Animal Care & Use Program
Index ofForms and Reports (PDF Versions)
IACUC Meeting Dates for 2007
Guidelines for Writing Good Protocols
MICROSOFT WORD VERSION ON THE FORMS
The NEW ANIMAL PROTOCOL FORM!
PDF FORMS
Anesthesia Management / Report Form
Animal Handler Documentation
Animal Housing Request
Animal Husbandry Service Request (NPO, Delivery)
Euthanasia Request (DLAR performs euthanasia for us)
Animal Order Form
Animal Transfer (Temporary) to DLAR Holding Protocol
Animal Use Application [Protocol] (Only available as an Adobe Form)
Animal Use Procedure Room
Annual Review Renewal Report
Annual Review Instructions
Animal Transfer Request (DLAR form)
Daily Observations Report (Pre- or Post Animal Procedure)
Procedure for Animal Transport Through Patient Care Areas
Cage Card Request
Controlled Substance Applications, Forms, and Suggested Templates NC State Controlled Substance License Application (NC DHHS Form 225) NC State Instructions for DHHS 225 Federal Controlled Substance Application (DEA Form 225) Transfer of Schedule II Substances (DEA Form 222) Completed example of DEA form 222 Instructions for completing the DEA Form 222 Purchase (or transfer) Log Sheet (PDF) Example of Properly Completed Purchase Log Use Log (Individual Drug Tracking) Example of Properly Completed Use Log Use Log (Combination <Mixture> Drug Tracking) Example of Properly Completed Mixture Use Log Quarterly Physical Inventory (PDF) Example of Properly Completed Physical Inventory Log All of above forms in Excel Sample IR for DLAR purchase
NC State Controlled Substance License Application (NC DHHS Form 225)
NC State Instructions for DHHS 225
Federal Controlled Substance Application (DEA Form 225)
Transfer of Schedule II Substances (DEA Form 222)
Completed example of DEA form 222
Instructions for completing the DEA Form 222
Purchase (or transfer) Log Sheet (PDF)
Example of Properly Completed Purchase Log
Use Log (Individual Drug Tracking)
Example of Properly Completed Use Log
Use Log (Combination <Mixture> Drug Tracking)
Example of Properly Completed Mixture Use Log
Quarterly Physical Inventory (PDF)
Example of Properly Completed Physical Inventory Log
All of above forms in Excel
Sample IR for DLAR purchase
Exemption Application Form
Health Check Request
Housing Request
Import/Export Request (Mice and Rats only)
Import/Export Request (All species non rodent)
Personnel Qualifications Form
Protocol Amendment Form (All Procedures)
DLAR Per-Diem Rates (January 2006)
Pre-Procedure Meeting Consultation Request
Rodent Surgical Technical Request Form
Security Access Request Form
Surgical Service Request
Technical Service Request