Animal Studies Research Ethics Approval Request Form
Project Title
Principal Investigator Name
Department / Institution
Email Address
Phone Number
Study Purpose / Objectives
Animal Species
Number of Animals
Animal Source
Housing and Care Details
Procedures to be Performed
Expected Outcomes / Benefits
Potential Risks to Animals
Pain / Distress Management
Humane Endpoints
Ethical Considerations / Justification
Other Relevant Details
Date
Signature (Typed Name)