Request to Export Rodents

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Laboratory Animal Care and Use

Sender Information Principal Investigator (PI) Name: PI Department: PI Phone: PI Fax: PI E-mail: Contact Name: Other Contact Phone: Other Contact Fax: Other Contact E-mail: Desired animal arrival date: IACUC protocol # at BU: Source to charge for export costs:

Recipient Information Principal Investigator (PI) Name: PI Institution: PI Department: PI Phone: PI Fax: PI E-mail: Other Contact Name: Other Contact Phone: Other Contact Fax: Other Contact E-mail: Complete address animal(s) will be shipped to & contact person (name telephone#): Attending Vet: Attending Vet Phone: Attending Vet Fax: Attending Vet E-mail:

Animal Information Species: Strain: Total # to be shipped: # Males: # Females: Method of animal ID: Animal condition and past procedures: Current housing location: Current Rack:
Genotype Info: Mutant KO TG Rodents
Immune system: Normal Deficient Unknown Any abnormalities: Comments:

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Laboratory Animal Care and Use

Request to Export Rodents