UCSF Animal Care & Use Program


Application Forms - For Faculty
•	IACUC Protocol Application online submission via RIO (Research Information Online) New projects Annual Review Minor and major modifications Personnel and Location changes Upon completion of 3 year protocol cycle
•	Principal Investigator's Certification Submit one copy with the IACUC Full Committee. Send to Box 0547; or email to iacuc@ucsf.edu; or fax 502-7991; or upload in RIO.
•	Scientific Merit Review Form To document approval of scientific merit by your Departmental Review Committee; submit the signed form with the IACUC Full Committee application. Send to Box 0547; or email to iacuc@ucsf.edu; or fax 502-7991; or upload in RIO.
Other Forms Related to Application
•	Animal Involvement in the Laboratory Animal Resource Center
•	Animal Tissue Transfer Contact the IACUC office at 476-2197 for more information.
•	BUA Application Contact the EH&S Technical Committees at 476-2198 for more information.
•	IACUC Request to Use Expired Medical Materials or Devices in Acute Terminal Procedures in Animals Used in Research or Instruction Form.
•	Laboratory Housing Daily Check-off Sheet
•	Request for Exemption from IACUC/LARC Training For experienced personnel who will work on your project at UCSF for 30 days or less; requires IACUC approval.
Reporting Forms - For Faculty, Staff, IACUC, & LARC
•	Animal Care and Use Reporting Form To report any concerns regarding animal care or use at UCSF.

Technical / Veterinary Service Requests - For Faculty and Staff
•	Guidelines for Purchasing Animals See also: LARC web site for Purchasing Schedules, etc. • Requests for unweaned pups MUST include mother.
•	Animal Purchase Order Form
•	Guidelines for Transportation of Animals
•	Rodent Shipping / Serology Request
•	Transportation Request: .doc format \| .pdf format
•	Transportation Request - Barrier Facility to Barrier Facility: .doc format \| .pdf format
•	Transportation form/check off sheet for rats and mice: pdf format
•	Animal Transfer Form: .doc format \| .pdf format
•	Request Form for Animal Facility Access

Inspection / Health Reporting Forms - For IACUC, LARC, Faculty
•	Inspection Record
•	Anethesia Record .excel format \| .pdf format
•	Post-Procedure Care Record
•	Small Animal Operative and Post-Operative Care Form .doc format \| .pdf format
•	Vivaria Facility Inspection Record
For IACUC, LARC, & Faculty
Adobe Acrobat Reader is needed to view pdf files, click to download. Save Microsoft Word files immediately after downloading - do not fill it out form before saving it. After you have saved the form, start Microsoft Word and open the form from within that program (i.e., do not open from your desktop). If you experience any technical problems in trying to use these files call 415-476-2197.

Page Updated: April 11, 2008