CONTRACTING LABORATORY ANIMAL USE AGREEMENT
1. To be completed by Dartmouth Faculty responsible for project:
Principal Investigator (including title, department, address and phone)
Title of Project* Dartmouth IACUC Protocol # _ _-_ _-_ _
Awarding agency and dates of award
Name of Transgenic Laboratory
Contact person (including name, title, address and phone)
2. To be completed by Contracting Laboratory in which animal activities will be conducted:
A. Status of Laboratory
AAALAC accredited NO_____ YES ______ date of last visit_______
(If not accredited, the last IACUC semiannual program and facility evaluation and USDA-APHIS Inspection Report must be on file with the Dartmouth IACUC Office)
OPRR Letter of Assurance NO ____ YES _____ Assurance number _____
Date of Assurance ______ Date of Expiration
B. Assurances
The IACUC of this laboratory assures that it will review and monitor the below listed protocol/ procedure in compliance with the Animal Welfare Act, PHS Policy on Animal Welfare. Specifically, the protocol review, for the aspects of the study which will be performed at the contract lab, will include consideration of:
• Justification for the use of animals, including species and number to be used;
• Procedures will avoid or minimize discomfort, distress and pain to the animals;
• Alternatives have been considered for procedures that may cause more than momentary or slight pain or distress to the animals;
• Procedures which may cause more than momentary or slight pain or distress will be performed using appropriate analgesics, anesthetics or tranquilizers;
• Animals that would otherwise experience severe of chronic pain or distress that cannot be relieved will be euthanized;
• Medical care for animals will be provided as necessary by a qualified veterinarian;
• Activities that involve surgery include appropriate provision for preoperative, intraoperative and postoperative care and will be conducted using appropriate aseptic procedures;
• Personnel conducting procedures on the species being maintained or studied will be appropriately qualified and trained in those procedures;
• Methods of euthanasia are consistent with the recommendations of the AVMA Panel on Euthanasia.
In addition, the laboratory agrees to notify the Dartmouth IACUC promptly of any problems involving animal care and use for those animals involved in this protocol.
C. This protocol was approved on (date) .
_______________________ ______________________ ________
name (type or print title signature date