Special Husbandry Cage Card Request

***All procedures and exceptions must be approved in the animal use protocol.

Today's Date *

Requestor name *

Requestor email *

PI Name *

PI email *

Protocol number *

From date (when special husbandry starts) *

To date (end of special husbandry) *

Number of cards requested *

Mark all that apply *

Lab will perform husbandry

Lab provides food or water

Special food or water (CRF provides) *

*If CRF staff will be providing special diets or water, the lab must ensure timely delivery of feed and/or water. When lab personnel provide feed or water, provision must be documented. A special log sheet will be provided with the cage cards.

If you happen to see this, do not fill this field.