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 put requests in sleeve on tech room door or fax to 6807. For questions, contact Jean Kundert at 6809 or [email protected]

For ARC use only:

ARC Admin. Initials: ________ Date: _________

ARC Husbandry Initials: _______ Date: _________

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

Weaning Transfers

Protocol # ______ ______ ______ ______ ______ ______ ______ ______

# weaned ______ ______ ______ ______ ______ ______ ______ ______