HomeAnimal & Veterinary ServicesPolicy 15 Form Policy 15 Form Principal Investigators (PIs) are required to consult with the AV or designee on the following: Original or full three year renewal protocol reviews Protocol amendments which add the use of biohazards or chemical hazards, anesthesia and/oranalgesia, surgery (survival and non-survival) or increase in the level of pain which the animal mayexperience Annual renewal protocols that utilize USDA-covered species or DoD funding. Consultation is no longer required for annual renewals of protocols that do not utilize USDA covered species or DoD funding and/or do not include any of the amendments described above. Contact Dr. Wong with any questions wongmich@hawaii.edu PI INFORMATION PI First Name PI Last Name PI Email PROTOCOL INFORMATION Topaz reference number Type of protocol NewAmendmentRenewal Experimental Design/Changes (Brief but thorough description) Select all that apply to this protocol: Category D or E protocolSurgery (survival or non-survival) Special housing requirementsFacility not currently IACUC approvedChemicals used in animals. Please submit SDS to wongmich@hawaii.eduRadioactive materials used. Please contact UH Radiation Safety https://www.hawaii.edu/ehso/radiation-safety/Biological hazards used. Please list within the experimental design any biohazardsBiological treatments used. Please list within the experimental design any treatments using rodent derived products in your live animal experiments, e.g. rodent derived cell lines, rodent sera, rodent tissues, etcPhysical methods of Euthanasia
