NOTICE OF TERMINATION TO IBC

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					      MUSC INSTITUTIONAL BIOSAFETY COMMITTEE (IBC)
                        Submit to: Dr. Cynthia Karr, Office of Research Integrity
                      165 Cannon St. (bank building), Room 501, PO Box 250857
                                   Phone: 792-3370 Fax: 792-6507


                               NOTICE OF TERMINATION TO IBC

PI:                                                                          IBC #:

Please provide all requested information. Type of agent is microorganism, rDNA, or toxin. Disposition
may be completed through destroying the agent(s), transferring to another PI, storing at MUSC or
transporting to another institution upon leaving MUSC. Details include method of destruction, receiving
PI and/or institution, storage location (building, room and container – e.g. -80˚ freezer), or any other
relevant information.

                              REGISTERED AGENT INFORMATION

Registration             Type of                 Date of                        Disposition
 Number:                 Agent:                Disposition:                      of Agent:


Details of Disposition:



Details of Disposition:



Details of Disposition:



Use of the agent(s) referenced has/have been discontinued. Should I wish to resume use
at a later date, a new application will be submitted to the IBC for review and approval.


PI Signature:                                                      Date:

IBC USE ONLY:

Notes:




IBC TermForm.doc                                                                      01/07

				
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