NC Collaboratory Radon Kit Request Form

The NC Collaboratory is distributing a limited number of test kits to increase radon awareness amongst NC legislators and legislative staff members.

We encourage you to use the form below to request a test kit at no charge.

If you have any questions about this project, please contact the Collaboratory team at collaboratory@unc.edu.

Air Chek 3-7 Day Radon Test Kit

Which group do you belong to?

I am an NC legislator.

I am an NC legislative staff member.

Other

Mailing address

First name

Valid first name is required

Last name

Valid last name is required

Please enter a valid email address for shipping updates

Address

Please enter your shipping address

City

City required

State

Please provide a valid state

Zip

Zip code required

Your result will be delivered to you via e-mail or text message. Your result will also be shared with the NC Collaboratory. All personal information will be redacted and test address stripped to just the county.

Please check the box above to certify that you have read the disclaimer.