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| Form/Document Name | Description | Who Completes It |
|---|---|---|
| Risk Assessment Work Evaluation Questionnaire for Employee/Affiliate (Participant) with Research Animal Exposure (Form A) | Form to determine amount of exposure to animals (in the Animal Care Facility | Persons (principal investigators and co-investigators; veterinarians; IACUC members; student assistants; student research assistants; university staff) who come in contact with research animals |
| Medical History Questionnaire for Employees/Affiliates with Research Animal Exposure (Form B) | Form requesting medical information | Persons (principal investigators and co-investigators; veterinarians; IACUC members; student assistants; student research assistants; university staff) who come in contact with research animals |
| Employee's First Report of Injury | Form to report an animal care-related injury | Any person who, in the course of animal care, becomes injured |
| Supervisor's Report of Incident, Injury or Illness | Form to report an animal care-related injury | The supervisor of any person who, in the care course of animal care, becomes injured |
| Employee's Election Regarding Utilization of Sick and Annual Leave for General Employees | Form for injured or ill employees to designate the type of leave to be used | An employee who has, in the course of animal care, has become injured or ill |
| OccHealth ACP Enrollment | Form for enrolling in or opting out of, enrollment in the Occupational Health Animal Care Program | Persons (principal investigators and co-investigators; veterinarians; IACUC members; student assistants; student research assistants; university staff) who come in contact with research animals |