FORM 3. POST-REVIEW DOCUMENTATION
October 2004 Version
A.DOCUMENTATION of REVIEW TEAM (minimum of three members for program review, and three members for facility review; add more rows as needed):
Role on IACUC (chair, veterinarian, scientist, lay member, non-affiliated member)
Indicate Participation in:
B.Documentation of Minority Opinion(s). Any member who wishes to provide a minority opinion MUST be allowed to do so. Did any member wish to submit a minority opinion?
_______ Yes_________ No If "yes", fill out section E below.
C. DOCUMENTATION of REVIEW and APPROVAL by IACUC MEMBERS. A majority of voting members (not a majority of a quorum) must approve and sign the report. The report must be completed within one month of the self-assessment to facilitate IACUC review of the report.
By our signatures, we verify that 1) we have reviewed and approved Forms 1 (Checklist) and 2 (Table of Deficiencies), 2) we have read any minority opinions appearing in item D of this report, and 3) we hereby authorize IACUC representatives to review this report with the Medical Center Director:
ROLE on IACUC (chair, veterinarian, scientist, lay member, non-affiliated member)
Form 4 (Template for Minutes), Page 13