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Protocol Information Form

 
Principal Investigator:
Date:   UCAR #:


The University Committee on Animal Resources and the USDA requires that you provide the following information for your animal protocol, in addition to completing the Annual Questionnaire.

  1. Identify all personnel working with living animals, include names, titles, location, UR telephone number and emergency telephone number.

     


  2. Are the Persons identified in item 1 above enrolled in the occupational health program for persons with substantial animal contact? ___ Yes ___ No

  3. Have all personnel listed above completed the Responsible Care and Use of Laboratory Animals Certification Program?

    ___ Yes ___ No     If no, please contact the UCAR Executive Secretary at extension 5-1693 for information.

    In addition, please give a brief summary, of the training or experience of each of the personnel listed in item 1 that qualifies them to perform the specific procedures that they will perform in the protocol. Please indicate the kinds of procedures performed by each.

    Name
    Training / Experience
    Procedures Performed
         
         
         
         
         
         
         
         


  4. The Animal Welfare Act requires that investigators provide UCAR with the documentation demonstrating that thorough literature searches have been conducted regarding alternatives. An alternative is any procedure which results in the reduction in the numbers of animals used, refinement of techniques, or replacement of animals.

    Describe alternative techniques that have been considered by citing the methods and sources used (for example, Medline, AGRICOLA, Current Contents). For more information, consult the "Guidlines" (10/93).

     



  5. Annual Protocol Review Form
    (REQUIRED with Protocol Information Form)