Forms

Protocol Writing Assistance
Example Lay Summary
Example Flow Charts 1 2
Lay Terms Glossary
The Flesch-Kinkaid Reading Level Tool – Directions for using the F-K reading tool to determine the grade level of your lay summary
Submission Deadlines
Animal Use Required Form
Live Animal Use: Use this form for all new and renewal biomedical research involving live animals. Animal Use Protocol Application
Live Animal Breeding Attachment: Use this form for all new and renewal biomedical research involving breeding.  This form is submitted as an attachment to the Animal Use Protocol Application. Breeding Attachment for Animal Use Protocol
Additional species: Use this form as an attachment to the Animal Use Protocol if using more than one species.  Each species must be listed separately. Additional Species Form
Additional Personnel form: Use these forms with the Animal Use Protocol Application if you need more space for personnel. Additional Personnel Form
Fresh or Frozen Animal Tissue: Use this form for all research conducted with animal tissue obtained from an outside source. Tissue Use Application
Annual Reviews: To be completed the first and second year for all active protocols. Annual Review Form
Annual Reviews for 2 Species: To be completed the first and second year for all active protocols. 2 Species Annual Review Form
Amendment: Application for changes on the protocol including: personnel, anesthesia, laboratory rooms, procedures, species, strains, funding, etc. Protocol Amendment Form
Animal Care Forms:  Link to DLAM forms (shipping record, transfer requests, surgery requests and reports, anesthesia records). Dept of Lab Animal Forms
Animal Transfer Request:  DLAM form to request animals to be transferred from one protocol to another.  Must be used for ALL live animal transfers. Animal Transfer Request Form
Personnel Training: All employees must complete the CITI online training BEFORE working with animals or animal tissue.  This is for the safety of the animals AND the personnel working with them.  Please read the instructions carefully and complete the modules for EACH species you plan to work with. CITI Online Training Instructions
Medical History Questionnaire: This form must be completed initially and on a yearly basis by all animal use personnel.  This form should be mailed to the Occupational Health Nurse, Dolores Aguilar at dsaguilar@icloud.com.  A Tetanus vaccine record will also need to be emailed to Ms. Aguilar. Medical History Questionnaire
Laboratory Emergency Plan: This document should be filled out and placed in your lab in case of an emergency.  Laboratory Emergency Plan