You must have JavaScript enabled to use this form. Prinicpal Investigator Name * Enter name of faculty member responsible for laboratory. PI email address * Please use your @ucmerced.edu email address. Designee Name This person may be the lab safety coordinator, biosafety lab contact, or other appropriate designee familiar with lab operations. Designee email address Please use your @ucmerced.edu email address. Are biological agents or materials used or stored in your lab? * Yes No Biological agents and materials include the following: recombinant DNA, synthetic nucleic acids, WHO Risk Group 2 or higher pathogens, biological toxins, material of human or non-human primate origin, including cell lines. Do you have a current Biological Use Authorization (BUA)? * Yes No After checking the contents of your freezers and storage areas, are there any agents in your lab that qualify as World Health Organization Risk Group 2 or higher (this includes all material worked with at BSL2 or higher, including human cell lines)? * Yes No If you are unsure about the risk group classification of an agent in your lab, enter the name of that agent into the search bar on the ABSA page at the following link Are there any agents or toxins in your lab that are on the Select Agent list? * Yes No Regulations Link Please list all of the select agents or toxins in your lab. * If none, enter N/A Agent List Do you know of any abandoned freezers or any unclaimed samples in your area? * Please give the location and description of the abandoned freezers or unclaimed samples. If no known abandoned freezers or samples, enter N/A. Leave this field blank
