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Record Keeping for Labs Using Federally Regulated Quantities of Select Agents

The following forms are available as Word documents:

Select Agent Federal Registration Changes and Renewal Form
The University’s Select Agent Federal Registration needs to be renewed every three years. Submit this form to Environmental Health and Safety (DEHS) to request registration renewal or to make any changes to your existing registration. Changes that need to be reported include; change in location of select agent, change in authorized users, significant change in select agent protocol, or change in research objective.

Select Agent Research Lab Record of Training
Customize this form to reflect any training involving select agents. File one copy with your laboratory’s training records and submit one copy to DEHS.

Submit all forms to the Select Agent Program Coordinator:

Select Agent Program Coordinator
Environmental Health and Safety
W-140 Boynton Health Service
For questions, please call 612-626-6002