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Emory University Dar Live Rodent Import Request

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Emory University DAR Live Rodent Import Request

Emory DAR A3

Page 1

Please fill out the following information for your live rodent import request.

Email*

Principal Investigator Name*

Department*

Building*

Room Number*

Phone Number*

Email Address*

Species*

Strain*

10.

Number of Animals Requested*

11.

Requested Arrival Date*

Select date

12.

Requested Departure Date*

Select date

13.

Import Permit*

Drop a file here or click the button below to load the file

Choose file

Max Combine file size: 10MB

Description:Emory University DAR Live Rodent Import Request

Emory University DAR Live Rodent Import Request form is used to request the importation of live rodents into Emory University for research purposes. This form is managed by the Division of Animal Resources (DAR) at Emory University. The form requires information about the type and number of rodents being imported, the source of the rodents, and the purpose of the importation. The form also requires information about the principal investigator and the animal care and use protocol number. This form is essential for ensuring compliance with federal regulations and Emory University policies regarding the use of animals in research.

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What is your age?*

What is your gender?*

What is the cause of your pain?*

Injury

Illness

Other

Preview

Pain Disability Test Form

Business Forms

Use Template

Patient's Full Name*

Patient's Date of Birth*

Patient's Address*

Preview

Medical Authorization Form

Collect medical authorization online with a Medical Authorization Form. Easy to customize and share. Can be filled in on any device! Convert to PDFs instantly.

Healthcare Forms

Use Template

Full Name*

Phone Number*

Appointment Date*

Select date

Preview

Broken Appointment Policy

Our Broken Appointment Policy is designed to ensure that our patients are respectful of our time and the time of other patients. If you need to cancel or reschedule an appointment, we ask that you provide us with at least 24 hours' notice. If you fail to show up for your appointment or cancel at the last minute, you may be subject to a broken appointment fee. This fee helps us cover the costs associated with the missed appointment and ensures that we can continue to provide high-quality care to all of our patients. Please take a moment to review our Broken Appointment Policy and let us know if you have any questions or concerns.

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Employee Name*

Employee ID*

Date of Incident*

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Principal Investigator Name*

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Building*

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