Permit Request • CampusOptics

PI's are to fill out this form when their research involves the introduction of recombinant or synthetic nucleic acid molecules into organisms. Registration is valid for three years - Under Permit Date & Time put the Expiration Date as Three years after the Start Date.

If you have any questions please refer to the Biosafety Program https://www.weber.edu/wsuimages/EHS/pdfs/wsu-biosafety-program.pdf and Biohazardous Waste guide https://www.weber.edu/wsuimages/EHS/pdfs/biohazardous-waste-guide.pdf

Requester

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Campus, Building, or Outdoor Area* Required

Additional Location Details

Technology/Process Information

Provide a brief summary of recombinant DNA technology and/or research to be conducted* Required

Describe the rDNA Material that will be used* Required

Containment Level Required

Containment Level* Required

BSL 1
BSL 2
Other (if other explain below)

Other

Inactivation of rDNA Material

Is inactivation of rDNA material required prior to disposal* Required

If Yes please describe the process

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files