IACUC Forms ~ Animal Research

Institutional Animal Care and Use Committee

IACUC forms must be submitted electronically as e-mail attachments to askiacuc@research.olemiss.edu and signed signature page faxed to 915-7577 or delivered to IACUC Office, 100 Barr Hall. Please read each form's instructions carefully. If you need assistance, contact the IACUC office at 915-7482 or askiacuc@research.olemiss.edu. Click on a section heading below to access forms in that group.

Animal Study Application (IACUC Protocol) Forms

  • Determination of Exemption for Observation-Only Studies
  • Animal Study Application (IACUC Protocol)
    • Guidance: Pain or Distress Categories
  • Appendix I - Experimental Disease Induction
  • Appendix II - Tumor Induction
  • Appendix III - Wild Caught Animals
  • Appendix IV - Radioisotopes / Toxic Chemicals / Biological Hazards
    • Guidance: Health and Safety Guidelines
  • Appendix V - Surgical Procedures
  • [Appendix VI - discontinued/reserved]
  • Appendix VII - Novel Compounds
    • Guidance: Sample Stress Monitoring Forms - Rat, Mouse, Chick

IACUC Protocol Amendments and Annual Update Forms

  • Protocol Amendment - Non-Personnel
    • Guidelines for Reporting Modifications to Protocols
  • Protocol Amendment - Personnel Changes Only
  • Protocol Annual Update
  • Protocol Annual Update for Breeding Protocols

Other IACUC Protocol Forms

  • Preserved Animals (permission for classroom use)
  • Request to Transfer Tissue Within the University
  • Request to Transfer Tissue from Another University
  • Request for Intra-University Transfer of Live Animals
    • Guidance on Requests for Intra-University Transfer of Live Animals
  • Proficiency Criteria for Research Animal Surgery
    • Guidance on Mandatory Training Components for Research Animal Surgery
  • Post-Operative Observations for Lab Animals
  • Anesthesia Record
  • Holding Protocol Request
    • Guidance on the Use of the UM Holding Protocol

IACUC SOP Forms

  • Standard Operating Procedures (SOP) Form
    • Guidance on Developing Standard Operating Procedures
    • SOP Form Instructions
    • SOP Submission and Pre-Review Procedures
    • SOP Full Committee Review Procedures 
    • Sample SOP
  • SOP Annual Review Form
    • SOP Annual Review Instructions
    • SOP Submission Schedule
  • Request to Amend Standard Operating Procedures

IACUC Health Forms

  • Occupational Health Evaluation
  • OHSP Risk Inventory
    • Asthma and Allergy in Animal Handlers
    • How to Stay Healthy in the Vivarium
    • Exposure Risks by Species
    • Preventing Asthma in Animal Handlers
  • Annual Health Risk Update