Forms
Please email the entire form as an attachment to . Send the title page and original, completed signature page (Principal Investigator and Department Chair signatures are required) to the IACUC Administrator, 1138 Pearson Hall.
Guidance on Completing Forms
- Writing Clear Animal Activity Proposals This article from the June 2011 issue of Lab Animal discusses the common problems in protocols reviewed by the IACUC and offers a framework for investigators writing animal activity proposals.
New Application Forms
Note: Please refer to these tip sheets from NIH and USDA for specific guidelines on how to complete the "Alternatives" portion of your proposed study.
- Protocol Review Form - Breeding Colony This form is used to obtain approval for general colony management practices and activities such as genotyping, disease status, and identification.
- Protocol Review Form - Hybridoma Facility This form is used for projects conducted in the Hybridoma Facility.
- Protocol Review Form - Research (combined IACUC & IBC application). This form is to be used for all research activities"including blood and tissue collection - that involve animals, regardless of the funding source. This form is also used when animals are used in conjunction with recombinant DNA, pathogens, infectious agents, toxins, and experimental biological products. This form is also used if the animals utilized in the project are transgenic.
- Protocol Review Form - Teaching IACUC approval for the use of live vertebrate animals must be obtained prior to the use of these animals in a scheduled course or continuing education offering. Also use this form for special events involving procedures beyond handling and restraint.
- Protocol Review Form - Special Events This form should be used when the event involves no more than handling and restraint of the animals. Activities beyond handling and restraint should be submitted on a Teaching or Research form. Note: Student groups who want to use animals for special event activities should not submit a Special Events form. Instead, they need to contact Risk Management.
Adverse Event Form
- Adverse Event/Unanticipated Problem Form Adverse events that are unexpected and/or serious must be promptly reported to the IACUC using this form.
Continuing Review and Modification Forms
- Continuing Review and/or Modification Form This form is used for continuing review or proposed modifications prior to implementation of the changes. For continuing review, please submit in advance of the protocol expiration date to allow adequate time for the review process.
-
Personnel Change Only Form This
modification form is eligible for expedited review, which is performed by the IACUC
Chair.
Note: This form may be used for more than one study if: 1) personnel to be added are the same for all studies; 2) duties are the same for all studies; and 3) personnel have the necessary experience and/or will have appropriate training for all duties. Please be sure to list all relevant protocol numbers and titles. If personnel are being added to the IBC portion of the project, please list relevant IBC protocol numbers as well.
Forms for Use of Client-owned Animals in Research
- Owner Consent Document Template (Original format) These two templates are used by Veterinary Medical Center investigators to obtain informed consent from owners prior to enrollment of client-owned animals in a research project.
-
New Owner Consent Document Template
(Q & A format)
Note: Please submit an unsigned copy of this document with the application for IACUC approval for documentation purposes. A copy of the signed document must be retained in the investigator's files for three years after the close of the study.
Other Forms
- PI Self-Assessment This form includes questions to help PIs identify potential noncompliance issues. Click here for more information about the PostApproval Monitoring Program.
- Project Closure Form This form is to be submitted when the project has been completed or canceled.
- Animal Usage Form This is a Laboratory Animal Resources form used to order animals.
- Hazard Inventory Form All personnel who work on a regular basis with chemical, biological, or physical hazards or with animals must complete all sections, regardless of their IACUC personnel category.
