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IACUC # ______________ Animal Care and/or Service Requests

Summary: IACUC # ______________
Animal Care and/or Service Requests
Animal Resource Program (ARP)
Centralized Biological Laboratory
Tel: 814-865-1495 Fax: 814-865-3685
Investigator___________________________________ Department ____________________________________
E-mail address___________________ Telephone (day)_______________ Telephone (evening)______________
Other individual authorized by PI to order animals: Name ____________________________________________
E-mail address___________________ Telephone (day)_______________ Telephone (evening)______________
Animal Requests (Remember to allow a 5-7 day acclimation period for animals prior to starting experiments)
Species ___________ Breed or strain_____________________ Sex_______ Weight or age _________________
Vendor or source______________________________ Vendor stock # or catalog # _________________________
Animal housing: Start date ________________ End date______________ Facility/Room __________________
Total number of animals_____________ Will all the animals arrive in one shipment? __________ If no, numbers
and dates expected. ___________________________________________________________________________
Animal Care Requirements (Check and explain all that apply)
_____Special caging (desired number of animals per cage, males/females per cage, wire cages, etc.)_________
_____Special diet _____________________ ______________________________________________________
_____Biohazards ___________________________________________________________________________
_____Radioisotopes __________________________________________________________________________


Source: Andrews, Anne M. - Huck Institutes of the Life Sciences, Pennsylvania State University


Collections: Biology and Medicine