Stanford School of Medicine
Comparative Medicine–

Request for Transportation or Transfer of Animals

Investigator:  
   
Protocol Number:  
   
Account Number:                                                        
    
Responsible Person:            Phone #:  
   
Requested Transport Date:      Time:  
   
Species:                       Animal ID#:  
   
Housing Location:              Room #:  

For Rodent Transfers Include Rack #:  
     
Destination:                   Room #:  
   
Will procedure be non-survival?   Yes   No     

Animal to be Returned to:      Room #:  
   
Date Animal to be Returned:    Time:  
   
Other Comments:

 

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