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Institutional Animal Care and Use Committee
PROTOCOL ADMENDMENT FOR PERSONNEL CHANGES ONLY
ADMINISTRATIVE
General Instructions: Email the completed form to HYPERLINK "mailto:IACUC@rwu.edu" IACUC@rwu.edu or cfrancis@rwu.eduProtocol Number:Protocol Title:Principal Investigator:Phone:Email:CHANGES IN NAMES PERSONNEL
Refers to anyone who works with animals without direct supervision or is responsible for animals listed in the IACUC approved protocol, including the co-investigator, adjunct faculty member, student, lab technician, etc. Change in principal investigator requires a new protocol application.Person/s Deleted:Person/s AddedCheck Training ReceivedDescribe the individuals duties on the project involving the animal use for the IACUC and their expertise/qualifications and training related to those duties.Working w/IACUCSpecies AppropriateOther (Specify)Project DutiesSpecific Training and Expertise
OFFICE USE ONLYAPPROVAL SIGNATUREApproved:
IACUC Chairperson
Date:
Changes in Personnel Protocol Amendment Form 09-02-09
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