INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE (IACUC)

987830 Nebraska Medical Center

Omaha, NE 68198-7830
402/559-6463
Fax 402/559-3300
IACUCORA@unmc.edu

Addendum to Application-Field Studies

1. Field Study Location. Specify the location/s where the field study will take place:     

2. Observation/Capture of Animals. How will the aims of the study be accomplished? Select all that apply.
Observation
Describe all methods and procedures for observing the animals:     
Capture
Describe all procedures to be used for the capture of the animals:     

3. Importation of Animals. Will any animals be brought back to UNMC/UNO facilities?

No Animals will NOT be in UNMC/UNO facilities at any time.
Yes Animals will be brought into UNMC/UNO facilities.
a. Describe the importation plan that has been developed with the UNMC/UNO veterinary staff:     

4. Animal Transportation. Will any animals be transported from one location to another location?
No Animals will not be transported.
Yes
a. Provide justification for animal transportation:     

b. Specify the point of origin and the final destination:     

c. Describe the vehicle and how it is equipped to ensure the welfare of animals during transport (e.g.,
heated, air-conditioned, tie-down straps for caging, etc.):     

d. Describe the procedures to be used to ensure animal welfare during transport (e.g., caging, food, water,
observations, etc.):     

e. Person responsible for transport:     

f. Describe the procedures for sanitation of the vehicle interior after transportation:     

5. Safety. Does the animal that is to be observed, captured and/or handled pose a risk to human health such as toxin
exposure, bites/scratches, and/or potential zoonotic disease carrier, etc?
No
Yes
a. List potential risks:     

b. Describe PPE and safety procedures that will be used to prevent applicable exposures to potential
risks:     

c. Assurance: I assure that UNMC or UNO health and safety committee/office will review potential safety
concerns to determine that this protocol does not compromise the health or safety of either animals or
persons in the field prior to the start of the study.

6. Permits and Authorizations. Are local, regional, or national permits or other authorizations required for the observation,
capture, transportation, data collection or other proposed activity using these animals?
No Permits and/or authorizations are not required.
Yes Permits and/or authorizations are required for the proposed activities.
a. Agency:     

b. Assurance. I assure that I will have all applicable local, regional and/or national permits or other
authorizations required for the observation, capture, transportation, data collection or other proposed activity
using these animals prior to the start of this study and the for appropriate duration.

Addendum_Field Studies_7.10.2013