Animal Behavior Assessment Unit (ABAU)
Tattoo Request

Please complete this form each time you would like your animals tattooed by our staff. This information helps us prepare and schedule your tattoo session.

Note: Please read and become familiar with our Tattoo Procedures and Policies before making a request.

All fields are required, unless otherwise stated. Incomplete forms may delay tattooing. Please tab between fields. Do NOT use an apostrophe (') in any of the fields. Thank you.

PI:
UCAR Protocol Number:
Animal Information
Species: Mouse Rat
Strain(s):
Quantity:
Age at the time of tattooing:
 Pre-Weaned: PND 0 - PND 10
Pre-Weaned: PND 11+
Weaned: PND 20 - PND 29
PND 30 - PND 60
PND 60+
Are these animals: Large Average Small
Healthy Sickly and/or Frail
Animal Housing: 1-Way Room 2-Way Room
Static Micro Isolator (MIT)
Single Housed Multi Housed Both
Have these animals been handled on a regular basis? Yes No
Will these animals undergo any treatment/exposure/surgery before they are tattooed? Yes No
Brief Description of Treatment
(if answered "Yes" above):
Any Additional Animal Information
(optional):
Tattoo Information
Do these animals have any dark coloring? Yes No
Desired location of tattoos: Tail Toes, Paw Pads, and/or Shanks
Where will tattooing be perfomed? BFC: G-6833
Other Location:
Will tattooing be performed under a hood? Yes No
Does the tattoo equipment have to be sterilized in a biosafety cabinet before use with your animals? Yes No
Contact Person's Information
Name:
E-Mail:
A confirmation e-mail will be sent to the above entered email address, so please verify that this is correct.
Phone:
Room:
Box Number:
Will you (or someone from your lab) be able to assist? Yes No
Scheduling Information
Date range when tattooing can occur: From to
Preferred day(s) of the week: Monday
Tuesday
Wednesday
Thursday
Friday
Preferred time(s) of the day: Morning (8 AM - 11 AM)
Midday (11 AM - 2 PM)
Afternoon (2 PM - 5 PM)
Please enter any other specifications
or additional comments here:
(optional)
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By submitting this request, you are awknowledging that you have read and understand our Tattooing Procedures and Policies.

Thank you!
-ABAU--University of Rochester Medical Center-

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