IACUC INVESTIGATOR AGREEMENT & SIGNATURE PAGE*
PROTOCOL NAME:
PROTOCOL NUMBER:
BY SIGNING THIS DOCUMENT, THE INVESTIGATOR AGREES:
1. Policy requirements established for principal investigators (PIs) regarding responsibilities
and eligibility have been met.
2. A search for alternatives and alternative methods, including a search of at least two
relevant databases (e.g. PubMed, SCIRUS) was conducted in good faith.
3. The methods, procedures, and protocol descriptions will be conducted as stated, and shall
be continuously refined to be consistent with the Three R’s (Replacement, Reduction,
Refinement).
4. All study conduct will be in accordance with PHS Policy, AWAR, The Guide, DEA
Regulations, and Liberty University/IACUC Policy.
5. This project was designed with the consultation of the attending veterinarian.
6. The described animal use does not duplicate previous or existing studies, and the protocol
description is complete and accurate.
7. Any changes to this protocol (personnel, procedures, or otherwise) will be forwarded to
the IACUC for approval prior to implementation.
8. Current biomedical supplies will be used.
9. Complete animal procedural/surgical/testing/tracking records will be accurately
maintained and shall be available upon request by the Research Ethics Office, the
IACUC, University Veterinarian, or any other university or federal agency official.
10. Personnel are certified as adequately trained and experienced, and have complied with all
IACUC occupational health and safety procedures.
11. Any animals acquired or bred for use with this or any other Liberty University protocol
shall remain the property of Liberty University unless explicitly specified.
______________________________________________________________________________
Principal Investigator (Print) Principal Investigator (Signature) Date
______________________________________________________________________________
Co-Investigator (Print) Co-Investigator (Signature) Date
______________________________________________________________________________
Co-Investigator (Print) Co-Investigator (Signature) Date
*The Institutional Animal Care and Use Committee and/or University Veterinarian
reserves the right to terminate this protocol at any time if, in its opinion, (1) the risks of
further experimentation are prohibitive, (2) the above agreement is breached, (3) the health
and welfare of animals is at immediate risk.
