Laboratory Animal Services Center
Winterthurerstrasse 190
CH-8057 Zürich
Switzerland
animal.import@ltk.uzh.ch
ANIMAL IMPORT REQUEST FORM – University of Zurich
Please complete the form and return it to the investigator who requested the animals
Applicant in Zurich
Name:
Institute:
Target room for the imported
animals:
Availability of holding space
confirmed?
Phone:
E-mail:
required!
Yes ☐ No ☐
Institution of origin
Contact person:
Phone:
E-Mail:
Veterinarian in charge:
Veterinarians phone:
Veterinarians E-mail:
Institution name:
Institute:
Address:
Country:
Facility information
Type of facility:
Caging system:
If other system:
☐ cages are autoclaved
☐ food autoclaved
Protective equipment
please select
please select
☐ cage change in changing station
☐ food irradiated
☐ mask
☐ shoe covers
☐ shower in /air shower
☐ disposable clothing
Animal information
Health monitoring
Fully in accordance with FELASA
recommendations?
Type of health monitoring:
Exposure time:
Frequency of monitoring:
Room(s) of origin:
Type of colony:
Species:
Official strain name:
Background:
Type of genetical modification
(targeted mutation, transgene etc.):
Amount of animals being
imported:
please select
please select
Experimental procedures
planned?
Special husbandry requirements:
General remarks on animal
information:
Yes ☐ No ☐
please select
please select
please select
other:
♂
♀
Age of animals:
Immune status:
☐ gloves
☐ dedicated clothes
☐ bonnet
please select
Yes ☐ No ☐
total:
Import handling:
Amount of colony cages in the
room:
Amount of sentinel cages in the
room:
Amount of samples per room for
health monitoring:
Recent health problems?
if “yes”, please describe:
General remarks on health
monitoring:
please select
Yes ☐ No ☐
Please continue on next page 
Laboratory Animal Services Center
Winterthurerstrasse 190
CH-8057 Zürich
Switzerland
animal.import@ltk.uzh.ch
Please provide a recent health report not older than 3 months, including a 12 months history.
All health reports must include the agents listed below and follow the FELASA
recommendations
Incomplete health reports may result in quarantine!
Viruses
Mycoplasmas
Bacteria
Parasites
Mouse:
Rat:
Ectromelia virus
Lymphocytic choriomeningitis virus (LCMV)
Mouse adenoviruses (K87, FL)
Mouse cytomegalo virus (MCMV)
Mouse rota virus (EDIM)
Mouse hepatitis virus (MHV)
Parvoviruses
- Mouse parvo virus (MPV)
- Minute virus of mice (MVM)
- Pneumonia virus of mice (PVM)
Reovirus type 3
Sendai virus
Theiler's encephalomyelitis virus (TMEV)
Parvoviruses
Rat parvo virus (RPV)
Kilham rat virus (KRV)
Toolan`s H1 Virus
Pneumonia virus of mice (PVM)
Rat corona virus (RCV/SDAV)
Sendai virus
Mycoplasma pulmonis
Citrobacter rodentium
Clostridium piliforme
Corynebacterium kutscheri
Helicobacter spp.
Pasteurellaceae
Salmonella sp.
Streptobacillus moniliformis
Streptococcus pneumoniae
Beta-haemolytic Streptococci
Bordetella bronchiseptica
Klebsiella pneumoniae
Klebsiella oxytoca
Staphylococcus aureus
Pseudomonas aeruginosa
Yersinia pseudotuberculosis
Ectoparasites
Intestinal protozoa
Helminths
Viruses
Mycoplasmas
Bacteria
Parasites
Mycoplasma pulmonis
Bordetella bronchiseptica
Clostridium piliforme
Corynebacterium kutscheri
Helicobacter spp.
Pasteurellaceae
Salmonella sp.
Streptobacillus moniliformis
Streptococcus pneumoniae
Beta-haemolytic Streptococci
Klebsiella pneumoniae
Klebsiella oxytoca
Staphylococcus aureus
Pseudomonas aeruginosa
Yersinia pseudotuberculosis
Ectoparasites
Intestinal protozoa
Helminths
Conditions for importation:
1.
2.
3.
4.
This animal health and shipment information must be provided prior to shipment
The shipment needs to be approved by the Laboratory Animal Services Center, University of Zurich
Animals should be shipped between Monday and Wednesday only
Once the shipment is ready and all documentation is complete, please e-mail the following information to the
Laboratory Animal Services Center (LASC) (animal.import@ltk.uzh.ch):
- Date of shipment
- Name of the shipping company and phone number
- Way bill number of the shipment
- Number of boxes being shipped