SUNY - STONY BROOK DIVISION OF LABORATORY ANIMAL RESOURCES

ANIMAL SHIPPING REQUEST FORM

If you are importing/exporting animals to/from Stony Brook University, please complete the 'Animal Shipping Request Form' below.

DLAR Contact Information:
Veterinarian: Tom Zimmerman
Shipping Contacts: V. Scott, Nicole Steinhauff
E-Mail Addresses: vanessa.scott@sunysb.edu, nicole.steinhauff@sunysb.edu
Phone: (631)444-2194   Fax: (631)444-8843

Please note there is a recharge of $160/shipment to cover the cost of pathogen testing during quarantine. There may also be additional costs incurred if breeding is done in quarantine or the shipment is more than 20 animals.

SUNY Investigator Name:     Department:
Lab Contact Name:     Phone #:
Fax: Email: IACUC Protocol #

IACUC category for incoming animals: A B C If more than one category, indicate #'s note section below.

Information About the Other Institution:

Institution:
Investigator Name: Department:
Lab Contact Name:     Phone #:
Fax: Email:

Veterinarian:     Shipping Contact:
Vet Phone #:     Contact Phone #:
Vet Fax: Vet Email:

Will you be:
Shipping Animals Out (Exporting)
Receiving Animals (Importing)

Please enter animal information below:

Species:    Strain or TG/KO designation:
Number of males:  Number of females:
Facility:    Room #:

If these animals have any special husbandry needs, please describe below: