Animal Welfare Incident Report
You may leave any unknown field
, but please complete
as many fields as possible
. The more information you provide, the easier it will be to follow up on this incident. You must click SUBMIT at the bottom of the last page to file a report.
--- Animals Affected by Incident ---
Describe the Incident
Do you know the cause of the incident?
Describe Known Cause
Describe Likely Cause
--- Contact Information ---
To receive feedback on incident resolution, you must complete the following fields.
To make an
, leave these fields blank. Note: If the report is submitted from off-campus, your IP address will be captured.
--- Report Submission ---
When submitted, this report will be delivered to the Attending Veterinarian, the Division of Laboratory Animal Services, the IACUC Chair and the IACUC Office. If you provide an email address, you will be copied also.
Do Not Fill This Out