Request for Transfer of Cage Cards
Office of Laboratory Animal Resources/IACUCA transfer form is required when cages of animals are
transferred to a different protocol, investigator, cost center, or account. Please type. Handwritten forms
will be sent back.
Please use a separate form for each transfer type. PIs please complete the form and send as e-mail
attachment to IACUC@ucdenver.edu
Please NOTE: Transfer fees may apply; to include technician time, health screenings, or mileage, and is
dependent on the status of transfer.
List all cage card numbers and strain(s) to be transferred (required). Ensure that all listed
cages are marked with a pre-approved ‘Transfer Flag’. Flags are available in the front
office of the respective Animal Facility.
Cage #
Strain
Cage #
Strain
Cage #
Strain
Cage #
Strain
Total Number of animals to transfer:
Reason for transfer:
What manipulations were performed on the animals under the old protocol?
Transfer information: (complete the following fields)
Old Bill to Investigator:
Old Account Number:
Old Cost Center:
Old Protocol Number:
Old Room Number:
Old Contact:
Donor PI Authorized
Signature (only the PI
signature is acceptable):
Recipient PI Authorized
Signature (only the PI
signature is acceptable):
Laboratory Contact:
05/23/2009 Transfer Request Form
New Bill to Investigator:
New Account Number:
New Cost Center:
New Protocol Number:
New Room Number:
New Contact:
Phone Number
Date
Phone Number
Date
Phone Number