Clarion University of Pennsylvania
Animal Care and Use Committee
PROTOCOL FOR RESEARCH USE OF ANIMALS
A. Administrative Information:
Date Filed:
Investigator:
Title:
Address:
Telephone
Work: Home:
Type of Project (research, education, etc.):
Funding Source (if not applicable, write N/A):
Start of Project:________________________ End of Project:__________________________
Species:_______________________________ Number used*:__________________________
Cage Size:______________________________ Number of Cages:________________________
*It is the responsibility of the P.I. to maintain up-dated records of animals used in experiments in the log
Provided for this purpose in the Animal Facility.
I have received a copy of “Animal Room Procedures” which explains the operations of the Animal
Facility at Clarion University. I understand them and agree to operate in accordance with them.
________________________________________ ___________________________
Project Supervisor Date
B. General significance of project:
C. Specific purpose of experiment (s):
D. Rationale for using animals instead of alternatives. Justification for species and number of
and number of animals used.
E. Evaluation of experimental redundancy.
1. Have these experiments been performed previously at Clarion or have they been reported in the scientific
literature?
2. If these experiments have been performed previously, explain the reason for repeating them.
F. Protocol:
1. Brief description of methodology. If animals will be sacrificed, indicate the method.
2. Will restraining devices, radioactive or bio-hazardous material, or pathogenic agents be used?
If not, enter N/A.
3. Duration of treatments.
4. Estimation of levels of pain and distress experienced by the animals to be used.
5. Describe procedures for analgesia, tranquilization or other methods to minimize pain and/or distress. If
protocol does not cause pain or distress, enter “Not Applicable”.
6. If this protocol is likely to cause pain and distress, and analgesia or tranquilization cannot be used, explain
why. Otherwise, enter “Not Applicable”.
7. Justify the number of animals used and the choice of species:
8. Other comments on the methodology:
G. Training and Experience of Personnel:
1. List any other responsible individuals on your project. Indicate their status, training they have had, and
responsibilities of each.
2. Describe services required of animal room personnel. If unusual services will be required, describe procedures
for training animal room personnel.
H.
This protocol has been reviewed and approved by the Clarion University Animal Care and Use
Committee.
__________________________________________ _______________________
Chair, Animal Care and Use Committee Date
__________________________________________ ________________________
Supervisor, Animal Room Date
___________________________________________ ________________________
Project Supervisor Date