UO IACUC Pilot Study Results Form

This form is intended to be used once a Pilot Study has been completed, or initial results have been generated. Please complete this form in its entirety, including the number of animals that were used. If continuation of the Pilot Study is requested, an amendment to the animal use protocol must be made to request additional animals.

If you have any questions, please contact the IACUC office at IACUC@uoregon.edu or 541-346-4958.

Primary Investigator

Start Date

End Date

Number of Animals Used

Requested Action

Check the box that best applies.

Summary of Results

Please summarize the experimental results of the pilot study.

Unintended Consequences

Please describe any unintended consequences affecting animal health and well-being.

Confirmation Email

Please enter the email address that you would like copies of your responses to this form sent to.

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