Animal Resources Center Animal Transfer Request

 

Date Transfer Submitted: __________________________

 

Date Transfer Required: ___________________________

 

Requestor Name & Phone: ________________________________________

 

Transfer from Billing/Grant #: ______________________

 

Transfer to Billing/Grant #: _________________________

 

Were any procedures performed on these animals prior to this transfer? _______

 

Current Information on Cage Card                 Information to be changed on Cage Card

 

Investigator: ____________________                Investigator: _________________________

Protocol #:  _____________________                Protocol #:  __________________________

Strain:  ________________________

Vendor: ________________________

DOB: __________________________

Gender: ________________________

Date of Arrival: __________________

 

Total Number of Cages Transferred: ____________

 

Total Number of Animals Transferred: ___________

 

Please hang requests on appropriate animal room door or fax to 3692. For questions, contact Jean Kundert at 6809 or jkundert@montana.edu

 

For PROGRAM Transfers ONLY:

Were the mice currently under the PROGRAM grant?   Yes____   No_____

If yes, which area of study are they being transferred out of  (DSS Colitis, Salmonella, coxiella, rotavirus, etc.):

_______________________________ Are the mice being transferred out of the program?  Yes___  No___

if  "no," then identify the program area of study the mice are going into: _______________________________

 

Dana's Initials_______ (Required for PROGRAM Transfers only

 

For ARC use only:

 

ARC Admin.                Initials: ________         Date: _________

 

ARC Husbandry           Initials: _______           Date: _________

 

*ARC husbandry staff- Please return this form to Diane after you have made the appropriate changes to the cage cards.

Weaning Transfers

Protocol #     ______     ______     ______    ______    ______    ______    ______    ______

 

# weaned       ______     ______     ______     ______    ______    ______    ______    ______