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Anonymous Reporting of Animal Welfare Concerns

As the NIH Intramural Research Program Institutional Official, Dr. Michael Gottesman is committed to full and open communication regarding animal care and use within the NIH Intramural Research Program. The form below allows for anonymous, electronic reporting of potential research animal welfare concerns. To assist both Dr. Gottesman and the Director for the Office of Animal Care and Use (OACU) in investigating your concern, please provide the following information.

Event Information

Date event occurred *

(approximate, if necessary)

Time event was noted *

(approximate, if necessary)

Location where noted *

(please be as specific as possible noting the building, room, or area)

Animal species involved

(i.e., mouse, rat, fish, etc.)

Details of event *

(please include as much relevant information as possible)

Optional Information

All information provided through this form will be kept confidential. Additionally, if you would like feedback on this event, please provide the following optional information. If you wish to speak to someone directly about this concern, please contact the OACU Director at 301-496-5424.

First name

Telephone number

May the OACU Director contact you if further details are needed to fully investigate the concern?

Yes

No

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Good Animal Care and Good Science Go Hand in Hand

Anonymous Reporting of Animal Welfare Concerns

Event Information

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