Animal Care Forms, Checklists, & Templates

Document Name Desc File Remote link Related Unit
Animal Adoption Checklist

A request for an animal adoption checklist for PIs.

Animal Adoption Checklist28.46 KB
Animal Export Request Form

Form used to request the export of animals to another institution.

Export Request-Revised 1-25.pdf168.05 KB
Animal Import Request Form

Animal Import Request Form: Please submit an animal order request form in ACP-LAB (DAR) BIO system, and choose “import” as the source. Instructions can be found in the ACP-LAB (DAR) BIO instructions.

Instructions and Link for Online ACP-LAB (DAR) BIO form108.13 KB
Client-Owned Animal Usage Reporting Form

Form used to account for client-owned animals.

client_animal_usage_form_2014-2015.doc52 KB
Disposition Form

ACP-AG (former AACUP) record of disposition, euthanasia, or transfer of research/teaching animals at the Large Animal Clinic. 

dispositionform3_002.doc35.5 KB
Environmental Monitoring of Buildings

Form for monitoring agricultural buildings.

environmentalmonitoringofbuildings.xlsx12.75 KB
IACUC Protocol Appendix B: Veterinary Care Plan for Investigator-Provided Veterinary Care

Plan for veterinary care of research and teaching animals by protocol staff.

iacuc_protocol_appendix_b.docx22.59 KB
Individual Animal Treatment

Example of agricultural animal treatment record.

acesindividualanimaltreatmentsheet_000.pdf27.67 KB
Investigator Extended Absence Form

Used to notify the Office of Animal Research Compliance of PI plans to leave the University or be away from campus for an extended period.

ExtendedAbsenceForm_Blank_040224.pdf138.44 KB
Investigator Request for Release of Animal for Adoption

Form for investigators to request for release of an animal or adoption.

investigator_request_for_release_of_animal_for_adoption.docx37.17 KB
Medical Report Form

Laboratory Animal Medical Report

medical_report.doc63 KB
Non-Controlled Drug Supply Request Form

Request form for non-controlled drug supply request form for work to be completed under an approved animal use protocol.

non-controlled_drug_and_supply_request_05-24_0.pdf76.69 KB
Polly Clabaugh Award of Excellence Nomination Form

The Animal Care Program for Laboratory Animals’ Polly Clabaugh Award of Excellence program is designed to recognize ACP-AG employees for their outstanding service to the DAR and the research community.

outstanding_employee_criteria_for_polly_claubaugh_award_updated_10-2015.doc34 KB
Request for Adoption of Purchased Research/Teaching Animals

Request form for the adoption of purchased research/training animals.

request_for_adoption_of_purchased_research_animals.pdf138.69 KB
Self-Assessment

This form is a tool to assist the principal investigator with the project and protocol.

selfassessment2012.doc36 KB
Surgery Record—Multiple Animals

Use this form to record the procedures conducted with multiple animals.

Surgery Record - Multiple_1.docx25.33 KB
Surgery Record—Single Animal

Use this form to record the procedures conducted with an individual animal.

SURGERY RECORD SINGLE_0.docx30.24 KB
Transportation of Animals Using a Privately-Owned Vehicle

Complete the attached form for each person who will use their personal vehicle to transport research or teaching animals.

Attach the forms to the Supplemental Documents section of the related protocol.

NOTE: Transportation of USDA-covered species requires inspection of the vehicle PRIOR to use. Arrange for inspections by contacting the Office of Animal Research Compliance at IACUC@illinois.edu .

transportation_of_animals_-_personal_vehicle_9-27-24.pdf260.25 KB
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