aerial photo of campus

Forms and Applications

All forms should be submitted as an email attachment to iacuc@montclair.edu.

(Files must be downloaded and should not be filled out in the browser.)

Animal Care and Use Protocol Form *newly revised

Word Doc 

IACUC Observation Only Form (this form should only be used if the PI does not alter the habitat or behavior of study animals)

Word Doc

IACUC Annual Renewal Form  

Word Doc

IACUC Project Determination Form

This form should be utilized by Faculty, staff or students who have self-identified as working with animals that may not be subject to traditional IACUC review process. By submitting this form you will be notifying the IACUC of your activity and within 3-5 business day will have a determination letter from the IACUC acknowledging the activity and providing next steps if required.

 Project Determination Form 

 

* For questions on the applications please email the iacuc@montclair.edu or call 973-655-3021

Occupational Health Program and Screening Form

Health Screening FormDo not fill out in browser! To save data entered into the form, please download and fill this form out in an Adobe Reader; data entered into your browser will not be saved.

  • to be completed by all personnel identified on the IACUC protocol;
  • please do not submit your health form to the IACUC;
  • Submission Instructions: An original copy of this form should be submitted in a sealed envelope within an interoffice mail envelope to Dr. Gregg Summerville, Overlook Building 3321. Please email Dr. Summerville summervilleg@montclair.edu and ohd@montclair.edu to schedule an appointment.