animal transfer form
TRANSCRIPT
Animal Transfer Form (ATF)
E-mail completed ATF to RARC Transfers Coordinator at [email protected]
Save this file as a pdf to your desktop (do not fill out in web browser), complete the form, save and then attach to email.
Requested by: Request Date:Email: Phone:Desired transfer date or range (include time(s) and return trip request, if needed):
Are these animals going to a lab for a terminal procedure? YES ___ NO If yes, put lab room #: Sending Outside Institution (If applicable) Receiving Outside Institution (If applicable)
Principal Investigator Protocol # (If UW) Billing String (If UW)
Principal Investigator Protocol # (If UW) Billing String (If UW)
A_ni__mal Location
Room # Sending Contact Name: Phone:Email:
Veterinary Contact Name: Email:
Animal LocationA_ni__mal___ Loc___atio___n
Room # Receiving Contact (UW Lab or Receiving shipping contact) Name: Phone: Email:
Veterinary Contact Name: Email:
(External Imports/Exports Only) (External Imports/Exports Only)
(UW lab or Sending shipping contact)
Conventional Current Water Source: Automatic Bottle
StrainSpecies # (M, F) _# cages Age
USDA ID (if applicable) and additional details if not above: ______________________________________________________________
Protocol Requirements*Receiving UW Protocol must have relevant source checked*Sending UW Protocol must have "made available to other investigators" checked in Species>Disposition
If you need to change your protocol, please contact your facility Veterinarian for a VVC or contact the Protocol office: CALS/LSVC- Diane Johnson [email protected] or SMPH/SVM- Debbie Morris [email protected] Practices (choose one per category) Housing Requirement Aseptic (sterilized)
Maintenance DietFeed Type*: Breeder Diet Are these animals BSL-2 Status? YES NO*Corresponding diet will be fed dependent on the housing type chosenPlease contact the Facility Supervisor directly if you have any special husbandry requirements or BSL2 status animals.
Internal (Campus)Transfers Only (Note: BRMS Transportation requires 1 week notice AFTER approval given): Do you want assistance to transport these animals? YES NO (This includes ART assistance not driven)
If yes, please have all cages/tanks labeled for transport by 7am the morning of transfer.
Transportation MAY NOT be available for all facilities. Upon transfer approval, your transport needs will be requested.
If you are not requesting assistance, you may move animals yourself in accordance with Policy No. 2011-043 (found at: https://rarc.wisc.edu/policies.html). Permission to transport using a personal vehicle MUST be obtained.
Important Information about RARC-BRMS Quarantine:• The quarantine period will typically last 2 weeks after arrival• Testing for excluded pathogens through pooled PCR fecal and fur/skin swab testing (up to 12 rodents/panel).• Housing in aseptic caging; fed irradiated rodent diet.• Only BRMS and RARC authorized personnel are allowed access to the quarantine area.• All rodents in quarantine will be transferred to the quarantine protocol and will not be available for research
work until approved for release to the lab by RARC Veterinary Staff.Cost to PI/Research Lab:• Any shipping fees not covered by sending institution• Daily aseptic cage per diems while housed in quarantine• All required diagnostic testing (approx. $140-170/group of up to 12 rodents)• Treatment for excluded pathogens and re-testing• Rederivation if required for housing
Revised 8.2020ML
RARC Rodent Quarantine Policy for BRMS Managed Facilities **All rodent shipments from non-approved vendor sources require quarantine**
For Rodent Imports to BRMS facilities, please check the box confirming you have read and understand the above RARC-BRMS Rodent Quarantine policy. If you have any questions please contact the RARC Quarantine Coordinator [email protected]
I understand that it is my responsibility to check with my facility veterinarian and/or facility supervisor to determine what the current rodent quarantine policy is and to determine all associated costs will incur.
Content on this page applies to External Transfers ONLY (Imports/Exports) Material Transfer Agreements (MTAs)For EXPORTS to another Institution: MTAs are required for all transfers of research material leaving UW-Madison.
Have both parties signed an MTA for this transfer? YES NO
If no, have you received communication from RSP that an MTA is not required? YES NO
For IMPORTS from another Institution: MTAs may be required by the sending institutionsIs the providing institution requiring you to sign a Material Transfer Agreement? YES NO
If yes, have both parties signed an MTA for this transfer? YES NO
Please contact Office of Research and Sponsored Programs (RSP) for assistance prior to submitting this transfer request. https://www.rsp.wisc.edu/contracts/mta.cfm
Your lab is responsible for packing animals into shipping containers and meeting courier drivers. Animals should be packed how they are housed. Do not ship males and females together. Do not send litters <14 days old.
Please check any supplies needed by your lab to complete the shipment of this transfer:Shipping Containers How many? GelPacks How many?
Other?
Animal Exports
Rodent Imports
Rodent Quarantine Policy for NON-BRMS FacilitiesThe rodent quarantine policies for SVM, CALS and LSVC facilities are facility dependent. Please check with your facility veterinarian/facility supervisor for the current quarantine requirements and any subsequent costs.