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Forms

Forms on this site are offered as either PDF files that require Adobe Reader or as Microsoft Word files. To download any of the forms below, simply right click on the title link and select ‘Save Target As’ or click to open.​


To facilitate the approval process and to maintain appropriate records, an animal transfer request must be submitted to the facility manager who will verify the species, strain, and number of animals against the approved IACUC protocols. The manager may approve animal transfers between protocols of an individual PI. Transfer of animals between two PI’s requires the signature of the attending Veterinarian or his/her designee. Download the Rodent and Small Mammal Transfer Request form.

Transfer of animals between two PI’s requires the signature of the attending Veterinarian or his/her designee.​  All animals will transfer out of and return to the colony holding protocol.  Download the Dog and Cat Transfer Request form. This form can be emailed to OLAC for approval.

To facilitate the approval process and to maintain appropriate records, an animal transfer request must be submitted to the facility manager who will verify the species, strain, and number of animals against the approved IACUC protocols. Transfer of animals between two PI’s requires the signature of the attending Veterinarian or his/her designee.​ Download the Agriculture Research Animal Transfer Request form.

The Clinical Incident Report serves as initial notification of OLAC veterinary staff that an animal has received veterinary medical attention. The form should only be used in cases where OLAC veterinarians are not the veterinarian of record. Click here to electronically complete the Clinical Incident Report form. This form can also be manually downloaded and emailed to OLAC.

The Clinical Incident Report serves as initial notification of OLAC veterinary staff that an animal or herd housed at one of the Institute’s Research and Education Centers has received veterinary medical attention. For routine conditions, the form should only be completed when disease incidence is above that which is expected. Click here to electronically complete the Clinical Incident Report form. This form can also be manually downloaded and emailed to OLAC.

The USDA and AAALAC require yearly animal use reporting. The reporting period of September 30 – October 1 is used for both reports. Animals used in teaching or researching can be reported using the online Animal Use Report. Ideally, animal number reporting is completed in real time.

The unique animal ID number found on the medical record for the animal. Often a combination of letters and numbers. Do NOT use “pet names” such as Bessy, Kit-Kat, or Fluffy. No animal ID number is required for non-USDA covered animals.

Examples: (UT-CVM-owned Dog: C12078) (REC-owned Goat: G20081) (REC-owned Cattle: Steer #210)

Tip: When adding multiple animals, use the “Clone this Animal” button to duplicate the source, date, protocol, species, etc. and simply change the ID number for each entry.

Determining Source of Animal

University of Tennessee Owned: Any animal for which UT takes financial responsibility while on campus and will not get charged back to a client/producer/private party. Includes animals in the dog and cat teaching colonies, animals owned by any of the RECs, and animals that UT purchases specifically for research or teaching.

Privately Owned: Includes client-owned pets, producer owned farm animals, leased animals, and animals in the TN Heifer Development Program.

Wildlife: Any vertebrate wildlife including but not limited to bears, bats, skunks, raccoons, fish, birds, salamanders, and others that are not purchased by UT or housed on UT property.

Are the Animals USDA-covered?

USDA-covered animals are those covered by any regulations enforced by the USDA (Animal Welfare Act, Animal Welfare Regulations.) This includes any live or dead, warm-blooded animal being used for research, testing, experimentation, or exhibition excluding mice, rats, and livestock or poultry food, fiber, or standard production. Check the approved protocol and see if the USDA box on the cover page is checked. If yes, the animals on the protocol are covered by USDA regulations. If the box is not checked and does not meet the criteria above – the animal(s) is/are not USDA covered. Use the pain/distress category (B, C, D, or E) that is listed on the cover page of the approved IACUC protocol.

The rodent mortality report serves as a method for reporting and monitoring incidence of rodent mortality in the laboratory animal facility. Submitting the report will notify the OLAC veterinary staff and PI. To access the online Rodent Mortality Report, you must sign in using your UTK NetID and password.

The Clinical Case Request serves as initial notification of OLAC staff that an animal requires veterinary medical attention. To access the online Clinical Case Request form​, you must sign in using your UTK NetID and password.

The Rodent Surgery/Procedure record serves as a template for recording all relevant animal information during the procedure and can be modified to include criteria of the laboratory’s choosing.  Download the Rodent Surgery/Procedure Record form.

All acquisition, procurement, or movement of non-agricultural research animals to or from the University of Tennessee animal facilities or laboratories must be specifically approved in advance by the IACUC (via an approved protocol) and the Attending Veterinarian or his/her designee. To facilitate the approval process and to maintain appropriate records, an animal requisition form must be submitted to the facility manager who will verify the species, strain, and number of animals against the approved IACUC protocol. For requests to procure or otherwise acquire non-agricultural animals from non-regulated vendor sources (i.e. animals legally trapped, to be received from a collaborator, donated, acquired from unregulated sources) an animal requisition form must be submitted in advanced and approved by OLAC before the animals are procured.​  Download the Research Animal Acquisition​​ form.

All acquisition, procurement, or movement of agriculture research animals to or from the University of Tennessee animal facilities must be specifically approved in advance by the IACUC (via an approved protocol).  To facilitate the approval process and to maintain appropriate records, submit an animal requisition form to the facility manager who will verify the species, strain, and number of animals against the approved IACUC protocol.  Download the Agriculture Research Animal Acquisition​​ form.

Receipt of rodents from non-approved sources must be approved in advance by the Attending Veterinarian or his/her designee. The Rodent History Questionnaire​​​ and the Rodent Quarantine Procedures​​ forms must be completed to initiate importation of animals for non-approved vendor sources. The facility manager along with the principal investigator should complete appropriate sections of the Rodent History Questionnaire and the Rodent Quarantine Procedures forms. Completed forms should be emailed to clcarter@utk.edu or faxed to 865-974-5649.