OVC DOG COLONY REQUEST FORM Please return this form to Dr Carolyn Kerr and/or Wing Department of Clinical Studies Investigator/Instructor: Department: Title and Number of Course or Title of Investigation: Animal Utilization Protocol # Emergency contact name: Phone # and ext.: Date Date no Category of Number of Preferred Preferred Location Required longer Invasiveness Dogs Sex Weight of Use (start) Required (end) Special Instructions Funding Information (Required if not OVC DVM course) Fund Unit Grant Project Object Approvals Signature of Faculty Member Approved by Chair or Designate Date received Date cc AACF Clinical Studies Fax: 519-837-2341 OR __________________________ Scan to Date submitted to CAF
OVC DOG COLONY REQUEST FORM Please return this form to Dr Carolyn Kerr and/or Wing Department of Clinical Studies Investigator/Instructor: Department: Title and Number of Course or Title of Investigation: Animal Utilization Protocol # Emergency contact name: Phone # and ext.: Date Required (start) Date no longer Required (end) Category of Invasiveness Number of Dogs Preferred Sex Preferred Weight Location of Use Special Instructions Funding Information (Required if not OVC DVM course) Fund Unit Grant Project Object Approvals Signature of Faculty Member Approved by Chair or Designate Date received Date cc AACF Clinical Studies Fax: 519-837-2341 OR __________________________ Scan to Date submitted to CAF
Request%20Form%20-2016_17.docx