Notification of IACUC Review:
ANNUAL PROGRESS REPORT
Date:
Protocol #:
To: UMD IACUC Committee
Protocol Title:
Animal Species:
Number of Animals:
Expiration Date:
To comply with Federal laws and regulations, and University Policies, The IACUC must review animal protocols at least annually to determine if there are any changes in the research which affect animal welfare. Annual review of your project is now due. Please complete this form and return by mail or fax to Tracie Ferreira, Chair, IACUC, FAX (508) 999-8196 or email to tferreira@umassd.edu.
A. PROJECT STATUS (check one)
Never Activated *
Do not plan to conduct study *
Plan to conduct study
Active
Completed *
B. ANIMAL USAGE (indicate total animal usage to date)
|Species |# Approved |Report # Animals |
| | |Used To Date |
|Non-pregnant Animals | | |
|Pregnant Females | | |
|Animals to be Born | | |
PAIN OR DISTRESS
Did any animals experience unalleviated pain or distress as part of the study or as an unexpected consequence of the study?
No Yes If Yes, explain below.
STUDY STAFF
The following individuals are currently listed on this protocol. Please review this list and delete as necessary. Add new personnel as needed to the list.
ADD New Study Staff
FOR EACH NEW PERSON COMPLETE & ATTACH SECTION 11 (Names and numbers of staff responsible for care and upkeep of animals) from the initial protocol application form.
PROTOCOL
No changes are planned at this time.
Changes are proposed. If changes are proposed, attach summary of proposed changes.
SIGNATURES
Signature of Principal Investigator Date
Approved by IACUC Date
-----------------------
285 Old Westport Road
North Dartmouth
Massachusetts 02747
University of Massachusetts
Dartmouth
Institutional Animal Care and use Committee
(IACUC)
[pic]
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- stormwater pollution prevention plan template
- walk thru inspection form
- inspection and testing form
- notification of iacuc review
- energy efficiency assessment report format
- semiannual compliance report us epa
- certificate of absolute divorce
- fire alarm system record of completion nfpa
- progress report on iep massachusetts department of
- fy2022 fc428 connecting activities part iii
Related searches
- importance of literature review pdf
- examples of business review templates
- overview of photosynthesis review worksheet
- benefits of literature review in research
- the purpose of literature review in research
- quality of work review samples
- purpose of literature review pdf
- definition of literature review pdf
- example of literature review apa style
- significance of literature review pdf
- examples of employee review forms
- characteristics of life review answers