Please note that a separate form needs to be completed for each strain.
Current location of colony:
Are Mice Currently Available?
Contact person in animal facility:
Is your strain genetically engineered?
Was a virus or plasmid used in creating this strain?
What gene or genes are being expressed or have been modified?
Are there any potential risks to animal workers associated with this strain?
If applicable, please provide NCI-Frederick Institutional Biosafety Committee
Indicate best method to verify genotypic expression:
Sample preference for genotype verification (required):
Method of breeding and reproductive performance:
Special Requirements/ Notes:
Sequence of the Primers:
Concentration of the Primers:
Melting Temperature (Tm), °C:
Expected size of the amplified fragment:
A representative picture of the PCR product:
**Please click the submit button only once.**