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The form below allows for anonymous, electronic reporting of potential research animal welfare concerns. To assist Xyzagen’s IACUC in investigating your concern, please provide the following information. Thank you.

Anonymous Reporting of Welfare Concerns Regarding Animals at Xyzagen, Inc.

"*" indicates required fields

MM slash DD slash YYYY
(approximate, if necessary)
Time of Event*
:
(approximate, if necessary)
Location of Event*
(please be as specific as possible noting the building, room or area)
(please include as much relevant information as possible)


Optional Information

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


All information provided through this form will be kept confidential.

If you would like feedback regarding the reported event, please provide the Optional Information.

If you would like to contact someone directly, please email [email protected].