AGRICULTURAL ANIMAL CARE AND USE PROGRAM (AACUP)

University of Illinois at Urbana-Champaign

Policies and Guidelines for Submitting Animal Request Forms for CVM LAC and Vet Med Research Farm.

  1. Researchers should submit animal requisitions as early as possible electronically to AACUP via email to: . Forms are available on the AACUP website
  2. If someone other than the researcher submits the form, the researcher must be copied on the emailed submission.
  3. The AACUP office will check the IACUC animal use protocol to be sure that an adequate number of animals are available.
  4. AACUP will notify the animal facility staff (caretakers) of the request and approval.
  5. Investigators must reserve space in LAC or VMRF through AACUP at 265-6790 or email. The PI will receive confirmation that the request is approved and space is available.
  6. The PI is encouraged to discuss specific animal care and housing needs with the animal caretakers.
  7. If acquiring animals for a teaching protocol for less than 12 hours, it is unnecessary to fill out an animal request form. You need to contact Cindy Pruitt at 265-6790 or email with the Protocol number and number of animals requested. AACUP will verify that there is space available.

Animal Request Form For CVM LAC and Vet Med Research Farm

PLEASE INDICATE IN WHICH ANIMAL FACILITY YOU WOULD LIKE YOUR ANIMALS HOUSED:

Section 1

Investigator: Ph: E-Mail:

Co-Investigator: Ph: E-Mail:

Project Title:

Animal Use Protocol #: Department/College:

C-FOAPAL #: C-FOAPAL Title:

Estimated Start Date: Estimated Completion Date:

Have Animals Been Ordered Previously For This Project? Yes No

Section 2

Date Animals Required:Source: If Transfer, provide protocol #:

Species: Strain/Breed: Transgenic: Yes No

No. of Animals Required: Male Female Either/Any Available

Age or Wt.Range:

Other Requirements for Animal Order:

Will Surgical Procedures Be Performed on These Animals? Y No

Section 3 (Check all that apply)

Disposition of Animals Found Ill or Injured:

Notify Investigator Before Initiating Treatment (Provide Phone and E-mail Above)

Notify Co-Investigator Before Initiating Treatment (Provide Phone and E-mail Above)

(Note: In the event Investigator is not immediately available, veterinary staff will proceed with treatment as deemed necessary.)

Disposition of Animals Found Dead:

Notify Investigator Before Initiating Disposition (Provide Phone and E-mail Above)

Notify Co-Investigator Before Initiating Disposition (Provide Phone and E-mail Above)

Permission to Render and Notify Investigator Later

Permission to Necropsy and Notify Investigator Later

Save (Refrigerate) for Investigator

Other (Describe):

Disposition of Animals at End of Study:

Terminal Study by Necropsy

Terminal Study by Render

Terminal Study by Incineration

Animals will be Euthanized and Disposed by Research or Teaching Staff

Survival Study (Animals will Remain in Facility)

Survival Study (Animals will be Transferred To: )

Survival Study (Animals will be Sold, Adopted or returned to original owner)

Section 4

Describe animal housing/care needs (e.g. stall location, pen size/location, number of animals per pen, dietary needs, etc.):

Section 5

Signature of PI:

(Signature of PI is not necessary for the electronic submission of this form – it should be sent to the AACUP office or emailed to .)

AACUP USE ONLY

Approved:Disapproved: Reason for Disapproval: Approved By:

Number of Animals Remaining on this Protocol: Date: Req. #:

TOTAL NUMBER & DATE ANIMALS RECEIVED: ______