University of Hawai‘i
Research Compliance

Film in Vivarium Request Form

    Persons requesting to film must agree that all animal activities (if applicable) to be filmed will be done in conjunction with their approved UH IACUC protocol for the purposes specified within it, and not for the sole purpose of demonstration for filming. He/She must agree not to include any identifying landmarks such as room numbers, researcher names, or animal/protocol information.

     Principal Investigator Contact 






     Request Description 





     Filming Provider 





    I agree that all animal activities (if applicable) to be filmed will be done in conjunction with my approved UH IACUC protocol for the purposes specified within it, and not for the sole purpose of demonstration for filming.
    I agree not to include any identifying landmarks such as room numbers, researcher names, or animal/protocol information.
    AVS assistance over 2 hours per month may result in a Special Service charge back. Service charges include AVS staff member's time consulting with attorneys as it relates to the film licence and staff member's time to prepare the location for filming.
    I confirm that I have reviewed this form for completeness and accuracy.