Forms

Protocol Template Forms

Animal Use Protocol Form - New, Revisions and 3-year Renewals

Annual Protocol Review Form

Protocol Amendment Forms

Personnel Amendment Form

Protocol Amendment Form

*See IACUC Submission Processing and Performance of Repeat Procedures Reviewed by Verified Veterinary Consultation for additional information.

New Scientists

New Scientist Questionnaire (to get started)

• Student Employee Health Services - Risk Assessment Form
• Sample - Health Assessment Clearance Form
• Sample - Student Registration Clearance Form

Road Map Adding a New Scientist to Your Protocol

Road Map Adding an Existing Animal User to Your Protocol

Ancillary Forms

Adverse and Unanticipated Outcomes Reporting Form

Controlled Substance PI-Registrant Record for BNE and DEA Licenses

* Controlled Substances in Research
The acquisition, use, and disposal of controlled substances  is governed by the Drug Enforcement Administration (DEA) and New York State Department of Health Bureau of Narcotic Enforcement (BNE). Principal Investigators (PIs) are responsible for registering with both the DEA and BNE and will be subject to strict regulations controlling storage, inventory and purchase, receipt, dispense/use and disposal records. PIs may be subject to inspections by BNE and/or DEA.

Controlled Substances Protocol Registration Form

DCM Holding Protocol Request Form

Payment Authorization Form (to change protocol linked account)

PI Procedure Training Records Templates

• Individual Personnel Template
• Multi-person Laboratory Template

Rodent Breeding Calculator (download file)

Rodent Surgical Record Template

Student Employee Health Referral Slip

Laboratory Sanitation Log

 

Questions or document submissions: IACUC@downstate.edu