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UAC AND IACUC FORMS AND DOCUMENTS

Animal Protocol Forms & Addenda    |    Animal Hazards    |    Animal Procurement   |    Other Related Forms & Documents
*******Employee Recognition Resources ******

***These forms to be used by University of Arizona employees' only

Note: Due to signature requirements, University Animal Care cannot accept these forms as e-mail attachments. Animal Order form can be faxed to 626-4079. All other forms can also be faxed to 626-4079. 
It is highly recommended that when accessing non-html file links, such as .doc, PDF formats, etc. that
youmouse showing where to click 'right click' on the appropriate hyperlinks and select 'save target as..' to save these files directly to your hard drive.  Do not download forms directly from Netscape (or any other browser) because the format of the application will be changed. Please note: Depending on the software version you will be using, there may be formatting changes after saving and opening the file. If you need help downloading the forms call Karelia Coronado at 626-1028. It is recommended that you use Internet Explorer version 6X or higher, it works better.

 Animal Protocol Forms and Addenda

Formats

More info?

 Animal Protocol Review Form - Fill-in format in Word only-
 *IMPORTANT*

download APRF form in Word

 

Yes
Instructions
 Animal Protocol Amendment Form

download document

Fillable

 

 Alternatives Search Addendum – Required for USDA Regulated Species ONLY 
 
Please read instructions document associated with the alternatives search addendum. Click on the 'more info' to read document.

 download document

 

Yes
More Info

 Rodent Breeding Addendum (new version - 07/08)

download document

 
 Application for Use of Hazardous Agents

download document

 
 Genetically Engineered Mouse checklist

download document

Yes
Instructions
 GLP Studies Routing Sheet

download document

 
 Request for Approval Documentation

download document

 

  Animal Hazards Program

 Memo from Vice President For Research to Research Community regarding Animal Hazards Program  *IMPORTANT*  

 

 

 

 Changes to Animal Hazards Program effective 4/2007

 

 

 

 Health & Safety Inspection Checklist & Report Form

  download document

 

 Frequently asked questions regarding The Animal Hazards Program

     

 Risk Assessment Questionnaire  Form   Updated 3/07
 Website to Campus Health, Animal Hazards Program: http://www.health.arizona.edu/webfiles/health_services_animal_hazards.htm

 download document

 

 Medical Surveillance Program Declination Form 

download document

 

 Notice to OSDs/PIs/Supervisors on Changes to Program 

 

 

  Animal Procurement

  Animal Order Form - revised 4/05
Note: Animal Ordering Deadline has been changed to Tuesdays at 4:30pm. Beginning August 1st, 2008 orders not in the front office at the start of business at 7:30am on Wednesdays will not be ordered for the following week and will be automatically delayed until the next delivery. 

 Yes

  Biohazard Information Questionnaire  
  Non-approved Source or Animal Export Information Form
  Read Instructions for important information including charges.
 

 Yes
 Instructions

  Protocol/Animal Transfer Request Form  
  Account Number Change Request Form  (updated 4/05)  
 Other Related Forms and Documents

 Award for Compassionate Animal Care 
Animal welfare is a key component of our work in UAC. 
If you know of an employee(s) who have exhibited extraordinary care for animals, please nominate him/her for a "Compassionate Animal Care" certificate. You will find submission instructions in the form.

download document    

Employee Recognition -  Kudos to You!!
UAC employees strive to provide the best service possible.  If you would like to recognize a UAC employee for being particularly helpful, please consider sending a “Kudos to You” certificate.  Forms contains submission instructions.

download document    

  Enrichment Proposal Form

download document  

  Euthanasia Authorization/Register Form

 

  Application for Compensation for Animal Loss

   

  Key & Biometric Request Form (Older forms will not be accepted after 2/5/07).
  Please read instructions for important information regarding obtaining biometric card.

 Yes Instructions

  Pathology Services Submission Form (Necropsy, Serology, Parasitology, Histopathology, etc. Fillable PDF and Word versions. Revised (07)
  eSirius Access Request Form Fillable PDF.    
  Surgery Scheduling -  BSS    
University of Arizona Home Page To Pathology Services of UAC to Investigator's section of UAC

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