University of Hawai‘iResearch Compliance Menu About Animal and Veterinary Services Training and First Time User Information Veterinary Services Rates, Supply Orders and Special Services Order or Transfer Animals Occupational Health and Safety Program Policies Templates and Forms Resources Contact Animal Order Form PROTOCOL INFORMATION PI First Name PI Last Name Department IACUC Protocol Number IBC Protocol Number if ordering IBC covered strains or "N/A" PI phone PI fax PI email ORDER CONTACT INFORMATION First name Last name Phone Fax Email ANIMAL ORDER 1 Number of animals Vendor Species Strain Vendor stock number Is this strain a transgenic or knockout? SelectYesNo Gender SelectMaleFemaleEither Weight/Age of animals Facility SelectKakaakoManoa Number of animals per cage Requested arrival week (please select the Monday of desired week) mm/dd/yyyy Special requirements ANIMAL ORDER 2 Number of animals Vendor Species Strain Vendor stock number Is this strain a transgenic or knockout? SelectYesNo Gender SelectMaleFemaleEither Weight/Age of animals Facility SelectKakaakoManoa Number of animals per cage Requested arrival week (please select the Monday of desired week) mm/dd/yyyy Special requirements ANIMAL ORDER 3 Number of animals Vendor Species Strain Vendor stock number Is this strain a transgenic or knockout? SelectYesNo Gender SelectMaleFemaleEither Weight/Age of animals Facility SelectKakaakoManoa Number of animals per cage Requested arrival week (please select the Monday of desired week) mm/dd/yyyy Special requirements ANIMAL ORDER 4 Number of animals Vendor Species Strain Vendor stock number Is this strain a transgenic or knockout? SelectYesNo Gender SelectMaleFemaleEither Weight/Age of animals Facility SelectKakaakoManoa Number of animals per cage Requested arrival week (please select the Monday of desired week) mm/dd/yyyy Special requirements I confirm that I have reviewed this form for completeness and accuracy. About Animal and Veterinary Services Training and First Time User Information Veterinary Services Rates, Supply Orders and Special Services Order or Transfer Animals Occupational Health and Safety Program Policies Templates and Forms Resources Contact
