The University of Arizona

IACUC Forms, Signs & Labels

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IACUC Contacts & Links

orcr-iacuc@email.arizona.edu

eSirius log-in
eSirius Training Videos 
(NetID login)
Sign up for an IACUC Brown Bag Talk

Report an Adverse/Unanticipated Event
Report an Animal Welfare Concern
Report Non-Adherence to Protocol

IACUC Officer:
520-626-1247

IACUC Specialists:
520-626-5304
520-621-6103

IACUC Associate:
520-626-9071

Mailing Address
PO Box 210409
Tucson, AZ 85719


HOW ARE WE DOING?
IACUC Customer Service Survey


 

The UA IACUC only accepts protocol and protocol amendment submissions through the web-based eSirius 3G program. See eSirius Protocol and Amendment Submissions for guidance. If you are making changes to protocol personnel, not the protocol itself, see Adding Personnel to an IACUC Protocol.

Note: You will need Acrobat Reader version 8.0 or higher to use the PDF forms below. To avoid browser issues when accessing the forms, right click on the hyperlink and select “save target as” or “save link as” to save the file directly to your hard drive. After saving, close the web browser and open the saved document. 

Breeding

Breeding Addendum (PDF) Updated 9/2018

Compounding SOPs

Preparation of Compounds (general/test compounds) (Word) Updated 9/2018
Preparation of Sodium Pentobarbital (WordUpdated 9/2018
Preparation of Tribromoethanol (Avertin) (WordUpdated 9/2018

Client Owned Animals

Sample Client Owned Animal Consent Form (Word) Updated 11/2018

Euthanasia

Guillotine Use and Maintenance Log (Word)

Satellite Facilities 

UAC Satellite MUA (WordNew 11/2018
Small Mammal Species: SOP for PI Housing (Word) Updated 11/2018
Small Mammal Species: Assessment Log for PI Housing (WordUpdated 11/2018
Aquatic Species: SOP for PI Housing (WordUpdated 11/2018
Aquatic Species: Assessment Log for PI Housing (WordUpdated 11/2018
Semi-Aquatic Species: SOP for PI Housing (WordUpdated 11/2018
Semi-Aquatic Species: Assessment Log for PI Housing (WordUpdated 11/2018
Zebrafish: SOP for PI Housing (WordUpdated 11/2018
Zebrafish: Assessment Log for PI Housing (WordUpdated 11/2018

Sample Surgical Records 

Single Animal - Survival Surgery (WordUpdated 11/2018
Single Animal - Survival or Non-Survival Surgery (version 1) (WordUpdated 11/2018
Single Animal - Survival or Non-Survival Surgery (version 2) (WordUpdated 11/2018
Single Animal - Survival or Non-Survival Surgery (version 3) (WordUpdated 11/2018
Single Animal - Non-Survival Surgery (WordUpdated 11/2018
Multiple Animals - Survival or Non-Survival Surgery (WordUpdated 11/2018
Large Animal - Survival Surgery (WordUpdated 11/2018

Sample Non-Surgical Analgesia and Anesthesia Records (exclusive of euthanasia)

Non-Surgical Analgesia Record (WordUpdated 10/2018
Non-Surgical Anesthesia Record (WordUpdated 10/2018

Other Forms, Signs & Labels

PI Self-Report of Non-Adherence to the Protocol (Word)
Allergen Alert sign (PDF)
UAC Certification of Competency for IACUC or Veterinarian Required Training (Word)
Emergency Contacts sign (Word)
Authorized Expired Medical Materials Label (must have approved protocol exception prior to use)(print on Avery 60517 label)(Word)
Expired controlled substance + expired drug/compound/material labels (split page)(print on Avery 60517 label)(Word)
Ketamine/Xylazine cocktail secondary container label (Avery 5160/8160)(Word)
Ketamine/Xylazine cocktail secondary container label (Avery 5195/8195)(Word)