Animal Welfare Concern or Complaint Form

Name: (optional)

Date of Concern/complaint filing: *

Date (s) of incident of concern: *

Please describe the nature of your concern/complaint including any witnesses, species involved or name of animal (s), and number of animals involved. *

Who within the Manor College administrative staff, faculty, and administration have you spoken with regarding this concern/complaint? *

Why are you bringing this concern/complaint to the IACUC for further review and/or investigation? *