Forms
Below are applications and forms used to obtain IACUC approval. A description of each form is noted below to assist you in determining which form will best fit your need. Certain forms are prepackaged as "Application Packs" below which provide all necessary forms needed to complete the application process. All individual forms included in the Application Pack are noted in the Individual Form column. If you do not need to download an entire Application Pack and would only like to download an individual form you may choose any form from the Individual Forms column.
The policies, guidelines, standard operationing procedures and effective practices referenced in the forms may be obtained by contacting the IACUC office.
NEW! Animal Census Carry Over Form
This form is required when completing a three-year update and must be attached to the application.
Application to Use Animals in Research or Teaching
This application is required for any newly proposed research or teaching on live vertebrate animals, or for a three-year update submission.
Application for Modifications to an Approved Protocol
This application is required when making changes to an already approved protocol. Changes include, but are not limited to: increase in numbers of animals, change in anesthetic, adding a new procedure, change in personnel. For additional requirements, see the IACUC Policy for Significant Changes to approved research.
Application to Use Live Vertebrate Animals in Field Research
This application is required for any live animal interaction in field research.
Application to Use Animals in Euthanasia Procedures Only
Rather than using the Application to Use animals in Research, Teaching or Testing, this application may be used if a project involves euthanasia of an animal prior to removal of tissue, or other manipulations. This form may not be used if tissue collection will be done while the animal is under anesthesia, or if the euthanasia procedure is part of a larger animal study.
Application for Annual Continuation of an Approved Protocol
This application is required if research on an approved protocol is to continue beyond one year. Federal requirements mandate that protocols be reviewed no less than annually.
Application for Permission to Have Custom Antibodies Manufactured
This form should be completed 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 and have it signed by the Contract Laboratory and attach it to this application.
Request for Research Proposal/IACUC Protocol Review
If you are adding a research proposal (grant), funding source or fellowship application to an already approved protocol this form must be completed.
Qualification of Personnel
This form must be completed for all personnel listed on a protocol, or those to be added to a protocol. Protocols or modifications will not be approved without submission of this form.
Request to Use Hazardous Agents
If a research/teaching protocol involves the use of hazardous agents, or hazardous agents will be added to an already approved protocol this form must be submitted along with the application. Protocols or modifications will not be approved without submission of this form.
For additional information please contact the IACUC Office at 203.785.5992 or at IACUC@Yale.edu
| Application Pack | Individual Forms |
|---|---|
| Application to Use Animals In Research or Teaching (includes all individual forms to the right) |
|
| Application for Modifications to an Approved Protocol (includes all individual forms to the right) |
|
| Application to Use Live Vertebrate Animals in Field Research (includes all individual forms to the right) |
|
| Application to Use Animals in Euthanasia Procedures Only (includes all individual forms to the right) |
| Additional Forms |
|---|
| NEW! Animal Census Carry Over Form (This form is required when completing a three-year update and must be attached to the application) |
| Application for Annual Continuation of an Approved Protocol |
| Application for Permission to Have Custom Antibodies Manufactured (please verify the Contract Laboratory approved list to ensure the laboratory you wish to use is listed) |
| Custom Antibody Contract Laboratory Agreement (To be used only if Contract Laboratory is not on the approved list) |
| Request for Research Proposal/IACUC Protocol Review |
Last Updated: October 16, 2009 (jp).
