EXTERNAL AEC APPROVAL All research involving the use of animals must comply with the Animal Welfare Act 2002 (WA) and the requirements of the Australian code for the care and use of animals for scientific purposes (8th edition, 2013), ‘The Code’. see The Code Animal Welfare Act 2002 (WA) This form is for use by UWA staff (or students) who have obtained Animal Ethics Committee (AEC) approval from a non UWA AEC and the animals will be located at a facility covered by the ‘other’ institution. You will be required to provide a copy of the other institutions AEC approved application. Please consult the Animal Ethics Office staff to confirm this form is appropriate for your use. Phone: 6488 7887 / 3033 or email OFFICE USE ONLY (October 2017) FILE REF: RA/3/ [ ] AEC Blue [ ] AEC Green DATE: 1. EXTERNAL ANIMAL ETHICS COMMITTEE APPROVAL DETAILS Animal Ethics Committee Approval / Permit Number: Institution and Address: Institutions AEC Contact Officer: (Name, Phone and Email) CHIEF INVESTIGATOR DETAILS Title, first name, last name Staff number (UWA only) Work mailing address /school (include UWA MBDP) Email: Phone: Mobile: PROTOCOL DETAILS APPROVAL START DATE: EXPIRY DATE: (DD/MM/YYYY) (DD/MM/YYYY) Protocol Title: (full title) 4. UWA STUDENT/ STAFF DETAILS Title, first name, last name Staff / Student number (UWA only) Work mailing address /school (UWA MBDP) Email: Phone: Mobile:
EXTERNAL AEC APPROVAL All research involving the use of animals must comply with the Animal Welfare Act 2002 (WA) and the requirements of the Australian code for the care and use of animals for scientific purposes (8th edition, 2013), ‘The Code’. see The Code Animal Welfare Act 2002 (WA) This form is for use by UWA staff (or students) who have obtained Animal Ethics Committee (AEC) approval from a non UWA AEC and the animals will be located at a facility covered by the ‘other’ institution. You will be required to provide a copy of the other institutions AEC approved application. Please consult the Animal Ethics Office staff to confirm this form is appropriate for your use. Phone: 6488 7887 / 3033 or email OFFICE USE ONLY (October 2017) FILE REF: RA/3/ [ ] AEC Blue [ ] AEC Green DATE: 1. EXTERNAL ANIMAL ETHICS COMMITTEE APPROVAL DETAILS Animal Ethics Committee Approval / Permit Number: Institution and Address: Institutions AEC Contact Officer: (Name, Phone and Email) CHIEF INVESTIGATOR DETAILS Title, first name, last name Staff number (UWA only) Work mailing address /school (include UWA MBDP) Email: Phone: Mobile: PROTOCOL DETAILS APPROVAL START DATE: (DD/MM/YYYY) EXPIRY DATE: (DD/MM/YYYY) Protocol Title: (full title) 4. UWA STUDENT/ STAFF DETAILS Title, first name, last name Staff / Student number (UWA only) Work mailing address /school (UWA MBDP) Email: Phone: Mobile:
External-AEC-Approval-Notification.docx