Application form (Nagerzentrum) (PDF, 28 KB)

Laboratory Animal Services Center (LASC)
Winterthurerstrasse 190
CH-8057 Zürich
www.lasc.uzh.ch
APPLICATION FOR ACCESS TO A LASC-RODENT FACILITY
NAGERZENTRUM
Name:
Title:
First Name:
Institute:
Department
Email:
Phone:
Street/Nr.
Mobile phone:
(private address):
Postal code/City
Office-/Lab-Nr.:
(private address):
UZH-Card
UZH-Card No
employee /student no.
(between signature
and barcode field)
(below the photo)
I need access to the following
animal facility areas/rooms:
To get access to the animal facility, you have to participate in:


iRATS course
Instruction (theoretical and practical part)
Contact for theoretical instruction:
[email protected]
Contact for practical instruction:
[email protected]
Contact for access authorization and iRATS: [email protected] (Y25H22b)
Mandatory signatures:
Date:
Signature of iRATS instructor:
Date:
Signature of veterinary services representative (theoretical instruction about rules and
regulations in UZH-rodent facilities):
Date:
Signature of facility representative (practical instruction in animal facility):
Date:
Signature of applicants`director of institute or group leader
Date:
Signature of applicant
Final review and official approvement
Date
Signature of access authorized person (LASC)
The key itself is given by Jakob Nick, Betriebsdienst Tierspital, TFA 02.03
Dr. Dagmar Schäfer. LASC 03/2014

Download Report