Forms for Animal Project

ACORP

• Full ACORP Application (Version 3)

  • ACORP Main Form

  • ACORP Appendix 1: Use of Non-VA Animal Facility

  • ACORP Appendix 2: Antibody Production

  • ACORP Appendix 3: Test Substances

  • ACORP Appendix 4: Ante mortem Specimen Collection

  • ACORP Appendix 5: Surgery

  • ACORP Appendix 6: Special Husbandry and Procedures

  • ACORP Appendix 7: Request to Use Patient Care Procedural Areas for Animal

  • ACORP Appendix 8: Request to Use Explosive Agent

  • ACORP Appendix 9: Additional Local Information

Other Forms for Animal Project

• Submission Checklist ver.2011-05-25

• Annual Progress Report, Version June 2011

• Memo Notification of Transfer Euthanized Animal (Carcass to an approved investigator)

• Project Data Sheet and Abstract-R&D Information Sheet

• Prospectus of Research Study

• Research Protocol Safety Survey (For local SRS committee review only) - DO NOT submit this form to central office (Please use the central office Research Protocol Safety Survey) 

• SAS Modification Form (Ver.2011.11)

VMU Forms

• Animal Order Form

• Order animals from a commercial vendor

• Animal Transfer (External) Form – Request transfer of animals from another institution (such as UCI or Cal State Long Beach University) to the VALBHS VMU Request transfer of animals from the VALBHS VMU to another institution (such as UCI or Cal State Long Beach University)

• Animal Transfer (Internal) Form - Move animals between rooms, accounts, or investigators within the VALBHS VMU

• Breeding Colony Monthly Report Form - Monthly report required of all investigative staff that are breeding animals in the VMU facilities

• Experimental Surgical Record - Track surgical procedures, complications, post-operative monitoring, and post-operative analgesia administration

• Notification of Multiple use of an Anesthetized Animal - Required one form per animal

• Ordering Control Substances (Vista Instructions) - Contact the research office at Ext. 4948 for more information

• Control Substance Green Sheet Log - Log in when you receive/return Green Sheet to Pharmacy (Weekly Count Log - Weekly Inventory of your control substances is required)

• Weekly Count Log - Weekly Inventory of your control substances is required