Animal Care Forms, Checklists, & Templates

Document Name Desc File Remote link Related Unit
Investigator Extended Absence Form

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

ExtendedAbsenceForm_Blank_040224.pdf138.44 KB
Surgery Record—Single Animal

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

SURGERY RECORD SINGLE_0.docx30.24 KB
Surgery Record—Multiple Animals

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

Surgery Record - Multiple_1.docx25.33 KB
Transportation of Animals Using a Privately-Owned or Non-Dedicated Fleet Vehicle

Transportation of USDA-covered species requires IACUC inspection of the vehicle PRIOR to use.

transportation_of_animals_-_personal_vehicle_0_0.pdf206.71 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
Animal Adoption Checklist

A request for an animal adoption checklist for PIs.

Animal Adoption Checklist28.46 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
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
Animal Export Request Form

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

export_form-_revisions_02-12.docx21.72 KB
Environmental Monitoring of Buildings

Form for monitoring agricultural buildings.

environmentalmonitoringofbuildings.xlsx12.75 KB
Individual Animal Treatment

Example of agricultural animal treatment record.

acesindividualanimaltreatmentsheet_000.pdf27.67 KB
Self-Assessment

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

selfassessment2012.doc36 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
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
Client-Owned Animal Usage Reporting Form

Form used to account for client-owned animals.

client_animal_usage_form_2014-2015.doc52 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_01-20.docx44.3 KB
Medical Report Form

Laboratory Animal Medical Report

medical_report.doc63 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
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