INSTITUTIONAL COMMITTEE FOR THE CARE AND USE
OF LABORATORY ANIMALS IN EXPERIMENTATION
COMMITTEE ACTION FORM
Principal Investigator or Activity Director
Campus Address
College Department/Unit
Project Title
The project referenced above has been reviewed. The decision is as follows:
Approved as presented (Date ___________________)
Approved with the following stipulations: (Date ___________________)
Not approved for the following reasons: (Date ___________________)
Signature:
__________________________
Committee Chairperson
Dr. Steve Hayslette