research.uci.edu · web viewin this aup template, the user can keep a locally stored version of...
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In this AUP template, the user can keep a locally stored version of their AUP as a backup and copy/paste text from this template to their AUP document in RMS. This is not a complete template, but an optional tool for RMS users. IACUC will not accept this Word document as a replacement for the AUP application. Please type below each section/question and fill in the fields, tables or drop down lists. Help hyperlinks are active in this template and link out to the online user guide. Hover your mouse over the HERE links and hold Control and click to follow the link.
☐ No
☐ Yes
☐ No
☐ Yes
Clicking Yes will open up additional questions.
Choose an item.
Click here to enter a date.
Click here to enter a date.
Click here to enter a date.
Choose an item.
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MaxAnimal Study #1
{Enter number here} SpeciesAnimal Study #2
{Enter number here} SpeciesTotal for all study segments
Total
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Species Name of Drug/AgentDose Range
(list dose in mg/kg body weight)
Route
(SQ, IP, IV etc.)
Frequency
(how often given?)
Duration of Treatment
(how long will treatment last?)
Species Name of Drug/AgentDose Range
(list dose in mg/kg body weight)
Route
(SQ, IP, IV etc.)
Frequency
(how often given?)
Duration of Treatment
(how long will treatment last?)
Species Name of Drug/AgentDose Range
(list dose in mg/kg body weight)
Route
(SQ, IP, IV etc.)
Frequency
(how often given?)
Duration of Treatment
(how long will treatment last?)
Click here to enter a date.
Click here to enter a date.
Click here to enter a date.
Click here to enter a date.
Click here to enter a date.
