The University of Arizona

IACUC Forms & Signs

Report Misconduct

University Ethics and Compliance Hotline:

866-364-1908

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)

Compounding SOPs

Preparation of Compounds (general/test compounds) (Word) Updated
Preparation of Ketamine-Containing Anesthetic Cocktails (WordUpdated
Preparation of Sodium Pentobarbital (WordUpdated
Preparation of Tribromoethanol (Avertin) (WordUpdated

Client Owned Animals

Sample Client Owned Animal Consent Form (Word)

Animal Hazards Checklists

For laboratory locations (Word)
For agricultural locations (CAC, CAEC, WCAC) (Word)
For field studies (Word)

Euthanasia

Guillotine Use and Maintenance Log (Word)

Satellite Facilities

Small Mammal Species: SOP for PI Housing (Word)
Small Mammal Species: Assessment Log for PI Housing (Word)
Aquatic Species: SOP for PI Housing (Word)
Aquatic Species: Assessment Log for PI Housing (Word)
Semi-Aquatic Species: SOP for PI Housing (Word)
Semi-Aquatic Species: Assessment Log for PI Housing (Word)
Zebrafish: SOP for PI Housing (Word)
Zebrafish: Assessment Log for PI Housing (Word)

Surgical and Post-Operative Sample Records

Survival Surgery and Post-Operative Monitoring Form - Single Animal (Word)
Survival Surgery and Post-Operative Monitoring Form - Multiple Animals (version 1) (Word)
Survival Surgery and Post-Operative Monitoring Form - Multiple Animals (version 2) (Word)
Non-Survival Surgery Form (Word)

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

Non-Surgical Analgesia Record (Word)
Non-Surgical Anesthesia Record (Word)

Other Forms and Signs

Allergen Alert sign (PDF)
UAC Certification of Competency for IACUC or Veterinarian Required Training (WordUpdated
Emergency Contacts sign (Word)