Format:
Use the following editable documents to apply to the IACUC. Application
forms are provided in Adobe Acrobat® 
and
Microsoft Word® 
formats.
Note: The IACUC application is a readily accessible
document that describes and justifies the purpose(s) and procedure(s)
for which animals are requested. It must be easily understood by
non-scientists.
- Application
for the Use of Animals in Research REVISED
- Form Effective November 2007
Note -
The Adobe® version of the application must be completed using a 10
point (or greater) font pitch.
- Application
for the Study of Wild Animals In or From Natural Settings or
- Application
to Establish/Maintain a Mouse Colony
Note -
The Adobe® version of the application must be completed using a 10
point (or greater) font pitch.
- Application
for Antisera Production or REVISED
- Form Effective October 2007
-
- VA
ACORP Animal Component of Research Proposal
- VA
ACORP Appendix 9, Rodent Breeding Appendix or
Need
Help? There is always a veterinarian available to assist
you. If you need help completing an IACUC application,
or assistance in incorporating suggested revisions to your
draft IACUC application, contact either
robert.engelman@moffitt.org telephone
745-4361, ctrahan@research.usf.edu telephone
974-9260, or jvanette@research.usf.edu telephone
979-9842. The guidelines linked below provide some useful suggestions
and responses that may copied and pasted into a draft application. 
One Protocol,
One Grant (Usually): A single IACUC protocol cannot
be used to represent the animal use activities of multiple research
grants or contracts each with budgets to purchase, maintain,
and use animals. A single research grant or contract may be represented
by more than one IACUC-approved protocol.
If an activity
involving animals that is described in an IACUC-approved protocol
is supported by multiple grants with different titles (e.g., one
research grant, one postdoctoral fellowship, and departmental funds),
the PI must inform the IACUC by submitting a Request to Amend
an Animal Use Protocol form.
If a grant not
originally declared in the IACUC application is awarded later during
the 3-year approval period of the protocol (i.e., grant not funded
during year one of the protocol, but awarded during year two),
the PI must inform the IACUC by submitting a Request to Amend
an Animal Use Protocol form.
Veterinarian
Review: All vertebrate animal use must first be described
in a draft IACUC application and pre-reviewed by
University veterinarians by attaching an electronic-version of
it to an e-mail addressed
to CompMed@research.usf.edu,
telephone (813) 974-9796, fax (813) 974-9432. If you need help
completing an IACUC application, or assistance in incorporating
suggested revisions to your draft IACUC application,
contact either
robert.engelman@moffitt.org telephone
745-4361, ctrahan@research.usf.edu telephone
974-9260, or jvanette@research.usf.edu telephone
979-9842.
Submitting to the IACUC: After completion of the pre-review
process, the revised application must then be submitted to Research
Integrity & Compliance
at MDC 35. The revised document may also be submitted as an electronic-version
attached to an e-mail addressed to IACUC@research.usf.edu,
with at least the original cover page signed by the Principal Investigator
mailed (or FAXed 974-7091) to MDC 35.
VA Merit
Applications: Principal Investigators developing applications
for VA funded Merit Review grants, must submit the animal component
for their research project to the IACUC using the VA
ACORP.
Mouse
Colonies: Colonies of mice, and all mice created locally
by methods of genetic engineering involving recombinant DNA must
first be represented by an IACUC-approved Application to
Establish/Maintain a Mouse Colony.
IACUC Protocols with Federal or Major Agency Funding:
Approval of an IACUC protocol application other than an Application
to Establish/Maintain a Mouse Colony with proposed support from
a federal or major funding agency is contingent on comparable protocol
and proposal titles and narratives. IACUC Protocol Applications with
Federal or Major Agency Funding must be accompanied by four
pages from the grant proposal.
- Face
Page of form PHS 398 (or a similar page) that shows
that the grant title and name of the Principal
Investigator match those of the IACUC protocol application,
- Page
2 form PHS 398 (or a similar page) wherein the project
description in abstract form summarizes the scope
of work to which the purpose(s) and procedure(s) described
in items 7 and 8 on page 2 of the IACUC protocol will contribute,
- First
Page of the Research Plan (or a similar
page) that includes the Specific Aims of the
research. Note that the IACUC protocol must represent an aspect
of the broad long-term objectives of the grant proposal.
- Section
F, Item 1 of the Research Plan of format PHS 398 (or
a similar page) wherein a description of the proposed
use of the animals and the species of
animals to be used are identified.
- Any
communication/documentation from/with the granting/funding
agency indicating a change in the direction of research that
would affect how animals are used.
These grant application
pages may be submitted to the IACUC electronically at IACUC@research.usf.edu or
mailed as paper copy c/o Research Compliance at MDC35.
Mouse
Colony Protocols with Any Source of Funding: An Application
to Establish/Maintain a Mouse Colony need not be accompanied
by a grant proposal regardless of the proposed source of funding.
IACUC
Protocols with Other Funding: IACUC protocol applications
with other proposed sources of funding need not be accompanied
by a grant proposal, but Comparative Medicine will not fill requests
for animals or service under a specific IACUC-approved protocol
until an association between fiscal support, an IACUC protocol,
and an account or purchase order number is assured in writing.
A Research Services Agreement and/or a letter on company letterhead
indicating a commitment to fund a proposal may be used to document
corporate support. A memorandum from the departmental Chairperson
or other signature authority on the account may be used to
document departmental support of a proposal.
IACUC
Members: The
primary reviewing IACUC member of an application must complete
the form linked below and forward an electronic-version of it
to IACUC@research.usf.edu no
later than the scheduled meeting time.
- Primary
Review of an IACUC Application
Please address
questions to CompMed@research.usf.edu,
telephone (813) 974-9796, fax (813) 974-9432; IACUC@research.usf.edu telephone
(813) 974-7106, fax (813) 974-7091.
