *
Work fax-Area/city code
Work fax-local number
E-mail address
1) Use the same e-mail address when requesting BAT or FRAT
2) To assure that you receive a reply, enter your e-mail address correctly
E-mail Address *
I have double checked my e-mail address and verify that it is correct. *
Required
Job title
Area of expertise
Comments
May we include your name and organization as a product user in our information materials?
May we include you on our mailing list if we elect to notify you about new and updated products?
Terms of Use
By clicking the submit button you agree to the following:

1.  I understand that my application for either the BAT or WinFRAT software may be rejected.


Further, if you are granted access to the software, you agree to the following:

2.  I will use the BAT or WinFRAT software entirely at my own risk.

3. I will not distribute copies of the BAT or WinFRAT program.

4. I understand that BAT or WinFRAT is not a substitute for treatment decisions by physicians and other trained healthcare profesionals.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Usuhs.edu.

Does this form look suspicious? Report