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Yale University
Institutional Animal Care
& Use Committee
New Haven CT
USA 06510

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Download Forms
Below are the most commonly used Applications, pre-packaged for faster downloading. Also located on this page are the individual applications for downloading. If you are in question on what application to use please visit the page which form to use.

The documents below are Microsoft Word 97. Deadline dates apply to all forms. Please allow yourself ample time to complete and submit the required documents.

TIP: Save your work prior to printing to avoid any possible memory problems.

If you experience problems please contact the ITS Help Desk at 5-3200.

Field Study Application
Complete this application to use live vertebrate animals in field research.
Application to Use Animals in Research, Teaching or Testing
Complete this application for any new projects or 3 year updates.
Application to Use Animals in Euthanasia Procedures Only
Complete this application if your project involves euthanasia of an animal prior to removal of tissue, or other manipulations.
Application to Establish and/or Maintain a Breeding Colony
Complete this application for any breeding colonies to be established/maintained that will not be part of a specific protocol).
Application for Modifications to an Approved Protocol
Complete this application when making changes to an already approved protocol. Changes include, but are not limited to: changes in personnel, laboratory location, increase in numbers of animals, change in anesthetic, change or new procedure.
For additional requirements, see the IACUC Policy for Significant Changes to Approved Research Protocols.
Application for Annual Continuation of an Approved Protocol
Complete this application to continue IACUC approval of an already approved protocol.
Federal requirements mandate that protocols be reviewed and granted continuation no less than annually in years 1 and 2.
Request for Research Proposal/IACUC Protocol Review (formerly Request for Adding a Title/Funding source to an Approved Protocol)
Complete this form if you are adding a research proposal (grant), funding source or fellowship application to an already approved protocol. The entire proposal should be sent to the IACUC at the time of submission to the funding agency along with an SRAProsum . Upon receipt of a fundable priority score send the Request for Research Proposal/IACUC Protocol Review to IACUC@Yale.edu or to Attention: SRA, IACUC Office, 300 George St. 6th floor. If modifications to the approved protocol are required, you will be contacted within 10 days by the sponsored research analyst. 
Application for Permission to Have Custom Antibodies Manufactured
Complete this form if you wish to apply for approval to have custom antibodies manufactured from a contract laboratory off site or here at Yale University. Be sure to check the Contract Laboratory Approved list to be sure the laboratory you wish to use is noted. If the contract laboratory is not on the approved list, you must also complete a Contract Laboratory Animal Use Agreement have it signed by the Contract Laboratory and attach it to this application. This application will not be approved without a signed Contract laboratory Animal Use Agreement on file.
SRA Prosum
Complete this form when sending a research proposal to the IACUC. All proposals should be sent to the IACUC simultaneously with submission to the funding agency. Receipt of the Prosum along with the proposal will be acknowledged via email. It is important to note that emailing or sending a photocopy   of the proposal and SRA ProSum is not the trigger for review to occur. The proposal, along with the Prosum form is archived until a Request for Research Proposal/IACUC Protocol Review form is received by the SRA.

Please note that forms have the font automatically selected for you to make review of the application easier. Unfortunately, at present the system does not allow you to format the text or spell check.

If you would like to see the form fields clearly, you need to have the "show/hide" selection on.

Application to Use Animals in Research, Teaching or Testing Packet
Mac/PC
-IACUC Application
-Personnel Qualifications Form

-Request to Use Hazardous Agents
yalepack.doc

 
Application to Use Animals in Euthanasia Procedures Only Packet
 
Mac/PC
-Euthanasia Application
-Personnel Qualifications Form
-Request to Use Hazardous Agents
euthpack.doc

 
Application to Establish and/or Maintain a Breeding Colony Packet
 
Mac/PC

-Breeding Application
-Personnel Qualification Form

-Request to Use Hazardous Agents

breedpack.doc

 
Application for Modifications to an Approved Protocol Packet
 
Mac/PC
  Protocol Modifications Insructions
modInstr.doc
-Modification Instruction sheet
-Modification Application
-Personnel Qualifications Form
-Request to Use Hazardous Agents
modpack.doc

 
Application for Annual continuation of an Approved Protocol Packet
 
Mac/PC
-Annual Continuation Application
annual.doc

 
Individual Applications and Forms
 
Mac/PC
Application to Use Animals in Research, Teaching or Testing
yaleapp.doc
Application to Use Animals in Euthanasia Procedures Only
euthpro.doc
Application to Establish and/or Maintain a Breeding Colony
breedcol.doc
Application for Modifications to an Approved Protocol
mod.doc
Application for Annual Continuation of an Approved Protocol
annual.doc
Application for Permission to Have Custom Antibodies Manufactured
(Please check the Contract Laboratory Approved list to be sure the laboratory you wish to use is listed)
custanti.doc
Request for Research Proposal/IACUC Protocol Review
(formerly Request for Adding a Title/Funding source to an Approved Protocol)
addtitle.doc
Request to Use Hazardous Agents
hazagent.doc
Qualifications of Personnel
qualprs.doc
Custom Antibody Contract Laboratory Agreement
(to be used only if Contract Laboratory is not on the approved list)
lab.doc
Protocol Modification Instructions
promod.doc
IACUC Prosum Form  
prosum.doc
Field Study Application field.doc


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Last Modified: November 19, 2007

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