Research Integrity and Compliance ~ Compliance Forms

IACUC Forms ~
Institutional Animal Care and Use Committee

Please read the UM Animal Welfare Assurance before filling out IACUC forms. IACUC forms must be submitted electronically as e-mail attachments to askiacuc@research.olemiss.edu and signed signature page faxed to 915-7577 or delivered to IACUC Office, 100 Barr Hall. Please read each form's instructions carefully. If you need assistance, contact the IACUC office at 915-7482 or askiacuc@research.olemiss.edu.

PROTOCOL FORMS
INSTRUCTIONS GUIDANCE
Determination of Exemption for Observation-Only Studies    
 
 
 
 
 
Appendix VI (eliminated)
 
Sample Stress Monitoring Forms
(for data collection)
Rat
| Mouse | Chick
Non-Personnel Protocol Amendment  
Protocol Amendment for Personnel Changes Only    
Protocol Annual Update  
Preserved Animals    
Request to Transfer Tissue Within the University    
Request to Transfer Tissue from Another University    
Request for Intra-University Transfer of Live Animals   Guidance on Requests for Intra-University Transfer of Live Animals
Proficiency Criteria for Research Animal Surgery   Guidance on Mandatory Training Components for Research Animal Surgery
Post-Operative Observations for Lab Animals    
Anesthesia Record    
Holding Protocol Request   Guidance on the Use of the UM Holding Protocol

SOP FORMS
INSTRUCTIONS GUIDANCE
Standard Operating Procedures
(SOP) Form
SOP Form Instructions SOP Submission and Pre-Review Procedures Flowchart
SOP Full-Committee Review Procedures Flowchart
Sample SOP
SOP Annual Review Form

HEALTH FORMS
INSTRUCTIONS GUIDANCE
Occupational Health Evaluation
 
OHSP Risk Inventory
Read the following information regarding asthma and allergies before completing the OHSP Risk Inventory.
Asthma and Allergy in Animal Handlers
How to Stay Healthy in the Vivarium
Exposure Risks by Species
Preventing Asthma in Animal Handlers
Annual Health Risk Update    


IBC Form ~
Institutional Biosafety Committee

Research involving pathogens, DNA, and/or human blood, other bodily fluids, or tissue requires approval of the Institutional Biosafety Committee (IBC.)  The researcher must submit an “IBC Memorandum of Understanding and Agreement” and protocol to Dr. Michael Mossing (email M. Mossing; 915-5339), Chair, Institutional Biosafety Committee, 452 Coulter Hall, for review and approval prior to conducting the research.



IRB Forms ~
Institutional Review Board for the Protection of Human Subjects

Please read the UM Policies and Procedures for the Protection of Human Subjects in Research before filling out IRB forms. IRB forms may be submitted as e-mail attachments to irb@research.olemiss.edu. However, pages with required signatures must be faxed to 915-7577 before review can begin. Please note: All faxed documents should include a fax cover sheet indicating the number of pages that are being faxed. Forms can be also delivered to the IRB Office in 100 Barr Hall.

FORMS and INSTRUCTIONS

Reference Materials:

Model Consent Form
Model Assent Form
Sample Abstracts
Sample Procedures
HIPAA Identifiers

Request to Amend an IRB Protocol Instructions
Progress Report Form ~ The Progress Report Form will be e-mailed to you approximately three months before your protocol expires.
Unanticipated Problems/Adverse Event Report Form  

OTHER REFERENCE MATERIALS
IRB Protocol Review Form

FOR INSTRUCTORS ONLY
Request for Class Project Waiver of IRB Application
Student Class Project Application
Child Assent Requirements and Models for Assent for Class Projects
Sample Consent Form for Class Projects