ࡱ> QTNOPc N&bjbjZZ X8b\8b\8 vvvvvD:D~K   JJJJJJJ&MOxJv *"  JvvJV#V#V# vvJV# JV#V#GIߩ H,JJ0KHTP,!TPXITPvI  V#     JJ!f   K    TP         > <:  Adoption of Ectothermic Vertebrate (Reptiles, Amphibians and Fish) Research Animals PURPOSE The IACUC recognizes the invaluable contributions of research animals in the advancement of biological and biomedical knowledge. The IACUC endorses and promotes the responsible, humane, and appropriate use of research animals while complying with the concept of refinement, reduction and replacement in their use. Considering this, the IACUC may authorize the adoption of certain research animals previously used for research purposes according to the guidelines described herein. These guidelines apply exclusively to ectothermic (aka cold-blooded) vertebrate animals including reptiles, amphibians and fish. PROCEDURES FOR ADOPTION Adoptions of ectothermic vertebrates will be initiated by the Principal Investigator (PI) in charge of the animal (s). The PI will first submit an Authorization for Adoption form. The IACUC will approve/disapprove of the request either in a convened meeting or by Designated Member Review. The PI will be responsible for selecting animals and adopters as detailed below. If the request to initiate adoption is approved, the PI will be responsible for obtaining the adopters signature on the Adoption of Ectothermic Vertebrates (Reptiles, Amphibians and Fish) Waiver and Release of Liability form and for the maintenance of the adoption documents as per University standards. The following conditions must be met in order for an animal to qualify for adoption: (1) the purpose for which the animal was acquired no longer exists (2) the animal will not be needed in another IACUC approved study (3) the animal to be adopted must not have experienced any manipulation that had permanently altered their anatomical, physiological, metabolic or locomotor function (4) the animal to be adopted must appear free of any detectable infectious or physical abnormality that would threaten animal or public health If requested by the adopter, the attending veterinarian will perform a physical examination on the animal and complete a vertebrate animal health form prior to adoption. Potential adopters will be screened and selected by the PI for suitability in the following areas: Knowledge of appropriate care for a pet of the species Acceptance that the animal has been a subject in research teaching or testing Potential adopters selected by the PI must agree to sign the Waiver and Release of Liability Form and agree to the following conditions: Agree that the animal is being adopted as a pet Agree to care and provide for the animals physical and emotional needs Agree to not sell the animal. If at some point the adopter can no longer keep the animal, they agree to find an appropriate new home for it. Agree with the assessment of the animals health Agree to not hold the or employees of the liable for circumstances arising from the adoption Authorization for Adoption of Ectothermic Vertebrates Form Principal InvestigatorDate:Type of Animal to be AdoptedNumber of Animals to be placed:Original IACUC #Briefly describe Research in which the animals were used State any risks to the animals in being adopted State any risks to the adopter List any special care or requirements for said animals  Adoption of Ectothermic Vertebrates (Reptiles, Amphibians, and Fish) Animal Health Approval Form Adopter Name: ______________________ Animal Description Species: ________________ Identification:__________________ Sex: M F Age:____  Animal Health Examination This animal described above has been examined by me and found to be physically healthy and free from signs of infectious disease. To my knowledge, this animal does not exhibit aggressive or antisocial behavior that could represent a threat to children or adults. This animal has no implanted devices. This animal shows no sign of chronic health problems from natural or experimental causes and is not expected to have health problems in the future due to any experimental procedures that may have been performed. Comments: ________________________________________________________________ Institutional Veterinarian: Name _____________________ Signature____________________  Adoption of Ectothermic Vertebrates (Reptiles, Amphibians and Fish) Waiver and Release of Liability The California State University, San Marcos () hereby transfers ownership of the herein-described Ectothermic Vertebrates (Reptiles, Amphibians and Fish) or for the remainder of this release referred to as animal(s) ____________________________________________ to adopter ____________________________ who resides at ____________________________ _____________________________________ without reservation of any kind and "as is". In consideration for receiving transferred ownership of said animal(s), on behalf of myself and my next of kin, heirs and representatives, I release from all liability and promise not to sue the State of California, the Trustees of The California State University, California State University San Marcos and their employees, officers, volunteers and agents (collectively University) from any and all claims, including the Universitys negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages, or economic or emotional loss I may suffer arising out of the transfer of ownership of said animal(s). I agree to hold the University harmless from any and all claims, including attorney's fees or damage to my personal property that may occur as a result arising out of the transfer of ownership of said animal(s). The adopter freely, voluntarily and without duress executes this waiver and release under the following stipulations and disclosures: The adopter acknowledges and accepts that this animal has or may have been the subject for research purposes. The adopter acknowledges that there are no expressed or implied guarantees or promises relative to the health or temperament of this animal now or in the future. The adopter acknowledges and accepts any and all risks of accepting this research animal into their home. The adopter agrees that this research animal is being adopted as a pet for him/herself and that this animal will not be sold or given away or otherwise released from his/her care. If the animal described herein must be released from the adopter's care, the adopter agrees to make every attempt to secure a satisfactory home environment for said animal. The adopter acknowledges and accepts all responsibilities of animal ownership and will provide proper care and treatment for this animal in a manner generally considered appropriate for a pet of this species. The adopter acknowledges that strongly recommends the adopter take their adopted research animal to their veterinarian for testing and any recommended vaccinations. The adopter hereby forever agrees to hold harmless from any liability of any kind whatsoever arising as a result of in connection with the adoption of this research animal. I am 18 years or older. I understand the legal consequences of signing this document, including (a) releasing the University from all liability, (b) promising not to sue the University, (c) and assuming all risks arising out of the transfer ownership of said animal(s).  