SUPPLEMENTAL FORM 7 PI NAME Alternative Housing Request

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SUPPLEMENTAL FORM 7

Alternative Housing Request

The University at Albany – IACUC

ORRC use only

Protocol #

09.01.09.1

PI NAME

Form 7: Please complete all applicable section(s).

[Note]

NOTE: Following is information concerning standard cages and guideline for cage density at LACF. PI must follow this guideline. If you need a housing request besides these standards, please fill out this form.

[LACF Standard RAT housing] [LACF Standard Mouse housing]

 Cage size: 17” x 8” x 8,” 136 square inches floor space

 Food: Lab Diet RMH 3000

Cage size: Cage size 11” x 7” x 5”,75 square inches of floor space

 Food: Lab Diet RMH 3000

 Water: Tap water is provided ad lib via bottle

 Bedding: Wood chips applied to approximately one-quarter inch

 Water: Tap water is provided ad lib via bottle

 Bedding: Wood chips applied to approximately one-quarter depth (approximately 2 cups of chips).

 Cage Change: Once per week and as needed.

[Rat Cage Density Guideline]

* Body Weight ( g)

<100

Floor area/animal(in

17

2 ) Height (in)

7

Up to 200

Up to 300

23

29

7

7 inch depth (approximately 1¼ cups of chips). Nestlets® supplies to all cages as nesting materials.

 Cage Change: Once per week and as needed.

[Mouse Cage Density Guideline]

* Body Weight(g)

<10

Up to 15

Floor area/animal (in

6

8

2 ) Height (in)

5

5

Up to 400

Up to 500

>500

40

60

7

7

Up to 25

>25

12

>15

5

5

> 70 7

* Per Guide for the Care and Use of Laboratory Animals, 1996

See LACF SOP #503. Rat Husbandry for detail

* Per Guide for the Care and Use of Laboratory Animals, 1996

See LACF SOP #502. Mouse Husbandry for detail

Provide following information: What is your animal housing care request? If your lab has IACUC approved SOPs, please cite SOP number #

Housing (Specific Cage, feeder, enrichment)

Animal Room Condition (Quarantine, Specific Light, Temperature, Humidity)

Satellite Housing (Outside of animal facility more than 12 hours)

→ Specify the housing location

→ Sop #

Care of animals by other than animal care facility staff

→ SOP #

Animal Transfer : From other place To other place

→ SOP #

Other (specify: ) →

SOP #

FORM 7 // Page 1 of 2

SUPPLEMENTAL FORM 7

Alternative Housing Request

The University at Albany – IACUC

09.01.09.1

1. Provide detailed information about your request including the duration and schedule of the needs, purpose, and provisions of adequate animal care .

2. Provide scientific justification for your request.

3. List the name of the person(s) who are responsible for animal monitoring. Include emergency contact information.

Name Position Emergency Contact Information

4. If you need specific housing Equipments, Provide the information for the item

(Special type of cage, feeder, lids, or water bottles etc)

NOTE: You must receive IACUC approval for usage of specific housing equipment(s).

Source (vender) Product Name

FORM 7 // Page 2 of 2

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