Animal Relocation
Request
Request to Relocate the Following (Must be submitted at
least 24 hours prior to moving)
SPECIES
____________ QTY OF ANIMALS ______________
Protocol Number _________________
MOVE FROM
ROOM ________________________ TO ROOM________________
___________________________________________________ Phone # ___________
P.I. NAME (PRINT) DATE
__________________________________PI
Signature
PI MUST MARK
CAGES WITH RELOCATION REQUEST STICKERS, available in CB 1901.
Animals cannot
be moved until LAS has signed this form.
Indicate whether you will move the animals or if LAS will move the
animals.
LAS to move
animals ______ PI will move the
animals _______
NO RELOCATION WILL
BE MADE WITHOUT THE ABOVE INFORMATION.
LAS Approval
_________________________________
Relocation
completed by________________________________Date__________
****Submit this
signed original to Mr. Rennie Wolfe, Dr. Rodriguez or Dr. Tambrallo for LAS
Approval, CB 1901
Rev 10/2005