Adopter Signature Date  Principal Investigator Signature Date     02/11/2010 tkb  PAGE 6  Institutional Animal Care and Use Committee California State University San Marcos San Marcos, CA 92096-0001 Tel: 760.750.4066 Fax: 760.750.3150 iacuc@csusm.edu www.csusm.edu/iacuc DEVW^_`' b ĵyyygWGhaJhd;5OJQJ^JaJhaJh5OJQJ^JaJ"haJhO5>*OJQJ^JaJhaJhlEOJQJ^JaJhaJhOOJQJ^JaJhaJhCOJQJ^JaJhaJhd;OJQJ^JaJhaJh@x+OJQJ^JaJ"haJh5>*OJQJ^JaJhaJhOJQJ^JaJhaJCJaJhaJh26CJaJh26CJaJEVW_` b c . 81$^8gdB 1$^gdB & F 81$^8`gdB1$gdB h1$^hgdB1$gdC & F 81$`gd@x+1$gdd; & F 1$gd@x+$a$gd26gd26 ' = B C Z ^ m s {  a b c g M ӵӦvvggXghaJhW@OJQJ^JaJhaJhrOJQJ^JaJhaJh_KcOJQJ^JaJhaJhL7QOJQJ^JaJ"haJhJhJOJQJ^JaJhaJhBOJQJ^JaJhaJhJOJQJ^JaJhaJhOJQJ^JaJhaJhlEOJQJ^JaJhaJhbOJQJ^JaJhaJhnOJQJ^JaJ! .2pqrt<NOPQSTUVdinzPQd|ӵӵ◦◦ӦӈӈӦxxӈӦhaJhOJQJ^JaJhhaJhL7QOJQJ^JaJhaJhOOJQJ^JaJhaJhOJQJ^JaJhaJh:OJQJ^JaJhaJhX|OJQJ^JaJhaJhlEOJQJ^JaJhaJhbOJQJ^JaJhaJhCOJQJ^JaJ/.pTUV>?Aijk}$a$gdvgdB & F >1$^`>gdB h1$^hgdB & F 81$^8`gdBh^hgdB 81$^8gdBAF]5hijky}~Ҵ⥕ufTuBu#hvhv5CJOJQJ^JaJ#hvh:5CJOJQJ^JaJh:5CJOJQJ^JaJ#hvhW5CJOJQJ^JaJhvCJOJQJ^JaJhaJhB5OJQJ^JaJhaJhBOJQJ^JaJhaJhOJQJ^JaJhaJhOOJQJ^JaJhaJhOJQJ^JaJhhaJhOJQJ^JaJhaJhWOJQJ^JaJ}Rkd$$IflF`$3   t06    44 layt9b $IfgdW $IfgdBgdB$a$gdv XYZ[\l^_n ´´´´˜ss]s*jhvCJOJQJU^JmHnHuhv5OJQJ\^JhvOJQJ^Jh{@hv5OJQJ^Jhv5OJQJ^J h9bh"CJOJQJ^JaJh"CJOJQJ^JaJhvCJOJQJ^JaJ h9bhvCJOJQJ^JaJ h9bhWCJOJQJ^JaJhWCJOJQJ^JaJ$ULL $IfgdBkd$$Ifl\`$3  D X t0644 layt9b $IfgdWqh $IfgdWkdv$$IflF`$3   t06    44 layt9bV~ $IfgdWwkd1$$Ifl$h%  t 0644 lap yt9bVWXYZ[\ $IfgdWhkd$$Ifl$h% t0644 layt9b\]&hkd$$Ifl$h% t0644 layt9b $IfgdWhkd:$$Ifl$h% t0644 layt9bhkd$$$Ifl$h% t0644 layt9b $IfgdW $IfgdWhkd$$Ifl$h% t0644 layt9b&hkd$$Ifl$h% t0644 layt9b $IfgdWhkd$$Ifl$h% t0644 layt9bB^_`|s  !gdvgdv$a$gdvgdBhkd$$Ifl$h% t0644 layt9b $IfgdW `a  Z[\dhgdv0]0gdv0]0gdvgdvgdB  !gdv !$dNgdv l{{CD##$$$$$$$tdVhdGhv5OJQJ^JhNhv0J5OJQJ^JhNhv5OJQJ^JhRBhv0JOJQJ^JhRBhvOJQJ^JhNhv5OJQJ\^JhNhv0JOJQJ^JhNhvOJQJ^JhvCJ^JhvCJOJQJ^JaJ*jhvCJOJQJU^JmHnHuhvOJQJ^JopEF;<J K !!""+#,#####$$$dgdv & Fgdvgdv$$$%% %%%2%7%8%9%;%<%>%?%A%B%D%E%F%H%I%J%X%Z%[%a%b%c%d%e%f%ļsdh_0JCJaJmHnHuh@x+hv0JCJaJ!jh@x+hv0JCJUaJ h@x+hvCJOJQJ^JaJhvCJOJQJ^JaJhvh_hZjjhZjU h@x+hCJOJQJ^JaJhRBhvOJQJ^JhvOJQJ^J&jhvOJQJU^JmHnHu $$ % %%%7%8%:%;%=%>%@%A%C%D%E%F%G%H%I%J%e%f%  Hgd@x+gd26$a$gd@x+gdB gdvgdvf%g%i%j%%%%%%& &&&&#&C&H&I&J&K&M&N&Ƚܯܥܯܥܥܥ{ h@x+hCJOJQJ^JaJhZjh_hvhvhvCJOJQJhvCJOJQJh~hv5CJOJQJhv5CJOJQJ&jhvCJOJQJUmHnHuh~hvCJOJQJ,jmhih_CJOJQJUmHnHuf%h%i%I&J&K&L&M&N&gdB $dh0a$gdv $dha$gdv< 0 01F:pv/ =!"#:$*% 9 01F:pv/ =!"#:$*% 9 01F:pv/ =!"#:$*% 9 01F:pv/ =!"#:$*% $$If!vh#v3 #v #v:V l t0653 5 5/ / yt9b$$If!vh#v3 #v #vD #vX:V l t0653 5 5D 5X/  / / yt9b$$If!vh#v3 #v #v:V l t0653 5 5/ / / yt9b$$If!vh#vh%:V l  t 065h%p yt9bs$$If!vh#vh%:V l t065h%yt9bs$$If!vh#vh%:V l t065h%yt9bs$$If!vh#vh%:V l t065h%yt9bs$$If!vh#vh%:V l t065h%yt9bs$$If!vh#vh%:V l t065h%yt9bs$$If!vh#vh%:V l t065h%yt9bs$$If!vh#vh%:V l t065h%yt9bs$$If!vh#vh%:V l t065h%yt9bDd   AR?csusmLogo_FullNameHillsLeft_GeneralBlackPicture 1csusm logo"`RvV#-\<FTvV#-JFIF,, ExifMM*bj(1r2i-'-'Adobe Photoshop CS3 Macintosh2009:10:15 11:17:23ܠ&(.SHHJFIFHH Adobe_CMAdobed            " ? 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