ITHACA COLLEGE
INSTITUTIONAL BIOSAFETY COMMITTEE
ANNUAL REGISTRATION UPDATE
FOR THE USE OF BIOLOGICAL MATERIALS/RECOMBINANT DNA/INFECTIOUS AGENTS
The Institutional Biosafety Committee (IBC) must maintain accurate information regarding the use of biological materials
(e.g.; microorganisms, cell lines, human materials, animals, toxins) by College personnel.
Ithaca College policy requires all principal investigators to submit accurate information annually and when there are
changes during the year regarding the use of biological materials. Changes include: addition or deletion of biological
materials, changes in safety levels, or changes in room locations. For Ithaca College to be in compliance with State and
Federal Regulations you are required to submit this form and/or revised Registration for the Use of Biological Materials,
Registration of Recombinant DNA, or Request to Use Potentially Infectious Organisms forms annually.
Principal Investigator:
Department:
Office Location:
Lab Locations:
Office Telephone #:
Lab Telephone #:
Project Title (if a classroom activity include course number (e.g. BIOL10000)
Approval categories (nucleic acids, biohazards, cultured cells, etc.
Brief description of the current project (200 words or less)
Please review your previous forms (Biological Materials, Recombinant DNA, Infectious Organisms)
and complete the areas below that apply:
The information on the previous forms has not changed. Submit only this form.
Information has changed in the following categories: (Changes include: addition or deletion of biological
materials, changes in safety levels, or changes in room locations.)
612946122
Please make corrections to your previous form(s) in red type (or ink if submitted as hardcopy).
Submit this form with the amended form attached.
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I. Recombinant DNA Experiments
II. Microorganisms
III. Human Materials
 Blood, body fluids, tissues, organs
 Tissue Culture
 Transplantable Tumors
 Hybridomas
IV. Animals, Arthropods, Insects or Plants
 Animals, Arthropods, Insects or Plants Species
 Tissue Culture
 Transplantable Tumors
 Hybridomas
V. Biological Toxins
VI. Changes in Biosafety Levels
Submit only a new Biological Materials and/or Recombinant DNA and/or Infectious Organisms
form for approval by the IBC if:
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You have not completed these forms
You are a new Principal Investigator at Ithaca College
You have substantial changes to report
You are starting a new line of research
Please sign and date the annual registration form to update your records with the Institutional Biosafety Committee.
Principal Investigator Signature:
Return to:
Sponsored Research
MaryAnn Taylor
PRWC room 305 or email to:
ibc@ithaca.edu
Date: