Transgenic Service Request (Bold Fields required)
 
PI Last Name: 
Account:
IACUC Protocol Number:
IBC Protocol Number:
What is the BioSafety Level?  (Most work is BSL1)
DNA Construct Name:
DNA Concentration (µg/µl):
DNA Volume (µl):
DNA Construct Total Size (kb):
Enzyme(s) to free insert (from start of the promoter to end of poly A signal) from vector backbone: 
Insert size (from start of the promoter to end of poly A signal) in kb: 
Vector backbone size (cloning vector alone) in kb: 
Mouse Strain to Inject:(B6SJL meets most needs. If "other", please give below)
Type of Vector:(If "other", describe below)
Is a phenotype expected?(If "yes", give details below.)
Southern Blot or Validated PCR Assay Will Be Provided: 
Special Considerations: