Animals Requested: Where will animals be obtained and are there any special shipping requirements? If these are privately owned animals please attach an owner consent form Are agricultural animals obtained from a non-traditional source such as poultry from a commercial production company or from commercial herd? Yes No If please describe how the animals are tested and determined to be free of diseases which could yes, potentially infect other animals on site, and any special precautions, such as quarantine isolation housing that is required. 12. Where will animals be housed (or captured for wildlife)? Will any untreated or non-manipulated animals be humanely euthanized, to obtain tissue, cells, etc.? Yes No If Yes, list types of tissue, etc: Dietary Manipulations Yes No If Yes, list and explain (Note: if food or fluid will be restricted, describe method for assessing the health and wellbeing of the animals. Body weights must be recorded at least weekly. Amount earned (if animals work for food or fluid) during testing and amount freely given must be recorded. A scientific justification must be provided for departures from the recommendations of the Guide.) Yes No Environmental Stress (e.g. cold, prolonged restraint, forced exercise, shock) If list and explain: Yes,
Animals Requested: Where will animals be obtained and are there any special shipping requirements? If these are privately owned animals please attach an owner consent form Are agricultural animals obtained from a non-traditional source such as poultry from a commercial production company or from commercial herd? Yes No If yes, please describe how the animals are tested and determined to be free of diseases which could potentially infect other animals on site, and any special precautions, such as quarantine isolation housing that is required. 12. Where will animals be housed (or captured for wildlife)? Will any untreated or non-manipulated animals be humanely euthanized, to obtain tissue, cells, etc.? Yes No If Yes, list types of tissue, etc: Dietary Manipulations Yes No If Yes, list and explain (Note: if food or fluid will be restricted, describe method for assessing the health and wellbeing of the animals. Body weights must be recorded at least weekly. Amount earned (if animals work for food or fluid) during testing and amount freely given must be recorded. A scientific justification must be provided for departures from the recommendations of the Guide.) Environmental Stress (e.g. cold, prolonged restraint, forced exercise, shock) Yes No If Yes, list and explain:
application-to-use-animals-research-04032018.docx