Animal Care and Use Committee
Forms

eIACUC (electronic Institutional Animal Care and Use Committee)
http://eiacuc.wfubmc.edu

Protocols & Amendments

•  Protocol Form (.doc) *
  • For replacement protocols, submit the Replacement Protocol Form (.doc) in addition to the protocol form above. 
• Amendment - Procedures Only Form (.doc) 
• Amendment - Personnel Only Form (.doc) *
  Please send to Sarah Stanfield sstanfie@wfubmc.edu
  For questions contact Sarah Stanfield at 716.3532   
• NHPEE SOP Form (.doc)
• Power and Sample Size Calculation for Justifying Animal Numbers
  
  *Note:  When listing personnel on protocol forms or personnel only forms, for cross-reference in Occupational Health, an employee ID number is now required.  This can be found on the paycheck stub or by accessing the Web site: http://infinet.wfubmc.edu/depts/wfusm_hr/ and then accessing the PeopleSoft SelfService link on the right side of the page.
  If non-employee, full name, e-mail address, and telephone number are now required.  Do keep in mind that it can take up to 2 weeks after you complete your requirements for animal contact at Employee Health Services, for the IACUC to receive final notification that your medical record is up-to-date.  IACUC protocols and amendments will remain pending until animal clearance is received.
   

Procedures & Animal Care

• CO2 Chamber Use(.doc)
• Request for Personal Transport of Research Animal Form
• Overcrowded Mouse Cage Exemption / Extension Request Form
• Rodent Surgical Records
     - Individual Animal Record (one page per animal)  
     - Serial Record (one page for many individual animals)
     - Group Record (one page for groups of animals)
• Animal Exposure Questionnaire

From Other Parts of WFUHS

• Animal Resources Program (ARP) Forms
• Application for Use of Biohazardous, Chemical or Radioactive Materials