Addition of Personnel to IACUC Protocol
Dear Principal Investigator:
Please complete the attached Addition of Personnel form for each individual you will add to your protocol(s).
All personnel working with animals in research must file a Training Summary form with the IACUC office.
Please contact the IACUC office PRIOR to adding personnel to your protocol to ensure proper documentation is on
file.
It is mandatory for all personnel (including Principal Investigators) to have completed training in:
 laws and regulations pertaining to the care an use of animals in research and
 species-specific educational courses through the Collaborative Institutional Training Initiative (CITI), hosted by the
University of Miami.
In addition, SUNY Upstate Medical University’s Research Integrity Office requires research ethics education for all basic
science & clinical investigators (including faculty, postdoctoral fellows/associates, clinical residents/fellows, students, lab staff,
research nurses, clinical research associates and individuals from affiliated Universities participating in SUNY Upstate
research projects).
Complete list of training requirements is posted on the IACUC website: http://www.upstate.edu/iacuc/training.php
All courses are available online at the CITI website: http://www.citiprogram.org
Finally, training/instruction is available from the Department of Laboratory Animal Resources for the following procedures:
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


Handling/Restraint of all species
Injection methods
Sterile/Aseptic surgical procedures
Methods of animal identification
Oral drug administration
Methods of sample collection
Please contact the DLAR Office at extension 4-6563 to arrange an appointment for instruction.
The Principal Investigator must electronically submit this form via his/her SUNY Upstate GroupWise email.
Document submission by other lab personnel or from an alternate email address will not be accepted.
DO NOT submit a hard copy.
Thank you.
Karen Coty
IACUC Coordinator
Phone:
315-464-4292
Fax:
315-464-4065
Email:
cotyk@upstate.edu
Addition of Personnel
(Form should be typewritten)
It is the responsibility of the investigator to update the IACUC Personnel Name List and assure that all individuals are
adequately trained prior to beginning work with any animals. It is mandatory for all personnel (including the Principal
Investigator) to complete the required educational training or provide documentation of an equivalent training. A Training
Summary must be on file for all individuals using animals in research.
Principal Investigator:
Name
Add to IACUC #(s):
Degree
Dept.
Work Phone
Cell phone
Home Phone
Email
YES
Has this individual has completed the mandatory CITI Lab Animal Welfare Laws & Regulations online training or
provided documentation of equivalent training? Training requirements are posted on the IACUC website:
http://www.upstate.edu/chua/training.php
NO
Instructions & Certification of Training
In the checklist below, place an [X] in the appropriate column for each procedure that this individual will perform on this
protocol.
By indicating that this individual is adequately trained in the procedure(s) below, the Principal Investigator is certifying that the
individual is competent to independently perform these procedures. Furthermore, the Principal Investigator understands that
procedures marked “Training Required” may not be performed unsupervised by this individual until adequate documentation of
training is submitted to the IACUC office.
Person responsible for training*
*“Trainer” must contact the IACUC office (464-4292) at the completion of training to provide documentation.
DLAR can provide training on handling and basic procedures (injections, etc.) Please contact DLAR (464-6563) to arrange a training session.
List all species that will be used
on this protocol
PROCEDURES:
Species 1
Species 2
(
)
Adequately
Trained
Training
Required
(
Adequately
Trained
Species 3
)
Training
Required
(
Adequately
Trained
Species 4
)
Training
Required
(
Adequately
Trained
)
Training
Required
Handling & Restraint
Euthanasia:
Cervical Dislocation
Decapitation
CO2
Injectable agents
Other – describe:
Anesthesia:
Injectable
Inhalational
Regional (local)
Aseptic Survival Surgery
(rodents only)
Sterile Survival Surgery
(other mammals)
Injections:
Subcutaneous (SQ)
Intramuscular (IM)
Intraperitoneal (IP)
Intravenous (IV)
Submandibular
Retro-orbital
Gavage
Other – describe:
Other procedures – list below:
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