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Institutional Animal Care and Use Committee
(IACUC)
Review of Protocol by the Institutional Animal Care and Use Committee
Please attach a copy of the proposal
Animals:
Species:
Breed:
Age:
Sex:
Source:
Duration of Experiment:
Housing:
Galvanized wire cages:
Cage Size:
Plastic cages:
Other (Specify):
No. of animals per cage:
Restraints:
Location of Cages:
Temp. & Humidity control: Yes
Husbandry:
Type of bedding:
Lighting schedule:
Feeding schedule:
Watering system:
Watering schedule:
Surgery:
Type of surgery:
Surgeon:
Post-surgical care:
No
Review of Protocol by the Institutional Animal Care and Use Committee
Pain/Distress:
Surgery
Radiation toxicity
Biopsy
Psychotic drugs
Burning
Severe malnutrition
Freezing
Abnormal environment
Branding
LD-50 determination
Fracturing
Intra organ inoculation
Electrical shock
Corrosives on skin or cornea
Restraint
Intra-orbital blood collection
Drug toxicity
Injection of inflammatory agents
Anesthesia:
Anesthetic:
Duration:
Euthanasia:
Method:
Duration:
Hazardous toxic materials:
Isotopes:
Toxicants:
Radiation:
Malignant cells:
Carcinogens:
Teratogens:
Recombinant DNA:
Comments:
Signed: _________________________
IACUC Chair/Member