James Madison University Animal Transfer Form

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James Madison University
Animal Transfer Form
Use this form to request the in-house transfer of animals between investigators or protocols. This includes
animals being transferred from breeding protocols to research or teaching protocols.
Transfer From:
Principal Investigator:
Protocol Number:
Protocol Title:
Department:
Building/Animal Room #:
Transfer To:
Principal Investigator:
Protocol Number:
Protocol Title:
Department:
Building/Animal Room #:
Animals to Transfer:
Species:
Strain:
Sex:
Date of Birth:
Number of Animals:
Original Vendor:
Effective Date of Transfer:
Please select one:
☐ Animals have not been used (e.g., surplus animals, extras)
OR
☐ Animals have been used previously and have had the following procedures
performed:
Reason for Transfer:
Signatures:
Printed Name of Transferring PI
Signature
Date
Printed Name of Receiving PI
Signature
Date
Please submit a copy of this form to the Office of Research Integrity, MSC 5738, Blue Ridge Hall, Room # 344.
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