Forms Animal Welfare Body Utrecht

• Report unexpected discomfort
• Report unexpected discomfort - Translational Neuroscience

Would you like to apply for a project licence to conduct animal experiments at Utrecht University or UMC Utrecht? Please contact us for information about the procedure and to receive the necessary forms.

The forms are pre-filled by us with some sensitive information about the institute. For that reason they are not published on this website.

It concerns five forms that together form the package for a license application:

• Application form
• Project proposal
• Appendix description of animal experiments
• Non-technical summary (NTS)
• Extra replacement questions

If you wish to make changes to a project lisence that has already been granted, please use the modification form. You can find this under ‘Work protocol and related forms’.

• Work protocol (Word)
• Work protocol tissue project (Word)
• Appendices Work protocol - RIE-formulieren (via Gemeenschappelijk Dierenlaboratorium)
• Modification form (Word)
• Welfare evaluation (Word)
• Checklist for monitoring animal experiments (Word)
• Checklist for monitoring animal experiments for education (Word)

• Breeding protocol (Word)
• Breeding protocol - Appendix 1: Maintenace breeding (Word)
• Breeding protocol - Appendix 2: Production breeding (Word)
• Breeding protocol - Appendix 3: Genotyping (Word)
• Breeding protocol - Appendix 4: Breeding GMO passport (Word)

• Portfolio of competence (Excel)
• Portfolio of knowledgeable (Excel)
• Reassessment model (Word)
• Reassessment model - print out version (Word)
• Form intermediate assessment training (Word)
• Form Final assessment training (Word)
• Form Final assessment training - print out version (Word)

The retroperspective assessment consists of two documents. Find out more on the CCD website (in dutch)

• form retroperspective assessment (word)
• results of retroperspective assessment NTS (excel)