Office of Research Administration

Institutional Animal Care and Use Committee (IACUC)

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 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  
Questions or document submissions: